Multiple breath technique

1. Remove cap, shake inhaler and insert into device
2. Place mouthpiece in mouth
3. Start breathing in and out slowly and gently. (This will make a .clicking. sound as the valve opens and closes)
4. Once breathing pattern is well established, depress canister and leave device in same position as you continue to breathe (tidal breathing) several more times
5. Remove device from mouth
6. Wait about 30 seconds before repeating sections 1-5

Single breath technique

1. Remove cap, shake inhaler and insert into device
2. Place mouthpiece in mouth
3. Press canister once to release a dose of drug
4. Take a deep, slow breath in
5. Hold breath for about 10 seconds, then breathe out through the mouthpiece
6. Breathe in again but do not press the canister
7. Remove device from mouth
8. Wait about 30 seconds before repeating steps 2-7

ALWAYS DEMONSTRATE TO THE PATIENT HOW TO USE THE SPACER DEVICE
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