tag:blogger.com,1999:blog-7423880838207203660.post7912419461500825430..comments2024-01-10T09:56:49.324-05:00Comments on Respiratory Therapy Cave: Rescue bronchodilators: Here are my unfettered answers to all of your questions about themRick Freahttp://www.blogger.com/profile/01132949384071592216noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-7423880838207203660.post-83459539975892790072007-12-07T20:52:00.000-05:002007-12-07T20:52:00.000-05:00It's very safe. And no doctor in his right mind i...It's very safe. And no doctor in his right mind is going to take it away from you, as no Dr. has ever tried to take mine away.Rick Freahttps://www.blogger.com/profile/01132949384071592216noreply@blogger.comtag:blogger.com,1999:blog-7423880838207203660.post-19170289297564248862007-12-07T13:43:00.000-05:002007-12-07T13:43:00.000-05:00Take this from me, when your lungs are shot, like ...Take this from me, when your lungs are shot, like mine, you do what you have to do. I was diagnosed with emphysema 10 years ago, had bilateral lvrs in 1999. I have been intubated 4 times, not counting surgery, and I am puffing on my inhaler every couple hours with no ill effects. This is besides, xopenex nebs, theo-dur, advair and spiriva. so I have to agree it won't harm you.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7423880838207203660.post-86471756794331641012007-12-03T22:37:00.000-05:002007-12-03T22:37:00.000-05:00I agree with you, people should follow the guideli...I agree with you, people should follow the guidelines. However, you must keep in mind that while medicine is based on science, it's actually an art: you must treat each patient independently. And guidelines are just that: guidelines.Rick Freahttps://www.blogger.com/profile/01132949384071592216noreply@blogger.comtag:blogger.com,1999:blog-7423880838207203660.post-19249636027569274382007-12-03T18:06:00.000-05:002007-12-03T18:06:00.000-05:00We don't step out of the bounderies when we use co...We don't step out of the bounderies when we use continuos nebs. There is plenty of research out there to support it's use. It is actually supported in the asthma guidelines. I'm not trying to pick on you or anything but the best advice any Therapist can give patients is that they should at least give the guidelines a try before they decide they can just start using albuterol as a crutch. <BR/><BR/>If you use albuterol that much you should actually be taking systemic steroids as a last resort. <BR/><BR/>Look it up sometime.<BR/>http://www.nhlbi.nih.gov/guidelines/asthma/asthsumm.htmAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7423880838207203660.post-64768389869090995672007-12-03T14:58:00.000-05:002007-12-03T14:58:00.000-05:00No, what you read is what I meant. Sure, I think ...No, what you read is what I meant. Sure, I think patients should use good preventative medicines, as these will allow most asthmatics to live normal lives. <BR/><BR/>However, there are still going to be people who will need to use a rescue inhaler more than twice a day despite the best preventative routine. <BR/><BR/>I am one of these patients. Before I went to the RT program I thought I was the only one. I have met many like me on the job. You probably do too. <BR/><BR/>None of these patients want to go to the hospital every time they have a bronchospasm, especially when they know 2 puffs and they are cured. And most doctors know the patients who do this. I don't keep any secrets from my doctor.<BR/><BR/>You can follow the asthma guidelines on most patients, but sometimes you have to step outside the boundries to take care of the most severe asthmatics -- like me.<BR/><BR/>We step out of the boundries every time we do continuous Ventolin treatments. That's not something that's recommended, but we know it works sometimes, and it's relatively safe.<BR/><BR/>My doctors have controlled my asthma for 30 years this way, and I live a normal life. I jog 3 miles a day and haven't made one trip to the ER as a patient in 10 years.<BR/><BR/>I wrote this post because I know there are many people like me, and I wanted to let them know that it's okay. They aren't going to die just because they use Ventolin more than recommended, or Atrovent too for that matter.<BR/><BR/>I've had this discussion many times with my doctor, especially since I became an RT.Rick Freahttps://www.blogger.com/profile/01132949384071592216noreply@blogger.comtag:blogger.com,1999:blog-7423880838207203660.post-81179012768911937322007-12-03T11:58:00.000-05:002007-12-03T11:58:00.000-05:00Dude... You might want to rethink your answers on ...Dude... You might want to rethink your answers on using albuterol... It should be as needed in asthmatics and generally if used more than twice a week (excluding EIA) your asthma is out of control and you are put into a bracket that is at a higher risk of death from asthma. Patients should always tell there doctor if using albuterol more than twice a week on a regular basis and their doctor should step them up on their maintenance medications. It's all in the asthma guidelines.Anonymousnoreply@blogger.com