My older child (5yo) has been administering her own ventolin & flixotide puffers (with my supervision) for around 2 years now. The youngest has been having ventolin since 6 months, & at 14 months its still a struggle. Whenever she is fighting it, I sit her facing forward on my lap, & hold her chin in one hand, pushing her head firmly enough against my chest so she cant wriggle. With the other hand, I hold the spacer/ face mask over her face, & push it wih my thumb so I can hold her face still. She screams, but still takes breaths in so I know thr medicine is getting it. It might sound cruel,but it is neccesary - she HAS to breathe, & we've had some terrifying asthma attacks,so a bit of a struggle is the least of my problems. In the meantime, I allow plenty of play time with an empty ventolin & the spacer & face mask, & we practice giving it to mummy, teddy, doll,etc.
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