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
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