Treatment FAQ

what is the purpose of the use of a spacer in asthma treatment

by Mossie Collins Published 2 years ago Updated 2 years ago
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A spacer, or holding chamber, is an attachment that should always be used with your inhaler. The spacer holds the medicine in place so you can breathe it in easier. If you have any further questions about inhalers, spacers or mouthpieces contact your doctor's office, asthma care team or pharmacy.

Full Answer

Why should pharmacists recommend asthma spacers?

  • Selecting appropriate medications
  • Patient’s willingness to use medications
  • Developing a written asthma action plan to guide patients in self-management
  • Identifying asthma triggers
  • Implementing environmental measures to control allergies, irritants, and pollution when feasible

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Why to use an inhaler with an asthma spacer?

Using a spacer means:

  • more medication is delivered to your lungs making it more effective
  • reduced side effects from inhaled steroids in prevented medications because less medication is deposited in your mouth and throat
  • dosing is easier as you don’t need to coordinate pressing your puffer and breathing in at the same time

How to use an inhaler and Spacer for asthma?

Top tips for helping your child use a spacer

  • Sit your child on your lap, either sideways or facing away from you.
  • When you’ve finished, take the inhaler out of the spacer, and replace the caps on both.
  • If your child has used an inhaler that contains steroids, make sure they rinse their mouth out with water to help prevent side effects.

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What is the strongest inhaler for asthma?

What is the strongest asthma preventer? Clenil is the most common preventer, and others include Qvar, Flixotide and Pulmicort. There are also combination inhalers available, such as Seretide and Symbicort, which contain a preventer and a symptom reliever.

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Why do rescue inhalers have spacers?

A spacer is an apparatus that is attached to the mouthpiece of your rescue inhaler in order to slow down and collect the dose of medication. This allows the user to take multiple breaths of the same dose of medicine, without needing to time an inhale or force a deep breath.

How effective is an inhaler without a spacer?

So here is a quick list of common inhalers and how they compare to each other. An inhaler without a spacer may get less than 15% of the medicine dose into the lungs. 2 This means perhaps more than 85% of the medicine is lost. If used properly, a spacer can make an inhaler 20% more effective. 3.

What does the color of an aero chamber spacer mean?

The color of an Aerochamber spacer corresponds to the age of the user. This is to create a volume of the chamber that is proportional to the volume of the persons lungs.

What is a large volume spacer?

A "Large Volume Spacer" is shaped like a cone and has a slightly larger volume to collect medication. In this type of spacer, the medicine can exist statically before inhalation, allowing it to be breathed in evenly over multiple breaths. 4,5. There are also spin-off brands of spacers.

Is there a spin off brand of spacer?

There are also spin-off brands of spacers. Some can be more expensive for a product that has more valves and are over-complicated. These inhalers are usually not prescribed and are purchased on-line. 4.

Why use a spacer with an inhaler?

Benefits of using a spacer with an inhaler include: A spacer gives someone more time to use the inhaler , making the process simpler. It reduces the need for coordination when pressing the inhaler and breathing in the medicine. Spacers extend the amount of time the inhaler takes to deliver medicine.

What is a spacer in a medicine?

A spacer is a plastic tube that has a mouthpiece on one end. On the other end, a person can attach their inhaler. The inhaler is a device that delivers puffs of medication into the air so a person can breathe in the medicine. Using a spacer extends the amount of time it takes for the medicine to enter the lungs.

How to use a spacer?

The following are the steps for using most inhalers and spacers: 1 Inspect the inhaler, spacer, and mouthpiece to make sure there is enough medicine left and for any dirt or debris. 2 Sit or stand with your back straight, keeping your head in a normal position — not too far backward or forward — before and during delivering the medicine. 3 Exhale as much air as possible from your lungs. 4 Spray one puff of medicine and inhale slowly over about 3–5 seconds, sealing your mouth tightly around the inhaler so air cannot escape. If you hear a whistling noise when you inhale, you are breathing in too fast. 5 Hold your breath for 10 seconds, counting in your head or using a timer on your watch or phone. 6 Remove the inhaler from your mouth and exhale. 7 Repeat by taking as many puffs as your doctor prescribes. Wait about 1 minute between puffs if using inhalers that contain albuterol, such as Ventolin or ProAir. 8 Rinse out your mouth with water if you use an inhaled corticosteroid. This reduces the likelihood you will get an oral infection.

How does a spacer work?

Using a spacer extends the amount of time it takes for the medicine to enter the lungs. It also gives a person more time to inhale the medicine, meaning it can enter the lungs more effectively. The spacer also concentrates the medicine into a tube, which prevents it from escaping into the air.

Why do people use spacers?

People inhale a greater concentration of medication into the lungs. Using a spacer reduces the risk of side effects, such as oral thrush, that can occur when using an inhaler that contains corticosteroids. If a person is concerned that using their inhaler without a spacer is not delivering their medications effectively, ...

How to get medicine out of your lungs?

Sit or stand with your back straight, keeping your head in a normal position — not too far backward or forward — before and during delivering the medicine. Exhale as much air as possible from your lungs.

How to breathe in medicine fast?

Hold your breath for 10 seconds, counting in your head or using a timer on your watch or phone.

What is a spacer in medicine?

What is a spacer? A spacer is a holding chamber shaped like a football or tube. It makes it easier to take asthma or COPD medication from the type of puffer called an MDI (metered dose inhaler).

How often should you check your spacer?

Your spacer should be checked by your pharmacist, nurse or asthma educator every 6–12 months to check the structure is intact (e.g. no cracks) and the valve is working properly.

How to get a medicine stick to the side of a mouthpiece?

Wash all the parts in clean warm water with liquid dishwashing detergent. Allow the parts to air dry without rinsing – drying with a cloth or paper towel can result in static building up on the inside of the spacer, which makes the medication stick to the sides. Wipe the mouthpiece clean of detergent, if needed.

Do you need to wash a spacer before using it?

New spacers (e.g. Able Spacer Universal, Breath-A-Tech, Volumatic) also need to be washed before you use them for the first time. If a new spacer has to be used immediately, you can ‘prime’ the spacer by firing at least multiple (at least 10) puffs into it to begin with to help reduce the static build-up inside.

Do kids need spacers?

Spacers should be used by: all children – kids aged under 4–5 years will need a mask attached. all adults taking a corticosteroid preventer medication (e.g. Flixotide, Symbicort) using an MDI/puffer. adults who have trouble coordinating the ‘press and breathe’ technique when using an MDI/puffer.

Is a puffer with spacer better than a nebulizer?

All the latest research shows that a puffer with spacer works just as well as a nebuliser for treating asthma symptoms, including during an asthma attack. A puffer with spacer is also simpler, cheaper and handier, is much more portable, and has fewer side-effects.

Before Using A Beclometasone Inhaler

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start using a beclometasone inhaler it is important that your doctor knows:

Why Use A Spacer

A spacer used with a puffer delivers more medication into the lungs than using a puffer on its own.

An Inhalation Technique For Each Inhaler

Asthma inhalers include two main parts the medication and the delivery device. There are many types of delivery devices, MDIs, Diskus, Respiclick, Flexhaler, Ellipta, and Respimat. The goal of creating new delivery devices is to make inhaling the medication easier. Some inhalers require a slow, steady inhalation for 5 – 7 seconds.

How To Use A Budesonide Inhaler

Before you start the treatment, read the manufacturers printed information leaflet from inside the pack and any additional information you are given.

Caring For Your Spacer

The most important aspect of inhaler spacer care is keeping it clean. You can do this with clean, warm water and liquid dishwashing detergent.

Looking After Your Spacer

You should replace your spacer at least every year, especially if you use it daily, but some may need to be replaced sooner ask your GP, asthma nurse or pharmacist if youre unsure.

Controller And Reliever Medicines Work Together

There are two main kinds of asthma medicines: preventer medicine and rescue medicine. Each medicine is important, and each medicine does a different thing for your lungs.For most people with asthma, the doctor will prescribe both kinds of medicine:

What are spacers?

Spacers are plastic flask-shaped products that have a hole at one end into which the mouthpiece of an aerosol inhaler is inserted and at the other end a mouthpiece through which the patient inhales the sprayed drug.

Who does a spacer work?

The most effective medicines for bronchial asthma and chronic obstructive bronchitis are administered by inhalation. They are specially designed to be as effective as possible locally (topical), and as little as possible to affect the entire body (minimal systemic effect).

Benefits of using an inhaler spacer for asthma

Uniform spray. The inhalation spacer filters out large aerosol particles and slows down the rate of drug intake into the body, does not interrupt reflex inhalation.

How to choose a spacer?

The connecting hole of the spacer (the place for attaching a can with a dosed aerosol) must correspond to the size and shape of the mouthpiece of the can or be universal. A number of spacers are compatible only with aerosol inhalers of certain companies. The spacer must be of sufficient size or have an aerodynamically correct shape.

What Every Parent Should Know About Asthma Medications

If your child has been diagnosed with asthma, the sheer number of different asthma medications can seem overwhelming. Here’s what you need to know about which ones to use when.

What Are the Different Kinds of Asthma Medication for Kids?

Though both are obviously important, long-term and quick-relief asthma medications have key differences. Long-term medications are used to control symptoms and reduce the possibility of your child having an asthma flare-up. Quick-relief medicine is for when your child is having an asthma flare-up, and it acts immediately to bring relief.

How to Use Inhalers and Spacers

Many asthma medicines are dispensed using a pressured inhaler called a meter-dosed inhaler (MDI). MDIs can deliver much-needed medicine directly to the airways. In all patients, a “spacer” is needed to make sure the medicine reaches the lungs rather than remaining in the back of the mouth or the throat.

Breathe easy with help from our pediatric team

When your child can’t breathe, it can be scary. At Children’s, our team of specialists can treat your child and equip you with strategies to manage his symptoms, whether he’s a toddler or a teenager.

What is a spacer for a child?

A spacer resembles a cylindrical tube creates “space” between your child’s mouth and the medicine. This space helps the medicine break into smaller droplets which can move easier and deeper into the lungs and therefore works very well to help your child breathe better.

How does inhaled medicine reach deep into lungs?

The best way an inhaled medicine will reach deep into your child’s lungs (where the actual problem with asthma is) is by using an ánti-static valved holding chamber’, simply called the spacer.

Can a metered dose inhaler be used in a nebulizer?

Yes, the metered dose inhaler can be used in young kids too! These are so convenient, portable, take only a few minutes to administer and many research studies have shown that they work equally as well as the nebulizer machine. But there is one important fact to note.

Can a school nurse use a spacer?

Many daycare teachers and school nurses know how to use the spacer device. A school aged child can use the inhaler with spacer independently after practicing good technique. Also spacers are available in most pharmacies and are often covered by medical insurance.

Can asthma be given to kids?

These can be given via a nebulizer and also via the metered dose inhaler. Yes, the metered dose inhaler can be used in young kids too!

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What Is A Spacer?

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A spacer is a holding chamber shaped like a football or tube. It makes it easier to take asthma or COPD medication from the type of puffer called an MDI (metered dose inhaler). Spacers help the medication get straight to where it’s needed in your lungs, with less medication ending up in your mouth and throat where it can lead t…
See more on nationalasthma.org.au

Why Not Use A Nebuliser?

  • All the latest research shows that a puffer with spacer works just as well as a nebuliser for treating asthma symptoms, including during an asthma attack. A puffer with spacer is also simpler, cheaper and handier, is much more portable, and has fewer side-effects.
See more on nationalasthma.org.au

Choosing A Spacer

  • There are many different brands and sizes of spacers available. Ask your pharmacist, nurse or asthma educator about which spacer might be best for you or your child. Look for one that you can put together easily and that will be convenient for everyday use.
See more on nationalasthma.org.au

Tips For Using Your Spacer

  1. Fire only one puff into your spacer at a time
  2. Breathe in from your spacer as soon as you've fired a puff into it – the medication settles on the bottom very quickly
  3. For each puff, you can either: *  take one big breath in - breathe in slowly, deeply and fully and hold breath for about 5 seconds (recommended) OR  * breathe in and out normally for 4 breat…
  1. Fire only one puff into your spacer at a time
  2. Breathe in from your spacer as soon as you've fired a puff into it – the medication settles on the bottom very quickly
  3. For each puff, you can either: *  take one big breath in - breathe in slowly, deeply and fully and hold breath for about 5 seconds (recommended) OR  * breathe in and out normally for 4 breaths (tid...

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