The nurse is providing patient education to a newly diagnosed asthmatic. The nurse provides the steps for proper use of a metered dose inhaler. Which of the following are the correct steps?

Exhale, place inhaler between open lips, start inhaling slowly, press down on canister, continue inhaling, hold for 10 seconds.


The patient should be instructed to:
1. Exhale completely
2. Place inhaler between open lips or about 2 inches from open mouth
3. Start inhaling, then press down on the canister while continuing to inhale
4. Hold for 10 seconds

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