Doctor insights on:
Can Tobi Treatments Be Inhaled Through The Nose
What could it be? A bad vitamin-ey smell in nose and trach cannula? Have been taking inhaled tobramycin and cefepime through picc line for pneumonia and have been off them both for 8 days.
What : What other medical problems do you have? Why do you have a tracheostomy tube? What was the offending bacteria causing your pneumonia? Most importantly--how are your symptoms? Fever, breathing ok, sputum from your trach tube? As an otolaryngologist, I have a lot of experirnce with nasal/sinus issues and trach tubes. My guess is that you are recovering from a significant insult to your respiratory tract. The organisms that were treated are likely gone, but you are left with the aftermath. The lungs are likely transiently damaged and need to recover. That can include the mucociliary clearance of the mucous produced normally in the lungs as well as byproducts of the infection--these can all lead to abnormal smell from the respiratory tract. For you now, pulmonary toilet (the actions you do to cealn out your lungs, trachea, and tracheostomy tube) is going to be very imortant to clean all that "crud" out. Deep coughing and deep suction with saline "spritzes" are important, nebulized saline will loosen the secretions and allow for easier clearance. Saty hydrated. If you are having worsening symptoms, see your doctor. He or she may be able to stop a situation from getting worse and keep you out of an er or from getting admitted to the hospital. ...Read more
How do infants inhale breathing treatments? My daughter usually closes her mouth & breathes through her nose & sometimes uses her paci to calm down.
When the sun sets, taking my breath becomes very difficult, due to lock in the airway in my nose, what are the causes and what is the treatment?
Wut r the consequences of living with a completely blocked nose(from allergies)for years and not havng treatment?only breath from mouth.is this danger
Nasal obstruction: Greetings. First your blocked airway could come from polyps, anatomical blockage from your septum or turbinates, allergic swelling or possibly even an abnormal growth inside. Have it checked to confirm its just allergies. Second, long standing nasal obstruction can cause dry mouth, voice changes, nasal/sinus/ear infections and shortness of breath during sleep and physical exertion. Good Luck ...Read more
Had scab in nose for some weeks, since tonight turned into lump with pressure on it, I can feel it when I breath what is this? +treatment
What treatment route should I take? I have had a pain in my nose that feels like a bruise for about a week and i'm starting to feel pressure near my left eye now. I can breath ok but i find i'm blowing my nose a lot more. This pain has increased the last
Can deviated nasal septum give you constant post nasal drip and very bad breath? If so what is the treatment?
I am using tobi (inhaled antibiotic, 28 days on, 28 days off. After just one month, i feel a lot better! is t ok to stop?
Depends: Depends why you were prescribed this. Discuss with your prescribing doctor. ...Read more
With kid trachees, colonized with pseudo, esbl kleb oxytoca & staph, what inhaled abx could be used prophylaxi? (obv. Working with pulmo) tobi allergy
Can inhaling Tobramycin kill MRSA ? I am a pedi trach patient. Will it kill Kleb Oxytoca that is ESBL?
Tobi Nebs: Inhaled tobi is used mainly to reduce pseudomonas colonization in cf. As noted, it is not active against gram positives like staph (mrsa or not). Kleb may be suceptible, but is not usually treated in this way. Kids with trachs grow a lot of organisms; agree that sorting out "infection" from "colonizer" is key. Both MRSA and kleb are often found in cultures but may not be the specific problem. ...Read moreSee 2 more doctor answers
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