Now let’s demonstrate how to correctly use a spacer and mouthpiece.
First, remove the cap from the bottom of your inhaler.
When you get your new inhaler from the pharmacy, you need to “prime” or “waste” it  by spraying the medicine into the air 4 times.
Now, fit your inhaler into the opening at the end of the spacer.
Shake the inhaler well for 10 seconds.
Turn your head to the side and breathe out.
Close mouth around mouthpiece of spacer.
Push down on the inhaler once. Now the medicine is inside the spacer.
Right away, take a slow, deep breath.  The goal is to not hear a whistling sound.  If you do, this means that you’re breathing in too fast.
Hold your breath for a count of 10.
Now, slowly breathe out.
Rinse your mouth out with water, or brush teeth, or get a drink after using controller medicines, such as inhaled steroids.
Many times, the correct dose of your medicine will be to inhale 2 puffs. If this is what is prescribed for you, then wait one minute after the first puff, and then follow all of the steps again.
Clean the plastic holder of the inhaler each week.  For inhalers with a built-in counter do not remove the metal canister.  Use a cotton swab to clean the opening where the medicine sprays out of the canister.  For inhalers without a built-in counter, run warm water through it, shake off water and set overnight to dry.
Clean the spacer each week by soaking in warm soapy water for 15 minutes and run water through it, shake off water and set overnight to dry.
Remember if you have questions, call your doctor’s office, asthma care team or pharmacy.