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Step-by-Step Guide: How to Use an Inhaler for Childhood Asthma

Step-by-Step Guide: How to Use an Inhaler for Childhood Asthma

Dr. Vinit Mehta, MD Pediatrician

Call Now: +918347990180
Location: Aashrey Child Clinic, Vadodara
External Video Resources: How to Use an Inhaler Animated Video | How to Use an Inhaler Real Child Video

Asthma inhalers are the most effective way to deliver medication directly into the lungs, helping children breathe better and manage their symptoms effectively. However, using an inhaler correctly is crucial for optimal treatment. This guide provides a detailed step-by-step method to ensure the proper use of inhalers in children of different age groups.


Understanding the Types of Inhalers Use in Childhood Asthma

  1. Metered-Dose Inhaler (MDI): A pressurized device that releases medication in a mist form.
  2. Dry Powder Inhaler (DPI): Requires a deep breath to inhale powdered medication.
  3. Nebulizer: Converts liquid medication into a fine mist for inhalation.

Step-by-Step Guide for Inhaler Use in Childhood Asthma

1. Inhaler Use for Toddlers (Under 4 Years) with Mask, Spacer, and MDI

Materials Needed:

  • MDI (Metered-Dose Inhaler)
  • Spacer with a face mask
  • Medication prescribed by your pediatrician

Steps:

  1. Prepare the Inhaler: Remove the cap and shake the inhaler well.
  2. Attach the Spacer: Connect the inhaler to the spacer.
  3. Place the Mask: Ensure the mask covers the child’s nose and mouth completely.
  4. Release the Medication: Press down the inhaler once to release one puff of medication.
  5. Breathe In Slowly: Allow the child to breathe in the medication normally for at least 5-6 breaths.
  6. Repeat if Needed: If a second dose is required, wait 30-60 seconds and repeat the process.
  7. Clean the Spacer: Wash it regularly to maintain hygiene.

2. Inhaler Use for Preschoolers (4-6 Years) with Spacer and MDI

Materials Needed:

  • MDI (Metered-Dose Inhaler)
  • Spacer with mouthpiece

Steps:

  1. Shake the Inhaler: Remove the cap and shake the inhaler well.
  2. Attach the Spacer: Connect the inhaler to the spacer.
  3. Position the Mouthpiece: Have the child place the mouthpiece between their lips, sealing it tightly.
  4. Press and Inhale: Press down the inhaler and have the child take a slow, deep breath.
  5. Hold Breath: Ask the child to hold their breath for 5-10 seconds.
  6. Exhale Slowly: Let them breathe out gently through their nose.
  7. Repeat if Necessary: Wait 30-60 seconds between puffs if an additional dose is required.
  8. Clean the Spacer Regularly.

3. Inhaler Use for Adolescents (Above 6 Years) with MDI Alone

Steps:

  1. Shake the Inhaler: Remove the cap and shake the inhaler well.
  2. Exhale Completely: Breathe out fully before using the inhaler.
  3. Position the Inhaler: Hold the inhaler upright, place it in the mouth with lips sealed around it.
  4. Inhale Deeply: Press the inhaler and take a deep, slow breath simultaneously.
  5. Hold Breath: Keep the medication in the lungs for 5-10 seconds.
  6. Exhale Slowly: Breathe out gently.
  7. Repeat if Necessary: Wait 30-60 seconds before taking another puff.
  8. Rinse the Mouth (For Steroid Inhalers): Prevents oral thrush.

Common Mistakes to Avoid Use of Inhaler in Childhood Asthma

  • Not shaking the inhaler before use.
  • Inhaling too quickly or not holding breath after inhalation.
  • Not using a spacer when required.
  • Skipping regular cleaning of the spacer or inhaler.
  • Not exhaling before inhalation, reducing medication effectiveness.

Addressing Parental Concerns About Inhalers

  1. Stigma Attached to Inhaler Use
    • Many parents fear that using an inhaler means their child has severe asthma. In reality, inhalers provide effective relief and prevent worsening of symptoms.
  2. Fear That Once Started, It’s for Life
    • Asthma medication use depends on severity and control; it is not necessarily lifelong.
  3. Inhalers Are Difficult to Use
    • With proper technique and practice, inhalers become easy and convenient.

When to See a Pediatrician?

  • Frequent asthma symptoms interfering with daily activities.
  • Regular nighttime coughing or wheezing.
  • Difficulty breathing that does not improve with inhaler use.
  • Need for emergency treatment due to asthma attacks.

For Best in Care for Childhood Asthma: Click Here


Frequently Asked Questions (FAQ)

1. How often should my child use an inhaler?

  • Follow the prescribed dosage from your pediatrician. Maintenance inhalers are used daily, while rescue inhalers are used as needed.

2. Is a nebulizer better than an inhaler?

  • Both are effective. Nebulizers are easier for very young children, while inhalers with spacers provide faster and portable relief.

3. Can my child become dependent on an inhaler?

  • No, inhalers treat symptoms and do not cause dependence.

4. Should my child rinse their mouth after using an inhaler?

  • Yes, especially after steroid inhalers, to prevent oral infections.

Book an Appointment Today

For expert pediatric asthma care, schedule a consultation with Dr. Vinit Mehta, MD Pediatrician at Aashrey Child Clinic, Vadodara.

πŸ“ž Call Now: +918347990180
πŸ“ Visit Us: Google Maps Location


By following these step-by-step inhaler techniques, parents can ensure that their child gets the most benefit from asthma medications, leading to better symptom control and improved quality of life.

For more asthma management tips, check out our GINA Assessment for Asthma Control and watch the Animated Video Tutorial and Video- Real Child Doing it on how to use an inhaler correctly.