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What steps should the nurse include when reviewing the use of an MDI with a spacer with the child? What is the advantage of using a spacer with an MDI?
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Ans.) Steps followed must be taken when a nurse reviewing the use of MDI with a spacer with the child

  • Hold the MDI at  upright and shake well
  • Insert inhaler upright into spacer
  • Now, tell the child to breathe normally
  • Hold spacer and press down firmly on canister once
  • Tell the child to breathe in and out normally for 3 or 4 breaths*
  • Remove spacer from mouth
  • Breathe out gently away from mouthpiece
  • Remove inhaler from spacer

Advantage of using spacer with MDI - Spacer improves coordination between delivery of the medication from the inhaler and breathing it onto the bronchial tubes. It also cut down the quantity of medication.

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