To be utterly confused as to how DS is supposed to be taking his asthma inhaler correctly

[Squarepebbles]

So DS newly diagnosed by nurse.He has the small spacer.

First time she said breath out and then breath in through the inhaler,take it away then breath out.Repeat.

Went back and got her to watch DS but she said he was doing it wrong.She then said breath in and out with the inhaler attached to his mouth.

Looked on the asthma site and there is a video saying the first way.

So which is it?

She told us off for not waiting 10 mins to do the brown which she never told us to do first time.

She isn't the most patient of nurses tbh.

Help!

Pretty he has had 1 bug after another since October. They were of the thinking that it was undiagnosed asthma (continuously ill,tired,white etc)and 3 months of both would get him back on his feet??

Have to say I wasn't keen but if he stops getting so many bugs I'll do anything.

We have always been told

• shake inhaler
• put into spacer and hold over mouth
• one puff count to 10 (or 5 good breaths but when he started inhalers was too young to understand that)
• repeat as needed shaking between puffs

Aged getting confused now.

I'm guessing the diff methods do the same thing?

The cardinal symptoms of asthma are cough, shortness of breath, wheeze, chest tightness and night time cough or sleep disturbance from shortness of breath. Triggers can be allergy, exercise, cold air, smoke or viruses, to name but a few. A history of eczema is often related. Once the airways are irritated by a trigger, there can be a vicious circle of inflammation and airway constriction which can really drag people down. Absolutely worth a go with the inhalers - a blue reliever works within 5 mins but a brown preventer can take a couple of weeks, so persevere.

This method copied from an above post is virtually the correct and applies to all spray inhalers apart from technically you should wait 30 seconds between each puff. All spray type inhalers should really go through a spacer (looks like a plastic bottle) not directly into the mouth its actually a more efficient wasy of delivering it and in the case of high dose steroids can reduce mouth problems. But adolescence in particular find carting a spacer round tedious alternative should be considered.
"We do (the way shown to us by our asthma nurse)

• shake inhaler
• put inhaler in spacer
• put spacer over mouth and nose (or on mouth)
• start breathing in/out in deliberate fashion
• one press on inhaler
• breathe in/out for at least 6 breaths
• remove inhaler and shake again
• repeat as above for 2nd puff"

Asthma is not only my area of expertise but my DC is severely asthmatic.

Aerochambers are more portable but technically spacers are better bur aerochambers are better than putting the inhaler directly into your mouth this also applies to adults.
"Also she is incorrect saying wait 10 mins after using the blue before using the brown"
This is outdated research has shown it makes no difference although it doesn't do any harm and some say it makes them feel better.