are nebulisers better than inhaylars for the treatment of asthma in children ?
June 9th, 2010 by admin
can i ask my gp for oxygen at home for treating the asthma attacks and evening breathlessness ?
forgot to say he is 10 months old and was born at 27weeks
can i ask my gp for oxygen to treat the evening breathlessness ?
forgot to say the child is 10 months old and was born at 27 weeeks
nebulisers are only used when the inhaler’s don’t work on the patient when they are having a attack the GP wont give you the oxygen unless your child is very ill they might try a spacer for the inhaler’s or other method’s first before they even consider giving you the oxygen
Posted in asthma treatment
June 9th, 2010 at 11:07 am
I would ask your gp, if you’re having trouble administering the inhaler, as nebuliser might be better, but given your babies cir umstances, it’s best to ask the gp
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June 9th, 2010 at 11:39 am
Yes they are easier to use. Its almost imposible for a wee one to inhale their medicine without one
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June 9th, 2010 at 12:28 pm
my little brother has some breathing problems and our doctor told us to use the neb when it gets bad. when I get pnamonia, I use it also1 hope this helps and good luck! GOD BLESS sarah
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June 9th, 2010 at 1:07 pm
I would have him checked out for allergies , especially to dust mites .
A desensibilisation treatment does wonders in some cases.
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June 9th, 2010 at 1:30 pm
nebulisers are only used when the inhaler’s don’t work on the patient when they are having a attack the GP wont give you the oxygen unless your child is very ill they might try a spacer for the inhaler’s or other method’s first before they even consider giving you the oxygen
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work at a hospital
June 9th, 2010 at 2:19 pm
Only few GPs with special a interest in asthma should be dealing, on their own, with asthmatic infants who are chronically symptomatic. They are best having shared management with a PAEDIATRIC RESPIRATORY PHYSICIAN. ( Not even an ordinary paediatrician!)
Generally Nebulisers are considered for acute management only, rather than chronic. Large volume spacers with masks are felt to be more suitable for chronic use. A child needing oxygen even at night should be on some other form of preventative, chronic, preventative management. Singulair, an oral drug, is licenced for infants as young as 6 months, has few side effects and hopefully has already been tried. Beclometasone (a steroid inhaler) is the oldest of the inhaled steroid and has a good safety record in infants in low dose. Generally the decision to start inhaled steroids in a child of this age is one made either by a consultant, or at the least a specialist GP.
My advice would be see your GP with your concerns and request a specialist referral to specifically a PAEDIATRIC RESPIRATORY PHYSICIAN.
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GP for more years than I care to remember
June 9th, 2010 at 2:48 pm
First let me say that I am a Registered Nurse as well as a Registered Respiratory Therapist. I have several years of experience in pediactrics and am now working in a level 3 Neonatal Intensive Care. I have also several yrs experience in pulmonary rehab.
From my experience there are not many adults that properly administer their inhalers. Most docs give pts/parents the script for the nebulizer and meds and do not give a lesson on proper use. Even adult patients that I have educated on use of their inhalers (even with an aero-chamber) it is a very small percentage that actually do it effectively.
That being said, I would NEVER advise a 10 month old to use an inhaler. I can assure you that the child is getting very little of the medication down deep in the lungs where it needs to go. Please ask GP (better yet a Pulmonologist with pediactric experience) to switch over to a nebulizer. The child can use the neb with a mask but when he is a little older switch to a mouth piece…once again you get much more of the medication this way.
I hope this helps….good luck !!!!
Nikki R.N., RRT
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June 9th, 2010 at 3:21 pm
yes they get rid of phelgm faster
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