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Bronchiectasis Inhaler Use
- Remove the cap from the inhaler.
- Hold the inhaler with the mouthpiece at the bottom.
- Shake the inhaler. This mixes the medication properly.
- Hold the mouthpiece 1-1/2 - 2 inches (2 - 3 finger widths) in front of your mouth. This improves medication delivery by slowing mist delivery and only allowing small particles to be inhaled. Note that your mouth should not be actually touching the mouthpiece.
- Tilt your head back slightly and open your mouth wide.
- Gently exhale.
- Press the inhaler and at the same time begin a slow, deep breath.
- Continue to breathe in slowly and deeply over 3 - 5 seconds. Breathing slowly delivers the medication deeply into the airways.
- Hold your breath for up to ten seconds. This allows the medication time to deposit in the airways.
- Resume normal breathing.
- Repeat steps 3 - 10 when more than one puff is prescribed.
Continue to Bronchiectasis Peak Flow Testing
PubMed Bronchiectasis References
- Barker AF: Bronchiectasis. Semin Thorac Cardiovasc Surg 1995 Apr; 7(2): 112-8. 
- Franco F, Sheikh A, Greenstone M: Short acting beta-2 agonists for bronchiectasis. Cochrane Database Syst Rev 2003; CD003572. 
- ten Hacken N, Kerstjens H, Postma D. Bronchiectasis. Clin Evid. 2004 Jun;(11):1998-2002. 
- Tsang KW, Tan KC, Ho PL, et al: Inhaled fluticasone in bronchiectasis: a 12 month study. Thorax 2005 Mar; 60(3): 239-43.