Inhaled medications for a child who cannot coordinate inhalation with a spacer, which device is used?

• A. Metered-dose inhaler
• B. Dry powder inhaler
• C. Nebulizer
• D. Neti pot

Answer: (C)

When coordination between inhalation and device actuation is a challenge, use a device that doesn’t depend on timing a breath. A nebulizer turns liquid medicine into a fine mist that a child can breathe in through a mask or mouthpiece with ordinary breathing, over several minutes. This means the dose reaches the lungs without needing the child to coordinate pressing a valve and inhaling at the same time. Nebulizers are especially helpful for young children or those who can’t follow inhalation instructions. In contrast, a metered-dose inhaler (even with a spacer) still requires some inhalation timing, a dry powder inhaler needs a strong, quick breath, and a neti pot is used for nasal irrigation rather than delivering medicine to the lungs.