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Doctor insights on: Can Tobi Treatments Be Inhaled Through The Nose

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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 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

Dr. Kevin Chung
226 doctors shared insights

Tobramycin (Definition)

This is an antibiotic of the aminoglycoside family, it is particularly effective ...Read more


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How do infants inhale breathing treatments? My daughter usually closes her mouth & breathes through her nose & sometimes uses her paci to calm down.

How do infants inhale breathing treatments? My daughter usually closes her mouth & breathes through her nose & sometimes uses her paci to calm down.

Through the nose: Infants ideally inhale medications given by nebulizer through their nose, although inhalation through the mouth if crying is also effective. A properly fitted mask is key. ...Read more

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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?

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?

Nasal allergies: You may have nasal allergies and they tend to get worse at night, especially if they are indoor allergies. Get tested by an allergist to find the cause. ...Read more

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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

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

Possible abscess : The area may have become infected and you may some pus in there. It may be an abscess. This can be treated with antibiotics. You should have it evaluated by a doctor. ...Read more

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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

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

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Can deviated nasal septum give you constant post nasal drip and very bad breath? If so what is the treatment?

Can deviated nasal septum give you constant post nasal drip and very bad breath? If so what is the treatment?

Unlikely: Having had a deviated septum myself, (car accident) this would very unlikely be the cause of your symptoms. A deviated septum typically only affect breathing through the nose. ...Read more

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Why do we give 1/2 dose (150) inhaled tobramycin, twice a day? Could 36lb kids get a full dose once daily to same effect? (trach w colonized pseudom)

Why do we give 1/2 dose (150) inhaled tobramycin, twice a day? Could 36lb kids get a full dose once daily to same effect? (trach w colonized pseudom)

Antibiotic dosing: Your body breaks down antibiotics at a steady rate, and it takes a certain amount of antibiotic for it to work. If you were to only dose the tobramycin once a day, it will be too low to work in ~12-16 hrs; by using it twice a day, you keep it in your system & it works much better. ...Read more

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Is it a good practice to instill normal saline imto the trachea immediately after a tobramycin nebulizer treatment to rinse the trachea?

Is it a good practice to instill normal saline imto the trachea immediately after a tobramycin nebulizer treatment to rinse the trachea?

No: Although i'm not a pulmonary md, i suspect the concentration of tobramycin in the ampules is determined with the belief that that is the ideal concentration, without having to water it down afterwards. ...Read more

Dr. Jack Mutnick
1,167 doctors shared insights

Nasal (Definition)

NaSal is a nasal preparation which is a kind of ...Read more


Dr. Tanya Russo
73 doctors shared insights

Tobi (Definition)

TOBI is an ocular anti-bacterial which is a ...Read more