To enhance the effectiveness of albuterol for a child with asthma, which recommendation is best?

Using a mask with the metered-dose inhaler (MDI) and spacer can significantly enhance the delivery of albuterol to a child with asthma, especially in younger children or those who may have difficulty using an inhaler correctly. A mask helps ensure a proper seal over the nose and mouth, allowing for effective inhalation of the medication.

When a child uses a mask with the spacer, it reduces the chances of medication being lost in the environment due to improper positioning or technique. This method allows the child to breathe in the medication more effectively compared to using the MDI without a mask or relying solely on mouth breathing. This is particularly important in pediatric patients, as they may not consistently take deep breaths or hold their breath as required for optimal aerosol delivery when using an MDI alone.

Incorporating a mask with the MDI and spacer enables more medication to reach the lungs, improving the therapeutic effects of albuterol in managing asthma symptoms.