Giving medication through a meter dose inhalerGGiving medication through a meter dose inhalerGiving medication through a meter dose inhalerEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatment;Drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z

 

 

Giving medication through a meter dose inhaler2952.00000000000Giving medication through a meter dose inhalerGiving medication through a meter dose inhalerGEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatment;Drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z<p>When your child has a <a href="/Article?contentid=2916&language=English">tracheostomy tube</a>, you will need to give them any medications through a device called a meter dose inhaler (MDI) or a <a href="/Article?contentid=2953&language=English">nebulizer​</a>.</p> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/trach_spacer_medicine_EN.jpg" alt="An Aerotrach metered dose inhaler for a tracheostomy tube" /> <figcaption class="asset-image-caption">An Aerotrach metered dose inhaler for a tracheostomy tube</figcaption> </figure> <h2>How do I use the meter dose inhaler (MDI) to give medication to my child with a tracheostomy tube?</h2><ol><li>Remove the cap from the meter dose inhaler (MDI).</li><li>Shake the MDI well five or six times before each puff.</li><li>Keep the MDI upright and insert it into the spacer (also known as the aerochamber).</li><li>Attach the spacer directly to the tracheostomy tube.</li><li>If your healthcare team recommends it, help your child take a deep breath by attaching the manual resuscitation bag to the spacer with the necessary connectors.</li><li>As your child breathes in, press down on the MDI canister to release a puff of medicine into the aerochamber. If using the manual resuscitation bag, squeeze the bag while you press down on the MDI canister.</li><li>After this first puff, keep the aerochamber attached to the tracheostomy tube while your child takes six breaths.</li><li>If multiple puffs are prescribed, wait 30 to 60 seconds before repeating the procedure. Shake the MDI well before each puff.</li></ol><h2>How do I use the MDI to give a medication to my child with a tracheostomy tube connected to a ventilator?</h2><ol><li>Locate the delivery port for the in-line MDI spacer on the <a href="/Article?contentid=2937&language=English">ventilator​</a> tubing. The delivery port looks like a little cap that can be lifted up and down. If the spacer is not in-line already, place it on the inspiratory limb of the ventilator circuit.</li><li>Shake the MDI.</li><li>Open the delivery port and place the inhaler upside down into the port so that it attaches securely.</li><li>As your child breathes in, push the MDI down with your thumb.</li><li>Allow the ventilator to deliver 10 breaths.</li><li>Give a second puff of inhaler and allow the ventilator to deliver 10 more breaths.</li><li>Give the number of puffs recommended by your child's healthcare team. Always allow the ventilator to deliver 10 breaths between each puff.</li><li>Remove the MDI from the ventilator tubing.</li><li>Close the delivery port cap.</li></ol><h2>How do I clean the spacer?</h2><p>Wash the spacer before using it for the first time, and then once a week after that. Always check the manufacturer's instructions.</p><ol><li>Remove the MDI adapter (the rubber back piece that lets the MDI fit in) from the spacer. Do not remove the mask or mouthpiece.</li><li>Soak the adapter and the spacer in lukewarm water with mild dish detergent. Do not wash your child’s spacer in a dishwasher.</li><li>Gently shake both parts so soapy water can get into all the parts.</li><li>Rinse both parts in clean water.</li><li>Shake off excess water. Do not use a towel.</li><li>Stand the spacer up in an upright position and let it air dry.</li><li>Put the adapter back onto the spacer when both parts are completely dry.</li></ol><p></p> <a class="btn btn-primary" href="https://www.aboutkidshealth.ca/trachvent">Return to trach-vent learning hub</a>Giving medication through a meter dose inhalerTruehttps://www.aboutkidshealth.ca/Article?contentid=2953&language=Englishhttps://www.aboutkidshealth.ca/Article?contentid=2951&language=English

Thank you to our sponsors

AboutKidsHealth is proud to partner with the following sponsors as they support our mission to improve the health and wellbeing of children in Canada and around the world by making accessible health care information available via the internet.