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Using a Metered Dose Inhaler Correctly 1. Exhale deeply. 2. Use aerochamber on MDIs if possible. 3. Place mouthpiece of inhaler 1-2” from mouth if NOT using aerochamber. If using aerochamber, place mouthpiece directly in mouth. 4. As patient releases dose, he should inhale SLOWLY and DEEPLY. 5. HOLD breath 10 seconds and then exhale NORMALLY. 6. Wait 1-2 minutes BETWEEN puffs and BETWEEN other medications. 7. Wash all equipment except medication canister daily to prevent infection. 8. Rinse mouth after every treatment (absolutely essential with corticosteroids).