طفل عمره ٣ سنوات عنده ربو، يأخذ بخاخ سالبيوتامول مضغوط عند النوبات. أمه تقول إنه لا يعرف يتنفس مع ضغطة البخاخ، وأحياناً يخرج الرذاذ في الهواء ولا يتحسن. أي طريقة استخدام أنسب لعمره؟

A 3-year-old with asthma uses a salbutamol metered-dose inhaler for attacks. His mother says he cannot coordinate breathing with the puff, the spray often goes into the air and he does not improve. Which method is most suitable for his age?

1. A spacer with a well-fitting face mask
2. A dry powder inhaler with a forceful breath
3. Spraying the inhaler into the air in front of his face
4. The inhaler directly into the mouth with a fast breath

Answer: A) A spacer with a well-fitting face mask. Young children cannot coordinate actuation with inhalation; a spacer with mask ensures delivery. One puff is given and the child takes several breaths. DPIs need inspiratory force young children lack.