How to Use Paediatric Spacers

Paediatric spacers are made specifically with a paediatric mask attached. This is a much simpler approach for children, who can find it difficult to maintain a seal around a spacer's mouthpiece. It also allows a child to breathe normally.

  1. Remove the cap from the mouthpiece of the inhaler. Be sure to shake the inhaler vigorously to ensure that the medication is ready and the dosage will be correct.
  2. As a precaution, make sure your child's inhaler is working if it hasn't been used for some time or it is the first time your child will use the inhaler. You can do this by spraying it into the air first to check that it works.
  3. Attach the paediatric mask to the mouthpiece of the spacer.
  4. Insert the inhaler mouthpiece into the hole in the end of the spacer. Be sure that it fits snugly.
  5. Place the mask over the child's nose and mouth, so that it makes a seal with your child's face.
  6. Press down on the inhaler canister to spray just one puff of medicine into the spacer.
  7. Hold the mask in place and allow the child to breathe in and out normally for about 10 seconds or as indicated on your child's prescription.
  8. If your child needs another dose, wait about 30 seconds (or as indicated on your child's medication). Then, shake the inhaler again and repeat steps 4 to 7.

Be sure not to spray more than one puff at a time into the spacer. While you might think that this would deliver more medicine in a single dose, it actually makes the droplets in the mist stick together and to the sides of the spacer. In fact, you actually breathe in a smaller dose.

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