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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

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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