Using a Puffer and Spacer Device

For Children Aged 4 Years and Under
Small Volume Spacer with a Mask Attachment

1. Remove cap and shake the puffer.
2. Fit the puffer into the end of the spacer.
3. Gently place the attached facemask over the mouth and nose of the child. Ensure there are no gaps around the edges of the mask.
Release one puff of medication into the spacer by pressing down on the top of the puffer. Watch the child breathe normally in and out 4 to 6 times before removing the mask. If more than one puff is required repeat step 4

For Children Aged 4 Years and Over
Small or Large Volume Spacer WITHOUT a Mask Attachment

* The below diagrams depict a large volume spacer being used however a small volume can also be used.

1. Remove cap and shake the puffer. Insert puffer into the spacer as shown.
2. Place mouthpiece between the teeth and close lips around it. Release 1 puff of medication into the spacer by pressing down on the top of the puffer.
3. Breathe in and out normally through the mouth 4 times. If more than one puff is required, repeat steps 2-3.

Illustrations courtesy of Medical Illustrations Unit. UNSW Faculty of Medicine and Teaching Hospital, Randwick. NSW.