Every week I check my statcounter to see who's typing things into Google or Yahoo and being linked to my RT Cave blog. Assuming the queries were not answered, I provide in this spot each week my humble responses.And, hey, if the query is comical, it deserves a comical response. If it's serious, I treat it as serious. That in mind, here are this weeks queries:
1. can atrovent be given q2: Absolutely. This is a very safe medicine that can be used Q2 hours and even continuous if needed in the emergency room. However, I wouldn't recommend using it any more frequently than Q4 at home. You really should have no reason to use it more often than that. If you do, you ought to be calling your doctor.
2. can a albuterol inhaler cause high co2 in your blood?: No. Albuterol in no way is related to CO2. Albuterol is a bronchodilator that relaxes the air passages in your lungs and can make it easier to breath.
3. would symbicort stop croupy cough?: Symbicort is a medicine that is meant to be taken no more often than twice a day and is not recommended to be used for acute asthma symptoms. Symbicort will not relax the muscles in the throat and should have no effect on croup or a croupy cough. However, some asthmatics get a croupy cough as one of their signs of asthma, and if this is the case a rescue medicine like Albuterol might help. Again, symbicort should never be taken more often than twice a day (BID).
4. advair substitute: Symbicort is the best substitute for Advair. There are also some generic Symbicort inhalers available.
5. ippb therapy: My co-writer for this blog is going to write a post for the RT Cave stating that IPPB is good in some rare cases. So, stay tuned!!!
6. ventimask 50% bad: It depends. If 50% FiO2 is required to maintain an SpO2 of at least 90% then this can be a good thing.
7. atrovent in tx of croup: I can find no documented evidence that Atrovent does anything for croup. However, if you can find any such evidence let me know and I will publish it on this blog.
8. can i smoke while on ventolin: Yes you can. Smoking is good for your lungs and is highly recommended, especially if you have asthma. Just Kidding! Of course you should stop smoking if you need to use Ventolin. Smoking is a trigger of both COPD and asthma and any doctor wouldl highly recommend you quit.
9. white stuff growing on roof of mouth inhaler: Sounds like thrush. This is a common side effect if you are using a steroid inhaler. This can be prevented by rinsing your mouth after each use. It can be treated by calling your doctor and getting either a pill or a rinse. I prefer the pill because you only have to take it for four or five days. For more information click here. I mention the medications that will help here.
10. respiratory therapist who became a physician: I think I've written about this before, that I think RTs would make the best doctors. I highly recommend every doctor step on the RT rung of the ladder on the way to the more prominent career of physician.
If you have further questions for me please contact me.