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Does nebulization therapy replace infusion?

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Author : Joe Wong
Update time : 2020-12-28 21:36:11
Does nebulization therapy replace infusion? Eight questions about atomizing cough and asthma

There is a headache and brain fever and go to the hospital for infusion. This concept is time to change.

The Zhejiang Provincial Health and Family Planning Commission issued a notice at the beginning of this year, requesting to strengthen the management of the clinical application of antibacterial drugs, improve the rational use of antibacterial drugs, and clarify that the tertiary hospitals in the province will completely stop the intravenous infusion of antibacterial drugs for outpatients.

When the infusion was stopped in the outpatient clinic, the aerosol inhalation treatment gradually became popular. Nowadays, when respiratory diseases are frequent seasons, the pediatric atomization physiotherapy rooms of major hospitals will be full of small patients wearing masks for atomization. Most of them have coughing after catching a cold and taking a lot of medicine. I didn't see it well, so I followed the doctor's advice to atomize.

But for this treatment, many parents have many doubts because of worry, and some even refuse to use it for their children, which prolongs the course of the disease. Here, we have invited a respiratory physician from Beijing Huajun Hospital of Traditional Chinese Medicine affiliated to China International Academy of Life Medicine Engineering to give you a detailed answer.

1. What is aerosol inhalation therapy? How to use it?

Nebulized inhalation therapy is the application of an atomizing device to disperse the medicinal liquid into fine droplets or particles, which are sprayed in aerosol form, suspended in the gas, and inhaled through the nose or mouth in the respiratory tract and lungs to achieve humidified airways , Antispasmodic, antiasthmatic, anti-inflammatory and expectorant methods.

2. Under what circumstances can aerosol treatment be used?

Nebulized inhalation therapy is mostly used for patients with various respiratory diseases, suitable for the following situations:

a. Those who are treated in the acute attack or remission period of bronchial asthma. Because of its rapid onset of effect, nebulization therapy does not require active cooperation from patients, making it the preferred treatment for acute bronchial asthma attacks.

b. Acute and chronic inflammations of the upper respiratory tract, such as pharyngitis, tracheitis, and bronchitis.

c. Patients with bronchial and lung purulent infections, cough and sputum with thick sputum, difficulty in expectoration, or bronchospasm or wheezing.
d. After endotracheal intubation tracheotomy, spray inhalation to humidify the airway, and add appropriate antibacterial drugs to prevent or control lung infections.

3. Compared with similar oral antitussive and expectorant drugs, what are the advantages of nebulization therapy?
Compared with oral drugs, atomized inhalation therapy has drugs that directly act on the respiratory tract, with quick onset and good curative effect, local inhalation administration, less blood circulation, and mild systemic adverse reactions, tasteless and painless, and does not require active cooperation from the patient. Age, especially in children and severely ill patients, has become a common treatment for respiratory diseases.

4. Aerosol inhalation of hormone drugs, will children become dependent if they use too much?
Aerosol inhalation medication is usually a combination of multiple drugs, most of which are added with hormone drugs. Commonly used nebulizers include anti-inflammatory and anti-swelling drugs, antiviral drugs, expectorants, and anti-asthmatic drugs.

Parents generally think that anti-inflammatory drugs refer to antibiotics, but they are not. The use of antibiotics for acute and critical inflammation and airway inflammation of asthma does not work. Hormonal drugs are needed to effectively control inflammation. Hormonal drugs that are frequently used for nebulization include budesonide suspension and dexamethasone.

Many parents are afraid that hormones will affect growth and development, and they are worried about precocious puberty and drug dependence. They often refuse to give their children hormone drugs. As a result, their condition is getting worse. In fact, the danger of uncontrollable disease is far greater than the harm of hormone therapy.

Nebulized inhalation of hormone therapy, because the drug is absorbed by the local mucosa, and the dose into the blood circulation is very small, so the systemic adverse reactions are significantly less than other methods of administration (intravenous, oral).

5. How to choose aerosolized drugs? Can I buy it myself at the pharmacy?

It is best to follow the doctor’s advice if you need to do nebulization. Do not rely on nebulization alone to control your condition as soon as you have a cough and asthma. Children may have a different condition each time they are sick. There are many types of aerosol medications. Therefore, do not purchase aerosol medications without authorization, so as not to delay treatment. If the doctor recommends atomization treatment, the first atomization is best treated in the hospital. After confirming that there is no uncomfortable reaction, you can consider taking the medicine home for treatment. The dosage and the course of treatment must be carried out according to the doctor's instructions, and the follow-up consultation should be performed on time.

6. What are the precautions for atomizing children at home?

a. Clean up the mouth and nasal secretions before atomization to keep the airway unobstructed.

b. Do not apply oily cream before inhaling the medicine. When inhaling the medicine, pay attention to avoid the mist irritating the eyes. You can wear an eye mask or atomize inhalation during sleep. Wash your face immediately after inhaling the medicine to reduce the amount of medicine that may be absorbed through the skin.

c. Atomization should be carried out 1 hour after meal. Do not nebulize immediately after eating to avoid drug stimulation, vomiting and suffocation caused by crying.

d. Those over 3 years old who use mouthpiece should teach children to take deep breaths, increase lung capacity, and increase the inhalation of drugs; do not breathe shortly, so as to avoid hyperventilation and cause dizziness. When using the mouthpiece, be careful not to spit out or swallow the oral secretions, and do not flow back into the atomization tank, which will affect the concentration of the liquid medicine.

e. If infants and young children cry and do not cooperate, they can be treated with aerosolized mask after falling asleep to help achieve the therapeutic effect.

f. Parents should adopt a posture that hugs the child during inhalation, and use gravity to make the droplets penetrate into the bronchioles and alveoli to achieve the best results.

g. When inhaling glucocorticoid drugs by atomization, in order to avoid adverse drug reactions, wash your face and gargle after inhaling the drug, and feed a small amount of water to infants and young children to reduce skin and oropharyngeal adverse reactions, such as hoarseness, thrush, etc. .

h. Observe the child's complexion, breathing and coughing while doing nebulization. If there is a paroxysmal cough, you can pause, put the child on the parent’s lap, hold the child’s forehead, and tap the lungs on both sides of his back. The vibration will cause the phlegm plug to loosen, which is beneficial discharge. If the patient's cough and wheezing symptoms do not improve after aerosol inhalation, but aggravation or other discomforts, such as vomiting, heart palpitations, muscle tremors, etc., should be consulted promptly.

i. Clean in time after atomization, soak and disinfect with chlorine-containing disinfectant, and dry for later use.

7. Can the nebulizer mask and tubing be borrowed from others?

The nebulizer can be shared with others, but the nebulizer mask and the tubing should be specially dedicated. If you need to borrow it, ensure that the disinfection measures are in place.

8. If the medicine is not used up at one time, can the remaining medicine in the opened package be used again?

The medicine should be used as soon as possible after opening. If it is not used up at one time, it can be taken with a sterile syringe and stored properly, but it should not exceed 4 hours at most.