The "Spacers and Puffers" One
Before we dive, let’s start with clarifying some definitions of the main players. A lot of these devices have multiple names, and everyone seems to interchange all of the names anyway. For example, an inhaler can also be called a puffer. Or, a spacer can also be called a puffer. Some people call everything a spacer or puffer. Bottom line: it doesn’t really matter what you call them, but to minimise confusion, here is what I am referring too:
HOW TO GIVE AN INHALED MEDICATION CORRECTLY
See your Doctor to find out what inhaler your child needs, and what the dose and frequency will be.
Ask how they would prefer it to be given: AKA with a mask and spacer, spacer only or volumatic. This is all based on your child’s development, capability, lung capacity, coordination and cooperation.
THE MASK
> Masks are essential if your child is unable to place their mouth and lips around the spacer, and keep it there throughout the duration of the all the puffs required. It’s important that the mask covers your child’s nose AND mouth.
> The mask needs to form a complete seal around their mouth and nose. If it doesn’t fit properly, they will not receive the entirety of their dose, as the medicine will escape out under the mask into the atmosphere.
THE INHALER
> Shake the inhaler before every use.
> Give one puff of the inhaler at a time.
THE SPACER
> Most spacers need to be washed before their first use. See below on how to do this.
> If it is the first time you have used the spacer, you may need to prime it. All spacers are different, so please check the instructions first to make sure this is needed for your particular spacer. Priming the spacer reduces static build up inside the canister which means that the medicine will not stick to the canister instead of entering your child’s lungs.
> Attach the inhaler to the spacer.
> Apply the mask to the other end of the spacer, and then apply to the face.
> Press the inhaler once, then wait for your child to breath in and out four times.
> Repeat this step until the full dose is given.
> If the mask falls off (or your child wriggles or pushes it away), you only need to repeat the last puff of the inhaler. You do not need to repeat the entire dose.
> Here’s a great video from Asthma Australia showing how to do this (on a very cooperative child 😉)
CLEANING YOUR SPACER AND MASK
It’s important to clean your spacer regularly. Once a month is great, or after your child has recovered from a viral / respiratory infection.
HOW-TO
> Dismantle all pieces of your spacer.
> Wash everything in warm soapy water. Dishwashing liquid is all you need.
> Do not rinse. This is important!
> Allow all pieces to air dry. Do not use a towel or cloth to dry as this will result in static build up.
> Use as normal once dry.
It’s not uncommon for the spacer to become cloudy or white. This is normal and will not inhibit its function.