Asthma Inhaler Technique

Amplified

Prep

  • Check inhaler expiry
  • Shake MDI vigorously (20 shakes)
  • Assemble spacer

Technique (pMDI + Spacer)

Standard Technique (Older Child/Adult)

  1. Sit or stand upright
  2. Exhale gently (not fully)
  3. Seal lips around mouthpiece
  4. Actuate once into spacer
  5. Breathe in slowly and deeply
  6. Hold breath 10 seconds
  7. Breathe out gently
  8. Wait 30-60 seconds before next puff
NOTE
Single puff per breath - don't "stack" actuations

Tidal Breathing (Young Child/Mask)

  1. Apply mask to face (good seal)
  2. Actuate into spacer
  3. Take 4-6 tidal breaths through spacer
  4. Wait 30 seconds before next puff

Common Errors

  • Actuating before inhalation
  • Breathing in too fast (impacts on oropharynx)
  • Not holding breath
  • Stacking multiple puffs before breathing in
  • Poor mask seal (air leaks)

Finish

  • Rinse mouth (especially with ICS to prevent thrush)
  • Document puffs given
  • Review technique at each visit
Checklist Complete