Inhaler Technique: Simple Steps for Kids and Parents

Getting the inhaler right can make a big difference in how well a child’s asthma is controlled. The wrong technique means less medicine reaches the lungs, leading to more attacks and doctor visits. Below you’ll find the easiest way to use both metered‑dose inhalers (MDIs) and dry‑powder inhalers (DPIs) with a spacer, if needed. Grab the inhaler, a spacer, and a few minutes – then follow along.

Step‑by‑Step Guide

1. Prepare the inhaler. Shake the MDI for about five seconds. If you’re using a DPI, make sure the mouthpiece is clean and the dose counter shows a dose is left.

2. Attach the spacer. For MDIs, a spacer (or holding chamber) helps the spray travel farther into the lungs. Snap the inhaler onto the spacer’s end and make sure it clicks tight.

3. Breathe out. Have the child breathe out fully, but not all the way to empty. This clears the airways and makes room for the medicine.

4. Seal the mouth. Place the spacer mouthpiece between the child’s teeth and close their lips around it. If you’re using a DPI, the child should close their lips around the mouthpiece directly.

5. Inhale slowly. For MDIs, press down on the inhaler once while the child starts to breathe in slowly and deeply. For DPIs, the child should inhale sharply to pull the powder into the lungs.

6. Hold breath. After the medicine is in, ask the child to hold their breath for about ten seconds, then breathe out gently.

7. Repeat if needed. If the doctor prescribed two puffs, wait about 30 seconds, then repeat steps 3‑6.

8. Clean up. Rinse the spacer with warm water once a week and let it air‑dry. Wipe the inhaler mouthpiece with a clean cloth. Keeping the device clean prevents blockage and ensures the right dose.

Troubleshooting Common Mistakes

Wrong breath speed. Breathing in too fast with an MDI can cause the spray to hit the mouth instead of the lungs. Slow, steady breaths work best.

No spacer. Using an MDI without a spacer can waste half the dose. If a spacer isn’t available, ask the pharmacist for a small, child‑friendly one.

Forgetting to shake. An unshaken inhaler may deliver little or no medicine. Make shaking a habit before every use.

Skipping the breath‑hold. Holding the breath lets the medication settle in the airways. Ten seconds is enough; don’t worry if the child can’t hold it that long – a few seconds still helps.

Dirty mouthpiece. Powder or spray residue can clog the device. Wipe it clean daily, especially after an asthma flare.

If the child still wheezes after using the inhaler, or if the inhaler feels stuck, call the pediatrician right away. Having a written checklist on the fridge can remind the whole family of the steps.

Good inhaler technique isn’t a one‑time thing. Practice with the child during calm periods, not just during attacks. The more comfortable they feel, the faster they’ll get relief when it matters most.