albuterol and pulmicort are mixed together and administered in the same neb in a standard neb (pari-lc plus), so I figured the same would be the case with the eflow. The hypertonic saline is not affected by other meds so we put that in when the others have run through (in the standard neb). we use clean steril nebs for tobi because I am not sure if the other meds may adversly affect the tobi. We also use clean sterile nebs for pulmozyme.
Currently we are not planning to use hypertonic saline in the eflow. There have been some mixed reviews...that one takes about 20min on a standard neb.