tag:blogger.com,1999:blog-7423880838207203660.post9125777804073667929..comments2024-01-10T09:56:49.324-05:00Comments on Respiratory Therapy Cave: Reality versus science: The Nebulizer debateRick Freahttp://www.blogger.com/profile/01132949384071592216noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-7423880838207203660.post-76634650739289800002013-08-09T06:35:30.883-04:002013-08-09T06:35:30.883-04:00As a patient the breath activated ones are a night...As a patient the breath activated ones are a nightmare when you are in an active exacerbation. I personally prefer the mask as opposed to the handheld clench in teeth ones. The breath activated ones are alright and have even encouraged me to expand my lungs and breathe deeper when given when I'm not in active distress. If given breath activated during a crisis, I flip the valve to continuous on my own. I'm more interested in opening my airway as comfortably as possible for me rather than trying to extra tough it out and respiratory arresting. I've been there, done that a few times, I finally learned my lesson and get and seek treatment earlier now if all my efforts do not improve my exacerbation. Amberhttps://www.blogger.com/profile/17674417217105707133noreply@blogger.comtag:blogger.com,1999:blog-7423880838207203660.post-78265622215636653622013-01-31T06:47:53.294-05:002013-01-31T06:47:53.294-05:00And the people who really need the medicine can...And the people who really need the medicine can't generate enough flow to use the breath actuated nebs. Personally, the breath actuated nebs are uncomfortable to use. Rick Freahttps://www.blogger.com/profile/01132949384071592216noreply@blogger.comtag:blogger.com,1999:blog-7423880838207203660.post-45466552117429141252013-01-30T12:34:27.024-05:002013-01-30T12:34:27.024-05:00A unit dose albuterol neb is 2.5 mg, while a puff ...A unit dose albuterol neb is 2.5 mg, while a puff on an inhaler is 90 mcg. That's a big difference in dose. One study showed that a unit dose of nebulized albuterol delivers the same amount of medicine to the lungs as 11puffs on an inhaler with spacer. So that's why it doesn't take the whole treatment to work. <br /><br />If hospitals, drug companies, and physicians were so concerned with wasted medicine and maximized delivery in nebulized albuterol, they would have us use the $5 breath actuated nebulizers instead of the cheap 50 cent ones, and then lower the amount of medicine in a unit dose. But albuterol is an emergency/rescue medicine with little to speak of so far as side effects, so it is the way it is.Anonymoushttps://www.blogger.com/profile/10144285227118921415noreply@blogger.com