How to Use an Inhaler for Kids

Watching your child struggle to breathe during an asthma attack can be frightening. Knowing how to use their inhaler with a spacer or aerochamber correctly can provide much-needed relief in critical moments. This article explains asthma, discusses the types of inhalers available, and provides guidance on how to help your child.

Contact the experts at Bootin and Savrick Pediatric Associates in Houston, Texas, for more information about managing your child’s asthma.

A boy with asthma using an inhaler in Houston, Texas.

Understanding Asthma

Asthma is a chronic condition that affects the airways in the lungs, making it difficult for your child to breathe during an asthma attack. Asthma and allergies often go hand-in-hand, as allergens like pollen, dust, or pet dander can trigger asthma symptoms. Cold air, exercise, and respiratory infections can also cause flare-ups. 

Managing asthma is essential for your child’s well-being, and using an asthma inhaler correctly is a big part of that management. Inhalers deliver medication directly to the lungs, which helps open the airways quickly and effectively. Understanding the types of inhalers available and how to use them can make a big difference in your child’s asthma control.

Types of Inhaler Devices and Their Roles

Different inhalers are prescribed based on your child’s needs, age, and ability to use the device properly.

Metered Dose Inhaler (MDI) with Spacer or Aerochamber

MDIs are the most commonly prescribed inhalers for children under 14 years of age. They release a specific dose of medication with each puff.

A spacer or aerochamber is often attached to help deliver the medication efficiently to the lungs. The spacer reduces the need for precise timing and coordination between inhaling and pressing the inhaler. For younger children, a spacer may include a mask for easier use.

Typical prescriptions often require 2-6 puffs of medication.

Dry Powder Inhaler (DPI)

DPIs deliver medication in a powdered form. Unlike MDIs, they don’t require pressing a button or perfect timing, but they do require a strong, deep breath to inhale the powder effectively. DPIs are typically recommended for older children who can manage them independently.

Nebulizer Machine

A nebulizer converts liquid medication into a mist for inhalation. It’s ideal for younger children or those with severe asthma who can’t use an inhaler. The machine requires your child to breathe normally through a mask or mouthpiece. This method is slower but ensures the medication is delivered effectively over several minutes.

Your pediatrician will decide the best device based on your child’s age, asthma severity, and ability to use the inhaler properly.

How to Help Your Child Use an Inhaler

Using an inhaler effectively is a key part of managing your child’s asthma, and tools like spacers, aerochambers, or nebulizers can make medication delivery easier and more effective. Here’s how to help your child use each device:

Inhaler with Spacer or Aerochamber

Spacers and aerochambers are attachments for metered dose inhalers (MDIs) that help deliver medication directly to the lungs. They are especially useful for younger children who may have difficulty coordinating their breath with pressing the inhaler.

  1. Prepare the device: Shake the inhaler well, attach the spacer or aerochamber, and ensure it is clean and dry.
  2. Position your child: Have your child sit up or stand straight. Place the spacer’s mouthpiece into their mouth, ensuring their lips form a tight seal. If using a mask, fit it snugly over their nose and mouth.
  3. Administer the medication: Press the inhaler to release the medication. Your child should take slow, steady breaths through the spacer. For younger children, encourage several normal breaths to ensure they inhale the full dose.

Dry Powder Inhaler (DPI)

DPIs are designed for older children who can take strong, deep breaths. These devices do not require a spacer or aerochamber.

  • Instruct your child to exhale fully before placing the DPI in their mouth.
  • Have them inhale deeply and forcefully to draw the medication into their lungs.

Nebulizer

For children who cannot use an inhaler or during severe asthma symptoms, a nebulizer is an effective option. It delivers medication in the form of a mist over several minutes.

  1. Set up the machine: Fill the nebulizer cup with the prescribed medication and attach the tubing to the machine and mask or mouthpiece.
  2. Position your child: Have them sit comfortably, and place the mask securely over their nose and mouth. For older children, a mouthpiece may be used.
  3. Administer the medication: Turn on the machine and have your child breathe normally. A full treatment typically lasts 5-10 minutes.
 

Each device serves a specific role, and your child’s doctor will recommend the best option based on their age, symptoms, and asthma severity. With proper use, these tools can make managing asthma easier and more effective.

Caring for Your Spacer or Aerochamber

Regular cleaning of your child’s spacer or aerochamber is essential to ensure it functions effectively and delivers the correct dose of medication. Proper maintenance also reduces the risk of bacteria and medication buildup.

Follow these steps to keep the device clean and in good condition:

  1. Dismantle the Device
    • If your spacer or aerochamber is designed to come apart, carefully separate its parts. This makes cleaning more thorough.
  2. Wash the Parts
    • Place the dismantled parts in warm water mixed with a small amount of liquid dishwashing detergent.
    • Avoid scrubbing the inside of the spacer or aerochamber to prevent scratches that could affect its performance.
  3. Rinse Gently (if applicable)
    • While some manufacturers recommend rinsing, others advise against it to minimize static buildup. Check the care instructions for your specific device.
  4. Air Dry Completely
    • Let all the parts air dry naturally without wiping them with a cloth or paper towel. Drying with fabric can cause static electricity to build up inside the spacer or aerochamber, leading to medication sticking to the sides instead of being delivered effectively.
  5. Reassemble and Store Properly
    • Once dry, reassemble the device and store it in a clean, dry place away from direct sunlight or heat.
  6. Check for Wear and Tear
    • Inspect the spacer or aerochamber regularly for cracks, discoloration, or other signs of damage. Replace the device as recommended by the manufacturer or your child’s doctor.

Helping Your Child Breathe Easier

At Bootin and Savrick Pediatric Associates, we’re here to support your family through every step of asthma management. If you have concerns about your child’s asthma or need guidance on how to use an inhaler, our expert pediatricians in Houston, TX, are ready to help.

Schedule an appointment today and let us work together to keep your child breathing easily and staying active!

Medically reviewed by Dr. Monica McGrann