ultrasonic nebulisers

[Martin345]

anyone use anything other than normal saline through one of these?

bronchodilators?
mucolytics?
hypertonic saline?

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[xxbutterfly]

hi,,,, :rollin

im respiratory therapist,, graduated about a year ago and have been working in this job for 4 months only,,,

i have never used any other solution besides the normal saline 0.9% in my one-year internship,,,,

we used it even with ventilator humidifiers,,

an issue was raised about it in the last past days here in the new hospital,, and that we should be using distilled water instead!!! :eek

i tried searching the net for an answer but i couldnt find a single site that mentions it!

as i know, the 0.9% is used to trigger a cough reflex while sxning, but it is also used with nebulization,,,,

does it irritate the airways when used with vents humidifiers????

and if it does then why do we use it with nebs??

and what is the best solution to be used with vents humidifiers???

does it have to be a hypo/hyper/isotonic solution??? 8o

[hasanj]

Hi ,
we can use hyber tone saline 1.8 its very evective ,
but if the mucous are not so hard you can use natirumbicarbonat as hyper tone 2-7.5 ,
dosis 2-5 ml every 2-6 hours .
but you should know that the mucous may collared with rosa coller
if you need more info you can send me at :[email protected]

[xxbutterfly]

what do u mean by 1.8?? and 2 and 7.5??

we have 0.9 and 0.45 !!

normal saline,,, distilled water,,,

in which country do u work??? city???

and thanx a lot for ur response

[charulatak]

we use hypertonic saline with ultrasonic nebulisers for inducing sputum

[Martin345]

excellent

thank you. will consider its use

[Fiona Schreuder]

Hypertonic saline is often used to induce a sputum specimen (in someone who is unable to provide a specimen the usual way) or when normal saline is ineffective at loosening sticky secretions. You must be acreful when using hypertonic saline as it can induce bronchospasm. Therefore good practice would be to perform pre and post hypertonic saline spirometry and supervise the patient whilst they are being given the nebuliser.

[Martin345]

good point - at a hospital where we did lots of induced sputums with the stuff we were never allowed to leave the room during the procedure for that reason.