nebulizer question

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nebulizer question

I think we're gonna give the nebulizer a try. My insurance doesn't cover enough of the cost to make it worthwhile, so I'm going to buy one out of pocket. The price range is all over the map - is one better than any others, in your experience?

Second, I'm a little unclear about when to do it. The doctor said 'as needed,' but I'm really not sure when that would be. Micah has been vomiting again a little (which is why I want to try the nebulizer), but not nearly to the extent that he was. Usually, it happens after eating and he will cough and cough (and then sometimes throw up) and then be fine. There's definitely not any time to get the nebulizer going once he starts coughing, because it all happens very quickly. And then he's fine after the round of coughing, regardless of whether or not he vomits. And it's not like it happens after every meal - in fact, it's happening maybe once a day, usually a lot less often. The last time he vomited was Friday night and it's Sunday...

FWIW, he's never been documented to have any wheezing or any trouble breathing or anything like that.

:help: Thanks!

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Nope, this is def where you don't pay any attention to brands. A $40 neb is just as good as a $200, one.

As needed would be as long as he has a cough, I'd do a couple of treatments daily until the coughing stops.

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"luangwa" wrote:

Nope, this is def where you don't pay any attention to brands. A $40 neb is just as good as a $200, one.

As needed would be as long as he has a cough, I'd do a couple of treatments daily until the coughing stops.

I am so stupid sometimes, I swear. I thought the treatments had to coincide somehow with the actual coughing. :roll: I think I need more sleep (or coffee!).

This seems impossibly cheap: http://www.amazon.com/Medel-Classic/dp/B0053QBEKQ/ref=sr_1_2?s=hpc&ie=UTF8&qid=1314015146&sr=1-2 You think it's okay?

I also remember reading from BBB that the adult masks might actually be better? I also saw this: http://www.amazon.com/Respiratory-Care-Pulmoaide-Aerosol-Pediatric/dp/B001OYB63Q/ref=cm_cr_pr_product_top and a pacifier one. Micah never took a paci, so that's clearly not an option. But I'm wondering if this pediatric mask works with any nebulizer/tubing? The description says it works with most hand-held nebulizers, but that's not particularly helpful...

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I do not know about one brand over the other, but I do understand that using it can break down his tooth enamel, so you want to go easy on that. Good luck!

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Landon had the mask and it took some getting used to, although they are still young! Landon eventually would just put it on, and even used it to swim in the tub with lol! I would just be consistent with the treatments for awhile if he is couching. Every 4 hours, if it is bad up it to 2, if it is getting better go to 8 and eventually wean him off. Don't just Stop if you think he is better.. slowly wean every 4 more hours each day.

What meds is he taking for that!?1

I agree with Mel, any nebulizer will do! Don't waste money on something fancy! Although I have to go get all new tubes every 6 months? Landon was using his consistently then, but I am not sure how that works.

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The one they gave us was $40 and it works fine.

The mask works better for us, she loved the ones that had a theme......she had an elephant one she loved until she got the fish one and she wanted that one all the time.

Poor thing, hope this helps with his coughing.

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Ruth, that looks like a tabletop neb, and it 'appears' that the mouth piece is not hand held, but stays mounted to the unit. OF COURSE, this is just what it appears, i'd google that brand and model and see if you can get more details. If the mouth piece is removable and connects with tubing, then it is fine.

Also, I think you just remembered things differently than what was said in the BBB. I recommended to Candace to try the adult mouth piece (like what is pictured in that link) NOT an adult mask. Wade wouldn't let her put the mask near him, and Abs had done the same thing, but the mouthpiece was a hit because she just put it in her nouth and chewed on it, and when she wasn't chewing on it she was really trying to check it out, so the mist was going directly in her face.

Also, I wasn't told that it breaks down tooth enamel, not saying it doesn't, just wasn't told that. BUT, you do have to make sure and wipe out his mouth and give him a drink after each treatment, because the meds can cause mouth sores if left to sit in the mouth.

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Some nebulizers use fructose, and the combination of that with a drying out of the mouth (reducing saliva, which is the first protection for teeth), just means you have to rinse his mouth out, as Mel noted - sometimes this is hard to do if they fall asleep right after inhaling. My oldest got cavities after using one, but this is of course not a guarantee one way or the other. I was not aware of the connection until it was too late...

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The neb we got was $25 at a local pharmacy, insurance didn't pay for any of it, so they can be very inexpensive. This is the exact one we have, I'm assuming it was much cheaper at the pharmacy because they buy them in larger quantities and pass the savings on.

http://www.healthproductsforyou.com/p-22149-devilbiss-pulmo-aide-compact-compressor-nebulizer-system.html

As far as rinsing the mouth out, I guess I wasn't told to do that except for when specifically pulmicort was used, not albuterol. I think the ideal is being able to wear the mask, but I was perfectly happy to hold the mask in front of Daphne's face without having her wear it....I think I was lucky because she was young enough to not give a fight!

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"MaxiMamma" wrote:

Some nebulizers use fructose, and the combination of that with a drying out of the mouth (reducing saliva, which is the first protection for teeth), just means you have to rinse his mouth out, as Mel noted - sometimes this is hard to do if they fall asleep right after inhaling. My oldest got cavities after using one, but this is of course not a guarantee one way or the other. I was not aware of the connection until it was too late...

fructose for what? Neither of the meds we have, albuterol or pulmicort have fructose in them. How weird. What were you guys using?

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Pulmicort is a brand name of Budesonide, which contains sorbitan, an ester containing sorbitol (which is a sugar alcohol) - I doubt this counts as a tooth-decay concern, but it is a reminder that sugars do appear in some form in many medicines.

I gather fructose may appear in the aqueous solution as an inactive ingredient in some inhaler recipes -some solutions list flavouring to make it more palatable for young patients - and I have also read articles that suggest fructose is a useful anti-asthma compound when administered in an inhalable form. It depends what type of nebulizer is prescribed, of course; I am sure they vary - just something to bear in mind.

We now use something called Salbutamol (Albuterol Sulfate), which does not list fructose as an ingredient, but who knows what is really in there...when you look up the ingredients, you learn about Benzalkonium chloride, which is used as a preservative but is also a skin and mucose irritant, which explains why they want you to rinse your mouth...shudder.

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Wow Karina. That is a load of very interesting info.