Proper order in which to do inhaled meds?

[anonymous]

<a target=_blank class=ftalternatingbarlinklarge href="http://livingwellwithcf.blogspot.com/2006/09/bronchodilators-and-nebulized.html">The how, when and why of nebulized med</a>

This is the description and order as I posted it on my blog. I also talk a little about how long it takes me to complete the whole process. Go ahead and bookmark it if you like so that you don't have to search through tons of threads in the future <img src="i/expressions/face-icon-small-smile.gif" border="0">

Some stuff does make me bleed. I'm not on Pulmozyme for that very reason--it was lysing healthy tissue of my lungs and not the PA (which wasn't present at the time). I've heard of others who bleed a little bit at the beginning of a Tobi cycle. My theory is that after a month off, the gunk that lines our lungs is given sort of a "jump start" with the strong medication. On a microscale, it's a pretty violent jolt for the lungs, so they bleed a bit in response.

Hope that helps answer your questions a bit and I hope you're feeling well today.

-lightNlife

 

[thelizardqueen]

Thanks lightNlife. I noticed that in one of the comments left, someone left a homemade recipe for hypertonic saline: 120 ml of water, 1 tsp of salt. Bring to a rolling boil and remove from heat. Store in the refrigerator. Replace weekly. Is this safe to inhale? She said she got the recipe from her CF clinic.

 

[thelizardqueen]

Thanks lightNlife. I noticed that in one of the comments left, someone left a homemade recipe for hypertonic saline: 120 ml of water, 1 tsp of salt. Bring to a rolling boil and remove from heat. Store in the refrigerator. Replace weekly. Is this safe to inhale? She said she got the recipe from her CF clinic.

 

[thelizardqueen]

Thanks lightNlife. I noticed that in one of the comments left, someone left a homemade recipe for hypertonic saline: 120 ml of water, 1 tsp of salt. Bring to a rolling boil and remove from heat. Store in the refrigerator. Replace weekly. Is this safe to inhale? She said she got the recipe from her CF clinic.

 

[anonymous]

Vest before Tobi

 

[anonymous]

Vest before Tobi

 

[anonymous]

Vest before Tobi

 

[anonymous]

My son is 9 and just started Tobi and pulmozyme. She said to do albuterol, Tobi then pulmozyme. She said we could do albuterol and Tobi together while doing the vest for 20 min then pulmozyme.

I noticed all of you do the pulmozyme before the Tobi. Now I wonder???

 

[anonymous]

My son is 9 and just started Tobi and pulmozyme. She said to do albuterol, Tobi then pulmozyme. She said we could do albuterol and Tobi together while doing the vest for 20 min then pulmozyme.

I noticed all of you do the pulmozyme before the Tobi. Now I wonder???

 

[anonymous]

My son is 9 and just started Tobi and pulmozyme. She said to do albuterol, Tobi then pulmozyme. She said we could do albuterol and Tobi together while doing the vest for 20 min then pulmozyme.

I noticed all of you do the pulmozyme before the Tobi. Now I wonder???

 

[Ratatosk]

This is what I copied from the Tobi product info....

<i>If you are taking several medications the recommended
order is as follows: bronchodilator first, followed
by chest physiotherapy, then other inhaled
medications and, finally, TOBI</i>

With DS, we always do pulmozyme after the last treatment of the day -- around 9:30 or 10 p.m. before bed. We do Tobi after his CPT at 6 a.m. and 5:30 p.m.

 

[Ratatosk]

This is what I copied from the Tobi product info....

<i>If you are taking several medications the recommended
order is as follows: bronchodilator first, followed
by chest physiotherapy, then other inhaled
medications and, finally, TOBI</i>

With DS, we always do pulmozyme after the last treatment of the day -- around 9:30 or 10 p.m. before bed. We do Tobi after his CPT at 6 a.m. and 5:30 p.m.

 

[Ratatosk]

This is what I copied from the Tobi product info....

<i>If you are taking several medications the recommended
order is as follows: bronchodilator first, followed
by chest physiotherapy, then other inhaled
medications and, finally, TOBI</i>

With DS, we always do pulmozyme after the last treatment of the day -- around 9:30 or 10 p.m. before bed. We do Tobi after his CPT at 6 a.m. and 5:30 p.m.

 

[anonymous]

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

My son is 9 and just started Tobi and pulmozyme. She said to do albuterol, Tobi then pulmozyme. She said we could do albuterol and Tobi together while doing the vest for 20 min then pulmozyme.



I noticed all of you do the pulmozyme before the Tobi. Now I wonder???</end quote></div>


You may want to read the description on my blog about why this is the case. It makes logical sense when you understand how the medications work the way they do. <a target=_blank class=ftalternatingbarlinklarge href="http://livingwellwithcf.blogspot.com/2006/09/bronchodilators-and-nebulized.html">Order of Operations</a>

As to the recipe for homemade saline, I can't vouch for it either way. I know the woman who posted it takes her kids' health VERY seriously and doesn't take shortcuts.

-lightNlife

 

[anonymous]

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

My son is 9 and just started Tobi and pulmozyme. She said to do albuterol, Tobi then pulmozyme. She said we could do albuterol and Tobi together while doing the vest for 20 min then pulmozyme.



I noticed all of you do the pulmozyme before the Tobi. Now I wonder???</end quote></div>


You may want to read the description on my blog about why this is the case. It makes logical sense when you understand how the medications work the way they do. <a target=_blank class=ftalternatingbarlinklarge href="http://livingwellwithcf.blogspot.com/2006/09/bronchodilators-and-nebulized.html">Order of Operations</a>

As to the recipe for homemade saline, I can't vouch for it either way. I know the woman who posted it takes her kids' health VERY seriously and doesn't take shortcuts.

-lightNlife

 

[anonymous]

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

My son is 9 and just started Tobi and pulmozyme. She said to do albuterol, Tobi then pulmozyme. She said we could do albuterol and Tobi together while doing the vest for 20 min then pulmozyme.



I noticed all of you do the pulmozyme before the Tobi. Now I wonder???</end quote></div>


You may want to read the description on my blog about why this is the case. It makes logical sense when you understand how the medications work the way they do. <a target=_blank class=ftalternatingbarlinklarge href="http://livingwellwithcf.blogspot.com/2006/09/bronchodilators-and-nebulized.html">Order of Operations</a>

As to the recipe for homemade saline, I can't vouch for it either way. I know the woman who posted it takes her kids' health VERY seriously and doesn't take shortcuts.

-lightNlife

 

[anonymous]

bronchiodialtors to open up the airways (albuterol)
Pulmozyme to break up and thin the mucus
wait a few minutes, let the pulmozyme start working
CPT to clear the mucus
nebbed anti's last so you don't just cough it all out

 

[anonymous]

bronchiodialtors to open up the airways (albuterol)
Pulmozyme to break up and thin the mucus
wait a few minutes, let the pulmozyme start working
CPT to clear the mucus
nebbed anti's last so you don't just cough it all out

 

[anonymous]

bronchiodialtors to open up the airways (albuterol)
Pulmozyme to break up and thin the mucus
wait a few minutes, let the pulmozyme start working
CPT to clear the mucus
nebbed anti's last so you don't just cough it all out

 

[anonymous]

This is the order in which nebs are to be done;

1. Bronchodilators before HS as it stops the wheeze assosciated with Hs
2. Hypertonic Saline(HS)
3. C.P.T to allow Pulmozyme to get deeper and prevent damage.
4. Pulmozyme
5. Lastly Antibiotics

Note: Pulmozyme should be taken as EARLY as possible as it will irritate the chest and most (not all) will have a hard time sleepin due to excessive coughin due to the thin mucous!

Hope this helps you guys