i. Push the face mask firmly onto the spacer mouthpiece, holding the spacer firmly. ii. Place the face mask over the nose and mouth, ensuring there are no gaps. Holding the spacer firmly, press the pMDI canister down once to release a dose into the spacer. iii. Breathe in and out through the face mask at least 4 times. (Movement of the blue flow valve can also be counted). Take the face mask away from the face and breathe normally.