Using a MDI spacer like Optichamber can make a big difference in how much medicine is deposited in the lungs of a patient rather than in their throat, but only if the space and accompanying inhaler are used properly. Often patients are intimidated by the new equipment at first, particularly if the spacer includes a whistle to help measure airflow rate. Rather than taking their medicine properly the spacer then becomes a distraction and a barrier to proper intake, which can have dire consequences for severe asthmatics. As such it is important to learn proper spacer usage and cleaning once one begins using the spacer in addition to their MDI inhaler.
To begin with, Optichamber spacers operate on the same principles that the MDI inhaler functions on. Breathe in, press down, breath deeply. First prime the MDI inhaler by shaking it as you would with a normal intake. Insert the inhaler into the adapter on the end of the spacer opposite the mouthpiece, making sure it is firmly in the spacer and ready for use. Prime yourself by taking a few deep breaths if possible, then put your mouth over the mouthpiece of the spacer. Make sure your teeth are not in front of the spacer, but rather resting on top and below it. Next begin to take a deep breath and depress the inhaler shortly after you begin. The corticosteroid will be released into the chamber and slowed down to be inhaled easier, helping you to receive the medication and breath easier. Then simply remove the nebulizer, put the parts back in their proper places, and continue on.
Cleaning the spacer is even more easy than operating it. Simply dismantle the spacer, particularly if it consists of two tubes bound together in the center, and dip them in warm water to soak for a moment. Take each piece out one-by-one and wash or rinse it individually, setting it aside to dry. Do this at least once a week, preferably 2 or 3 times. In a few hours it will be ready to use again, and now that you know the process it will go much easier than the first attempt.