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Subject Topic: infants and nebulizers Post ReplyPost New Topic
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mellyrose
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Posted: Feb 22 2008 at 2:04pm | IP Logged Quote mellyrose

Any tips on making it easier on Lydia for the nebulizer treatments? She has a nasty wheeze, so I'm to administer albuterol every 4-6 hours using a nebulizer with face mask.

She *hates* the mask and I have to hold her still with her arms against her sides and tucked into my body so the mask will stay on and she can get the medicine. She screams bloody murder.

I also tried holding the mask near her face (rather than using the strap around her head), but she fights like crazy.

Colin was 3 when we started nebulizer treatments for him, and he never fought. Of course, 9 months is a different story!

Any tips?

thanks!

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Elizabeth
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Posted: Feb 22 2008 at 2:46pm | IP Logged Quote Elizabeth

Melanie,
You can neb her when you nurse her. Just get the mask pretty close. You don't need a perfect seal. Even in the hospital, the respiratory therapists will detach the mask, seal off one end of the wand (mouthpiece used for adults), and just blow the mist in their faces.Also neb when she's asleep as often as possible.
You also might want to ask about Xopenex instead of albuterol as it has fewer heartrate effects.
If all else fails, even though it will break your heart, remember that she's inhaling really deeply when she's screaming and in the end, that is beneficial.
I so understand your pain (and exhaustion). You've got my prayers.

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folklaur
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Posted: Feb 22 2008 at 3:15pm | IP Logged Quote folklaur

Elizabeth wrote:
to ask about Xopenex instead of albuterol as it has fewer heartrate effects.


What is Xopenex? My 9ds has a machine and we have always been given albuterol, for the past five years...he doesn't like how it makes him feel.
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Elizabeth
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Posted: Feb 22 2008 at 3:21pm | IP Logged Quote Elizabeth

Xopenex is levalbuteral. It's a variation that doesn't seem to create the jittery effects of albuteral. It's more expensive but my kids don't tolerate albuterol very well and neither do I. When I neb, I find that I end up with a lot of "second hand mist" . We often combine Xopenex with Pulmicort in the nebublizer. Here's a link.

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JennGM
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Posted: Feb 22 2008 at 3:31pm | IP Logged Quote JennGM

My experience is the same as Elizabeth's. Albuterol is not tolerated by me or my son.

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mellyrose
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Posted: Feb 22 2008 at 4:28pm | IP Logged Quote mellyrose

Thanks for the tip. I hadn't thought of nursing her during the treatment, but just did that.   We got through it without screams, and I just hope enough got into her.

thanks ;)

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Fuzzy
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Posted: Feb 22 2008 at 7:16pm | IP Logged Quote Fuzzy

I would also recommend doing it while she is sleeping. I had a friend who did that, since they had to do it in the night as well.

I third the Xeponex! We have a huge supply of albuteral, but am ready to go back to the xeponex, which we had when my DS4 was an infant. We used to read him stories, or just turn on a kids show that would keep him still until we were done.

I worry about the "second hand mist" while I am pregnant. Isn't Pulmicort a steroid? I can't stand the way it feel when I inhale the medicine, and I just think my little boy is such a trooper to be so sweet about it.

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Elizabeth
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Posted: Feb 23 2008 at 3:54am | IP Logged Quote Elizabeth

Pulmicort is an inhaled steroid. It's the preferred step before we have to go to oral Prednisone.

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Becky Parker
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Posted: Feb 23 2008 at 8:55am | IP Logged Quote Becky Parker

Yes, while sleeping or eating! That's how we managed with my ds. If the nebulizer is something that she is going to have to deal with for a while, better to make it a peaceful experience then have to hold her down while she screams. I have clausterphobia (spelling?) so the thought of holding my childs arms down makes me cringe. (Silly, I know )

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