 [ Symptoms ] are pimple like bumps around an area of eczema common in a bad flare up  my daughter developed a rash around an area she has eczema located in the bend of her arm inner elbow its reddened with pimple like bumps it seems to have spread a little bit up and down her arm from the bend she has no rash on the rest of her body at all or any other areas of eczema is this a common issue with a bad flare up it is very itchy for her [ Disease ] these are the general steps for using a dry powder inhaler for chronic obstructive pulmonary disease 1 remove the cap from the dry powder inhaler 2 load a dose of medicine how you do this depends on the type of inhaler you have 3 turn your head and breathe out as much air as you can    try and empty your lungs 4 put the dry powder inhaler up to your mouth your lips firmly around the opening so no air or medicine can escape out the sides 5 using just your mouth breathe in once    very deep and fast    filling your lungs as deeply as you can 6 dry powder inhalers are breath activated so it is the breathing in deep and fast that gives you the right dose of medicine never breathe into the inhaler 7 take your mouth off the inhaler and hold your breath for at least 10 seconds then slowly breathe out 8 if your doctor prescribed more than one dose of copd medication wait about one minute before taking the next dose 9 replace the cap on the dry powder inhaler gargle and rinse your mouth with water or mouthwash usually advised only for steroid type inhalers