LIVING WELL WITH COPD
Instructions for Using an MDI With a Holding Chamber and Mask
If you have difficulty using the MDI,
your doctor may prescribe a holding
chamber with a mouthpiece or a
mask. It includes a tube that attaches
to your MDI. This may help you more
easily use the MDI. Before using your
MDI with a holding chamber:
• Read the specific instructions that
came with it.
• Follow the priming directions
carefully.
• Follow the cleaning directions
carefully.
• Wash the holding chamber or
spacer according to the
instructions.
1
5
SHAKE WELL
STEP 1: Take the cap off your MDI.
Check for and remove any dust, lint,
or other objects. Shake the MDI well, if
patient instructions specify.
2
ATTACH MASK
BREATH IN AND OUT
STEP 5: Breathe in and out normally
for six breaths, to inhale the full dose of
medicine. The chamber’s one-way valve
will prevent breath from going back
into the chamber. Monitor the user’s
breathing by watching the valve open
and close. Do not remove the mask until
the sixth breath is completed.
6
STEP 2: Attach the mask to the holding
chamber, if it’s not a single unit. Insert
the MDI into the chamber.
REMOVE MASK
STEP 6: Remove the mask from the
user’s face.
3
POSITION MASK
STEP 3: Sit up straight, or stand.
Place the mask over the patient’s nose
and mouth. The mask should fit firmly
enough so none of the medicine can
escape.
4
PRESS DOWN
STEP 4: Press down on the MDI to put
one dose of medicine in the chamber.
7
WAIT 1 MINUTE, SHAKE
STEP 7: If the patient needs to take
another puff of medicine, wait 1 minute.
After 1 minute, shake the MDI again if
patient instructions specify. Repeat steps
3 through 6.
8
RINSE IF CORTICOSTEROID
STEP 8: Remove the MDI from the
chamber. Recap both devices. If the
medicine is a corticosteroid, user’s
should rinse their mouth with water after
the last puff of medicine. Spit the water
out – DO NOT SWALLOW IT.
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