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Breathing Problems: Helping a Child Use a Metered-Dose Inhaler and Mask Spacer

Overview

A metered-dose inhaler (MDI) with a regular spacer has a mouthpiece that some younger children find hard to use. But a mask spacer that fits over the mouth and nose can make the inhaler easier to use.

Using an MDI with a mask spacer:

  • Helps get the right amount of medicine into your child's lungs.
  • Can help keep your child's asthma symptoms under control and allow your child to live an active life.
  • May prevent or reduce side effects of the medicine.
  • May let your child use less medicine than is found in a pill but get the same effect.
  • May result in the medicine working faster than a pill form.

How to help your child use the inhaler

Before using a metered-dose inhaler (MDI) with a mask spacer:

  • Talk with your doctor about how to use it. Be sure your child uses it just as the doctor prescribes.
  • If your child is old enough, teach them how to check to make sure it's the right medicine. If your child uses several inhalers, label each one. Then make sure your child knows what medicine to use at what time. You might try using colored stickers to teach the difference between medicines.
  • Keep track of how many puffs of medicine are in the inhaler. This may help you keep from running out of medicine. Refill the prescription before the medicine runs out. Ask your doctor or pharmacist to show you how to keep track of how much medicine is left.
  • If your child is using corticosteroids, have your child gargle and rinse their mouth with water after use.

Using a metered-dose inhaler with a mask spacer

Follow these steps for using a metered-dose inhaler with a mask spacer.

Person shaking inhaler and removing cap.

1. Shake the inhaler for 5 seconds. Remove the cap.

Mouthpiece of inhaler being placed into spacer.

2. Hold the inhaler upright with the mouthpiece at the bottom. Then place the mouthpiece of the inhaler into the spacer.

Mask spacer placed securely over child's mouth and nose.

3. Place the mask spacer securely over your child's mouth and nose. Be sure to get a good seal. The mask must fit snugly, with no gaps between the mask and the skin.

Person pressing down on inhaler to spray medicine into spacer.

4. With the mask spacer in place, press down on the inhaler to spray 1 puff of medicine into the spacer.

Child breathing in and breathing out through mask spacer.

5. Keep the mask spacer in place, and have your child breathe in and out normally for 5 or 6 breaths.

Wristwatch with shading to show elapsed time.

6. If your child needs another puff of medicine, wait 1 minute between puffs.

Person putting cap on inhaler.

7. Replace the cap on the inhaler.

Child rinsing mouth and spitting into cup.

8. Have your child rinse their mouth with water if the inhaler has corticosteroids, such as fluticasone. (Controller inhalers usually have corticosteroids.) Do not let your child swallow the water.

Related Information

Credits

Current as of: July 31, 2024

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: July 31, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Dear patient

I am excited to announce that I will be relocating my practice to Houston Methodist DeBakey Cardiology Associates. Starting November 4, 2024, my new address will be:

Houston Methodist DeBakey Cardiology Associates
6550 Fannin St.
Smith Tower, Suite 1901
Houston, TX 77030

Please note that my phone number and fax number will also change to the following:
24-Hour Telephone: 713-441-1100
Fax: 713-790-2643
Clinical Support Telephone (M-F, 8-5): 713-441-3515

I am excited about caring for you in my new office and hope you will make the transition with me. I will also continue to refill your medications as I have in the past. To assist, please provide your pharmacy with my new contact information.

Please consider checking your prescription refills to verify that you have enough medication on hand to last you until your next visit. Please note that your medical records will remain at my former office until you authorize their transfer. If you choose for me to continue providing your medical care, please complete and sign the enclosed “Authorization for Release of Medical Records” form and fax it to 713-790-2643. Once we receive your authorization, we will be happy to process the request for you.

Thank you for entrusting me with your medical care. My new team and I are dedicated to making this transition as seamless as possible. For help scheduling an appointment and transitioning your care, please call my new office number above.

I look forward to continuing your care at my new location.

Sincerely,
Gopi A. Shah, MD

Dear patient

Dr. Albert Raizner, Dr. Michael Raizner, and Dr. Mohamed El-Beheary are excited to announce that our practice, Houston Cardiovascular Associates, will merge with Houston Cardiovascular Associates on November 1, 2024.

Our new offices are similarly located in Houston, near the Texas Medical Center and in Sugar Land. Our in-hospital care will continue at Houston Methodist Hospital in the Texas Medical Center and Houston Methodist Sugar Land Hospital. Importantly, our new offices expand our services with state-of-the-art equipment and amenities. Our core values will always be, as they began over 40 years ago when Dr. Albert Raizner founded HCA:

Integrity – Compassion – Accountability

Our new address and contact information are:

Your medical records are confidential and remain available at our new locations. We consider it a privilege to serve as your cardiologists and look forward to your continuing with us. However, should you desire to transfer to another physician, you may request a copy of your records by contacting us at our new addresses and phone numbers listed above.

We thank you for your trust and loyalty. As always, we will continue to be here to take care of you. Please do not hesitate to contact us if you have any questions or concerns.

Sincerely,

Dr. Albert Raizner,
Dr. Michael Raizner,
Dr. Mohamed El-Beheary