Changing Nebs for Meds

[CowTown]

I've heard plenty of times before to change the neb between your meds. Pulmozyme and TOBI and HS all need their very own neb, right? I can say I don't do that, and yet think of it often and I know I'm "suppose to" do that.

I was reminded of this again in the recent thread: ...Hypertonic THEN Pulmozyme

I've never done this and I'm wondering if anyone knows of studies showing how bacteria actually grows and effects our lungs if we don't use a fresh nebs per medication.

What I do do is sterilize one neb that I use for my whole treatment session. I wipe/dry the neb completely with a paper towl in between each medication, but I don't have 4 fresh nebs sitting there for each med. The meds I'm using are: albuterol, HSaline, Pulmozyme, TOBI. I sterlize by washing with soapy water, then boil the nebs at night.

Thanks.

 

[CowTown]

I've heard plenty of times before to change the neb between your meds. Pulmozyme and TOBI and HS all need their very own neb, right? I can say I don't do that, and yet think of it often and I know I'm "suppose to" do that.

I was reminded of this again in the recent thread: ...Hypertonic THEN Pulmozyme

I've never done this and I'm wondering if anyone knows of studies showing how bacteria actually grows and effects our lungs if we don't use a fresh nebs per medication.

What I do do is sterilize one neb that I use for my whole treatment session. I wipe/dry the neb completely with a paper towl in between each medication, but I don't have 4 fresh nebs sitting there for each med. The meds I'm using are: albuterol, HSaline, Pulmozyme, TOBI. I sterlize by washing with soapy water, then boil the nebs at night.

Thanks.

 

[CowTown]

I've heard plenty of times before to change the neb between your meds. Pulmozyme and TOBI and HS all need their very own neb, right? I can say I don't do that, and yet think of it often and I know I'm "suppose to" do that.

I was reminded of this again in the recent thread: ...Hypertonic THEN Pulmozyme

I've never done this and I'm wondering if anyone knows of studies showing how bacteria actually grows and effects our lungs if we don't use a fresh nebs per medication.

What I do do is sterilize one neb that I use for my whole treatment session. I wipe/dry the neb completely with a paper towl in between each medication, but I don't have 4 fresh nebs sitting there for each med. The meds I'm using are: albuterol, HSaline, Pulmozyme, TOBI. I sterlize by washing with soapy water, then boil the nebs at night.

Thanks.

 

[lightNlife]

I have 4 fresh nebs sitting there for each treatment. My bathroom cupboards are STOCKED with them.

Using the same neb cup for each med is mostly a problem when you use TOBI. Even by cleaning out the nebs, there's a slight chance of some of the antibiotic staying behind and causing a problem with the next medication. Something I learned in organic chemistry lab was that unless you're using VERY clean cups and stuff, the chemicals that get left behind from another experiment (even on something that got rinsed and dried off) adversely affected the next one. In other words, just because you can't see it, doesn't mean it's not there.

The bacteria is only one of the issues that we are to be concerned about. The other, is that the chemical properties of one medication may interact with those of another. This is the same reason why, when doing an IV tuneup, we are instructed to flush with saline in between meds. It's to prevent the interaction.

The likelihood of encountering a problem is minuscule. At the very least, use something separate for TOBI. Ultimately though, I say quality of life wins. If you're doing fine with the routine you've got going, and it's going to cause more grief to change things now, then keep it up. Also, I'm not sure what type of soap you're using (dish detergent?) but make sure it's not that froo-froo antibacterial stuff. I don't use soap, just boiling water in the microwave. To dry my nebs I attach a piece of clean tubing to the air compressor and "hose out" the parts with air in the places I can't reach with a paper towel. (That's another trick I learned being a lab tech)

 

[lightNlife]

I have 4 fresh nebs sitting there for each treatment. My bathroom cupboards are STOCKED with them.

Using the same neb cup for each med is mostly a problem when you use TOBI. Even by cleaning out the nebs, there's a slight chance of some of the antibiotic staying behind and causing a problem with the next medication. Something I learned in organic chemistry lab was that unless you're using VERY clean cups and stuff, the chemicals that get left behind from another experiment (even on something that got rinsed and dried off) adversely affected the next one. In other words, just because you can't see it, doesn't mean it's not there.

The bacteria is only one of the issues that we are to be concerned about. The other, is that the chemical properties of one medication may interact with those of another. This is the same reason why, when doing an IV tuneup, we are instructed to flush with saline in between meds. It's to prevent the interaction.

The likelihood of encountering a problem is minuscule. At the very least, use something separate for TOBI. Ultimately though, I say quality of life wins. If you're doing fine with the routine you've got going, and it's going to cause more grief to change things now, then keep it up. Also, I'm not sure what type of soap you're using (dish detergent?) but make sure it's not that froo-froo antibacterial stuff. I don't use soap, just boiling water in the microwave. To dry my nebs I attach a piece of clean tubing to the air compressor and "hose out" the parts with air in the places I can't reach with a paper towel. (That's another trick I learned being a lab tech)

 

[lightNlife]

I have 4 fresh nebs sitting there for each treatment. My bathroom cupboards are STOCKED with them.

Using the same neb cup for each med is mostly a problem when you use TOBI. Even by cleaning out the nebs, there's a slight chance of some of the antibiotic staying behind and causing a problem with the next medication. Something I learned in organic chemistry lab was that unless you're using VERY clean cups and stuff, the chemicals that get left behind from another experiment (even on something that got rinsed and dried off) adversely affected the next one. In other words, just because you can't see it, doesn't mean it's not there.

The bacteria is only one of the issues that we are to be concerned about. The other, is that the chemical properties of one medication may interact with those of another. This is the same reason why, when doing an IV tuneup, we are instructed to flush with saline in between meds. It's to prevent the interaction.

The likelihood of encountering a problem is minuscule. At the very least, use something separate for TOBI. Ultimately though, I say quality of life wins. If you're doing fine with the routine you've got going, and it's going to cause more grief to change things now, then keep it up. Also, I'm not sure what type of soap you're using (dish detergent?) but make sure it's not that froo-froo antibacterial stuff. I don't use soap, just boiling water in the microwave. To dry my nebs I attach a piece of clean tubing to the air compressor and "hose out" the parts with air in the places I can't reach with a paper towel. (That's another trick I learned being a lab tech)

 

[JazzysMom]

I dont seperate my neb cups except for Tobi and that is because that Tobi leaves such a sticky mess in it. I havent had any "problems" with it yet.

 

[JazzysMom]

I dont seperate my neb cups except for Tobi and that is because that Tobi leaves such a sticky mess in it. I havent had any "problems" with it yet.

 

[JazzysMom]

I dont seperate my neb cups except for Tobi and that is because that Tobi leaves such a sticky mess in it. I havent had any "problems" with it yet.

 

[sue35]

I use seperate ones for them all also. That is a GREAT idea about drying them with the air tube. Thanks!

 

[sue35]

I use seperate ones for them all also. That is a GREAT idea about drying them with the air tube. Thanks!

 

[sue35]

I use seperate ones for them all also. That is a GREAT idea about drying them with the air tube. Thanks!

 

[Scarlett81]

I use different ones for each med, yes and I put them in a sterilizer at the end of each use. It really is best to keep them seperate or at least very clean between meds-but I know this isn't always possible.

 

[Scarlett81]

I use different ones for each med, yes and I put them in a sterilizer at the end of each use. It really is best to keep them seperate or at least very clean between meds-but I know this isn't always possible.

 

[Scarlett81]

I use different ones for each med, yes and I put them in a sterilizer at the end of each use. It really is best to keep them seperate or at least very clean between meds-but I know this isn't always possible.

 

[NoExcuses]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>CowTown</b></i>

I'm wondering if anyone knows of studies showing how bacteria actually grows and effects our lungs if we don't use a fresh nebs per medication.

.</end quote></div>


i haven't read other's responses so forgive me if i'm repeating.

the issue isn't bacteria growth with each med.

it's that if you mix certain meds, you lose the integrity of the medication. your TOBI won't be as effective if it's mixed with residue from pulmozyme.

i hope you're not paying a lot for those two drugs because you're not getting maximum efficacy from them both if you're not using a different neb.

and you know what happens when you don't get max effect from an antibiotic... that's right.... resistance.

 

[NoExcuses]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>CowTown</b></i>

I'm wondering if anyone knows of studies showing how bacteria actually grows and effects our lungs if we don't use a fresh nebs per medication.

.</end quote></div>


i haven't read other's responses so forgive me if i'm repeating.

the issue isn't bacteria growth with each med.

it's that if you mix certain meds, you lose the integrity of the medication. your TOBI won't be as effective if it's mixed with residue from pulmozyme.

i hope you're not paying a lot for those two drugs because you're not getting maximum efficacy from them both if you're not using a different neb.

and you know what happens when you don't get max effect from an antibiotic... that's right.... resistance.

 

[NoExcuses]

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>CowTown</b></i>

I'm wondering if anyone knows of studies showing how bacteria actually grows and effects our lungs if we don't use a fresh nebs per medication.

.</end quote></div>


i haven't read other's responses so forgive me if i'm repeating.

the issue isn't bacteria growth with each med.

it's that if you mix certain meds, you lose the integrity of the medication. your TOBI won't be as effective if it's mixed with residue from pulmozyme.

i hope you're not paying a lot for those two drugs because you're not getting maximum efficacy from them both if you're not using a different neb.

and you know what happens when you don't get max effect from an antibiotic... that's right.... resistance.

 

[CowTown]

Okay, I don't know why this is like pulling teeth with me, but I am very close to stepping up and doing what I'm suppose to do with multiple nebs. So thanks for the perspective.

 

[CowTown]

Okay, I don't know why this is like pulling teeth with me, but I am very close to stepping up and doing what I'm suppose to do with multiple nebs. So thanks for the perspective.