In this video, you’ll get step-by-step instructions on how to properly use your Metered Dose Inhaler, MDI, with Valve Holding Chamber, VHC, with mask. Start by removing the inhaler cap, check for any foreign objects before using your inhaler. Insert inhaler into spacer. Shake for 5 seconds. Stand up straight, tilt your head back slightly or keep your head level. Breathe out completely, away from the inhaler. Place mask firmly over your face. Press down on the inhaler once. Hold the mask over your face while taking five to six deep breaths. Remove the mask. Rinse your mouth with water and spit. Wipe your face with a damp cloth.