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Doctor insights on: Nebulizer Therapy Complications

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3 months old baby with bronchiolitis receiving albuterol+nebulizer therapies makes high pitch stridor-like when laughing or crying. NOT all the time.

3 months old baby with bronchiolitis receiving albuterol+nebulizer therapies makes high pitch stridor-like when laughing or crying. NOT all the time.

Croup?: Bronchiolitis is a lower airway disease that is sometimes treated with bronchodilators such as albuterol. Stridor develops with inflammation of structures much higher up, and is common with Croup. Most children with croup do not wheeze unless they are predisposed to doing so. ...Read more

Nebulizer (Definition)

A nebulizer is a machine that turns a liquid into a mist. It is usually used for medications for asthma, cystic fibrosis, and copd, so that the medications can be ...Read more


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What should be given first? A nebulizer treatment (albuterol) or advair?

What should be given first? A nebulizer treatment (albuterol) or advair?

Rescue/maintenance: Albuterol is a rescue medication (unless used before exertion) and it's frequency of use dictates the status of ones airways. Ideally albuterol should be used rarely if at all but that is not always the case.
Advair is a daily maintenance medication. It's use should in theory reduce or eliminate the need for the use of a rescue medication (eg albuterol). If both are needed albuterol is first. ...Read more

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13YO, pertussis for 3 weeks. Did full AB treatment. Twice woke up unable breathe. Scary. Using nebulizer. Isn't this dangerous? What can / should do?

Mgt: After pertussis is diagnosed, it may take weeks to recover, and some patients may have longer term cough and respiratory symptoms. Please use the nebulizer as directed and see the ED for difficulty breathing. A virtual inbox consultation is available for non emergent management. ...Read more

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Dr. Prescribed Pulmicort for 5mo 2xday until Spring as a nebulizer treatment. Concerned on immune system effect. Please explain risk and if benefits +?

Dr. Prescribed Pulmicort for 5mo 2xday until Spring as a nebulizer treatment. Concerned on immune system effect. Please explain risk and if benefits +?

For what condition?: Is this for asthma or for COPD? What's the reason for this to be used only until spring? What's the dose of Pulmicort being used? All of these need to be known before anyone can give you an answer. Nonetheless there is little if any impact on the immune function with the recommended dose. With high-dose Pulmicort, you may end up with adrenal suppression. ...Read more

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My baby spits after each nebulizer treatment, is that ok? He's on saline solution.

My baby spits after each nebulizer treatment, is that ok? He's on saline solution.

Mgt: This can occur with the bronchodilator treatments, as secretions are swallowed. If there is. Any worsening of cough, I would suggest a virtual appointment and a PCP appointment. ...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

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I have reactive airway disease, and my pulse ox has been ranging from 90 to 94, Is a nebulizer treatment sufficient to address this?

I have reactive airway disease, and my pulse ox has been ranging from 90 to 94, Is a nebulizer treatment sufficient to address this?

Good Pulse Ox,: Nebulizer machine is for correcting the Bronchospasm. Pulse Oxymetry measures how much O2 your blood is carrying. You do not need to monitor that all the time and please stop checking it. Follow your doctor's advise regarding the use of Nebulizer machine. Good luck ...Read more

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I have asthma and copd, I use a nebulizer for treatment along with the albuterol sulfate solution. Is there a better solution to use to help me?

Proper treatment: In my opinion, contrary to others, these conditions should always be treated with inhaled steroid first and then add. This prevents inflammation and twitchy airways. In COPD there is bowing of midsize airways due to tissue destruction. This is helped with anticholinergics (thiotropium or ipratropium) this allows the rescue albuterol to get into the distal airways for rescue, more mainstay in asthm. ...Read more

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6 yo has bronchitis. Just gave him albuterol in nebulizer and his cough is really bad after treatment. It sounds productive though. Is this normal?

6 yo has bronchitis. Just gave him albuterol in nebulizer and his cough is really bad after treatment. It sounds productive though. Is this normal?

It is normal to: cough more right after a nebulization treatment. The medication loosens up the mucous in the airway passages. However, if he is wheezing more or having difficulty breathing, or he seems to need a treatment in less than 2 hours, you should call his pediatrician. He may need to be re-checked and/or his medications adjusted. ...Read more

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If my 4 year old had albuterol nebulizer treatment an hour ago, can I still give him his prescription hydroxyzine 10mg/5ml for postnasaldrip cough now?

Salt water nose drop: Hydroxazine has a drying effect and could dry the secretions in your childs chest counteracting the effect of the albuterol. Therefore, I would use saline nose drops for his nose. ...Read more

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3mo baby w/RSV. Cough is resolving but stuffy nose sounds worse. Albuterol-nebulizer treatment plus saline solution atomizer. What can I do?

3mo baby w/RSV. Cough is resolving but stuffy nose sounds worse. Albuterol-nebulizer treatment plus saline solution atomizer. What can I do?

Saline: You can add some normal saline infant nose drops with a bulb syringe to clear her nostrils. I am glad to hear the cough and lower respiratory issues are decreasing, she is on the road to recovery. Also, give her extra fluids, pedialyte. ...Read more

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Have asthma. Clear sinus drainage. Dr gave steriod shot in hip with nasonex (mometasone). Nebulizer treatment made lung function better but I still have cough?

Have asthma. Clear sinus drainage. Dr gave steriod shot in hip with nasonex (mometasone). Nebulizer treatment made lung function better but I still have cough?

PFTs: Pulmonary function testing will help to determine whether or not your lung function is in a proper range or not. Cough is a nonspecific finding that may be associated with an asthma exacerbation, but there are many other causes. ...Read more

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Can someone be hospitalized for bronchitis if prescription medication is not relieving chest tightness? Medications prescribed on 1/24/12: albuterol inhaler, cough sysrup with codeine, nebulizer treatment at urgent care facility on 1/24/12 only, predislon

Can someone be hospitalized for bronchitis if prescription medication is not relieving chest tightness? Medications prescribed on 1/24/12: albuterol inhaler, cough sysrup with codeine, nebulizer treatment at urgent care facility on 1/24/12 only, predislon

See your personal MD: Medications prescribed are working against each other. Albuterol is a broncho dilator which helps you to cough up mucous. Codeine is a cough suppressant making it harder for you to cough up mucousrather than an urgent care center, it might be a better idea to make an appointment with your doctor to get you on proper medication. ...Read more

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Have clear nasal drainage with asthma. Dr gave steriod shot in hip with nasonex (mometasone). Nebulizer treatment made lung function better but I keep having cough?

Have clear nasal drainage with asthma. Dr gave steriod shot in hip with nasonex (mometasone). Nebulizer treatment made lung function better but I keep having cough?

Good that: Your asthma is under control. You will need to maintain your steroid treatment for at least three months and wean off from your albuterol gradually. Oftentimes we forget that using a nebulizer also loosens up nasal mucus that drains in the back of the throat causing persistent coughing! Continue your meds as prescribed. Talk to doctor if concerned or condition worsened. ...Read more

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What kind of complications might happen from an antibody therapy?

What kind of complications might happen from an antibody therapy?

Several: With monoclonal antibody therapy, severe immune dysregulatory events can occur. These events range from anaphylaxis to immunodeficiency to autoimmunity. Read your pi of your proposed medication and seriously discuss this with your physician. ...Read more

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What are the complications of Dialectical Behavioral Therapy?

What are the complications of Dialectical Behavioral Therapy?

None: DBT is a treatment approach used by therapists trained in it. It heals by teaching life skills in 4 categories: mindfulness, emotional regulation, interpersonal and distress tolerance. Clients using DBT work on it outside of therapy & can learn it through individual or group therapy. It is neither a medicine nor a cure-all, but can be really effective when used well, in and out of the therapy office. ...Read more

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Is it safe to take Nyquil while taking nebulizer treatments?

Occassionally: Although the two medications should t interact with one another, it is generally recommended that asthmatics avoid cough suppressants unless absolutely needed for rest or severe pain. Since asthmatics produce more lung mucous, the coughing mechanism is very important to help clear these excess secretions which can block airways and make asthma more difficult to manage. ...Read more

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When is surgery the appropriate therapy for people with bone complications?

When is surgery the appropriate therapy for people with bone complications?

Ask the surgeon: The timing of any surgery is up to the operating surgeon, primary care physcian; and the patient. ...Read more

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What is the easiest way to get my toddler to accept his inhaler and nebulizer treatments?

Sick or well?: When toddlers are coughing & wheezing & miserable they are more likely to sit in your lap & take the nebulizer. Once they recover - well watch out! singulair (montelukast) an anti-inflammatory tablet not as effective as corticosteroids is easy to swallow & works in mild cases. Once kids are stable they rarely need more than 2 treatments a day. Make it a game. Use a star system. Speak to your child's physician. ...Read more

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What is considered an albuteral overdose, How many puffs and how many nebulizer treatments?

Follow rx directions: First of all there are directions issued for all medications including inhalers and nebulizer treatments. These directions avoid overdose. If the amount prescribed isn't helping then a call to your doctor for further directions is required. Otherwise overdosing on these causes rapid heart rates, agitation, jittery, dizzyness. ...Read more

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What are the complications with gene therapy?

What are the complications with gene therapy?

See: Here is some comprehensive information about gene therapy. Http://ghr. Nlm. Nih. Gov/handbook/therapy. Pdf ...Read more