Step 1. Gather supplies, MDI and spacer
Step 2. Remove cap from MDI
Step 2.5 Remove cap from spacer
Step 5. This is bad posture for step 5
Step 5. This is the correct posture that the patient should be in. Sit up straight and tilt the head slightly back.
Step 7. Place mouthpiece between teeth and seal lips around opening
Step 10. Repeat steps 3-9 after 30 seconds if another dose is required