1. Remove mouthpiece cover from inhaler
2. Attach facemask to spacer mouthpiece. The laerdal mask attaches to the Volumatic and the new .McCarthy. mask to the Nebuliser
3. Shake inhaler and insert into the spacer device
4. Tip spacer to an angle of 45o or more to enable the valve to remain open
5. Apply mask to persons face covering nose and mouth with as tight a seal as possible
6. Press the inhaler canister once to release a dose of the medication, keeping the mask on persons face to allow 5 or 6 breaths
7. Wait for about 30 seconds before repeating steps 3-6
8. When using this method to administer inhaled steroids, remember to wash the persons face after each treatment

ALWAYS DEMONSTRATE TO THE PATIENT HOW TO USE THE LARGE VOLUME SPACER AND FACEMASK
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