Another issue we have is that we have to make sure the solution or inhalation is getting into their lungs as opposed to swallowing it and it going into their stomach. This can be problematic for some individuals, especially children. The way we teach an individual to utilize an inhaler is exhale all the air they can and then they must be able to coordinate putting it into their mouth and inhaling as they are pressing down at the same time. They must breath in for as long as possible as they press the inhaler. Some individuals can’t coordinate and it goes into their stomach instead. For those, a spacer device was created. Instead of putting the mouth piece into their mouth, it goes into this chamber. We press the dose and the dose sits inside the chamber. When the person is ready all they have to do is take a deep breath in. When we’re dealing with children it’s a face mask instead of just a bottle opening.