Asthma TIPS

Info on reactive airway disease and asthma

 reactive airway disease and asthma


How to Use a Spray Inhaler without a Spacer


Why employ a spray inhaler for asthma at all? Because with inhalation, it takes simply five to 15 minutes for short-acting, quick-relief medicine (bronchodilators) to have an effect, contrasted to oral asthma medicines, which might take one to three hours to have a comparable influence. With an inhaler, there are also a lower amount of medication side effects because the medicine goes directly to the lungs and not to additional parts of the body.


To use an asthma inhaler, you will perform the ensuing steps in sequence. By following this method, you will be able to realize rapid reprieve of your acute asthmatic symptoms.
  • Shake the inhaler once or twice.
  • Remove the inhaler cap.
  • Place the inhaler just in front of your mouth, or into your mouth.
  • Proceed to stand.
  • Exhale, afterward as you breathe in, push down on the inhaler top. Remain little by little breathing in.
  • Keep your breath held for 10 seconds.
  • Breathe out.
  • You’re done!

How to Utilize a Spray Inhaler through a Spacer

Why should you want to use a spray inhaler through a spacer? Due to the fact that the degree of muscle coordination required to use a spray inhaler might not be possible for specific individuals, particularly the very young or older people having difficulties with muscle coordination.

An asthma spacer is a plastic or metal cylinder that mixes the bronchodilator medication amongst air in a simple tube, making it simpler for patients to receive a complete dose of the medication. The spacer makes it easier to use the inhaler and helps ensure that more of the medication gets into the lungs instead of merely into the mouth or the air. With ideal use, a spacer is able to make an inhaler 20 percent additionally effective in delivering medicine, contrasted to a spray inhaler. Spacers are specially designed to fit an inhaler on one end, while you breathe normally on the opposite end. Spacers slow down the speed of the aerosol mist coming from the spray inhaler, causing less of the asthma medication to act on the back of the mouth, with extra getting into your lungs. Hence, less medication is necessary to have an effective dose. In addition, there are fewer side effects from corticosteroid medication residue in your mouth.


With a spacer, you perform these steps in succession:
  • Insert the spacer’s open end in your mouth.
  • Push in the inhaler top, and spray your asthma medicine just once into the spacer.
  • Breathe in deeply and hold your breath for 10 seconds.
  • Exhale, breathing out into the spacer.
  • Breathe in again from the spacer, however this time don't spray the medicine into the spacer.

Using a Metered Dose Inhaler (MDI) Correctly


There are five components to a metered dose inhaler (MDI):
  • the medication
  • the propellant
  • the canister
  • the metering valve
  • the mouthpiece

Each time the inhaler is used, a precise measured, or "metered," quantity of medicine is released, that is subsequently breathed into the lungs. The correct method for using a MDI is to first completely exhale, place the mouth-piece end of the pump into the mouth, and having just now started to inhale, then depress the canister to release the medicine. The aerosolized medicine is drawn into the lungs by continuing to inhale deeply before holding the breath for 10 seconds to enable absorption into the bronchial walls. Such steps are outlined as follows:


  • Shake the MDI.
  • Hold the MDI upright, then remove the cap.
  • Angle your head back somewhat and breathe out.
  • Either with or without a spacer, push down on the inhaler to release the bronchodilator medicine as you commence to slowly breathe in.
  • For 3 to 5 seconds, breathe in slowly.
  • For 10 seconds, hold your breath - this allows deep penetration of the medicine to your lungs.
  • Wait 1 minute.
  • Repeat the above breathing in sequence if necessary or directed by your physician.

How to Stay Organized about Usage of an Asthma Inhaler


You don’t like to run out of medication and find yourself having an asthma attack with no recourse but to go to an emergency room. To avoid this, here’s what to do:

Find out the number of puffs per MDI canister. Moreover, you know how many puffs per day you average. For instance, a canister may be rated at 200 puffs. If you do 5 puffs per day, then the usage is 40 days for one canister. Calculate when to obtain your prescription refill by going ahead by, say, 38 or 39 days. Obtain a magic marker and write the refill date on the canister. Also, mark this date on your calendar.

If you have an interest in asthma treatment advice, then you may also want to look at childhood asthma medications or additionally asthma information.

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