Nebs and vest

scrapper1264

New member
DS just started his vest yesterday and the nurse told me NOT to do tobi with the vest because the vest can make him cough, and the tobi is too expensive to waste. That was a little surprising to me because I thought once that med was in your lungs it was there to stay...unfortunately not! She also said doing albuterol and pulmozyme is perfectly fine with the vest.
 

scrapper1264

New member
DS just started his vest yesterday and the nurse told me NOT to do tobi with the vest because the vest can make him cough, and the tobi is too expensive to waste. That was a little surprising to me because I thought once that med was in your lungs it was there to stay...unfortunately not! She also said doing albuterol and pulmozyme is perfectly fine with the vest.
 

scrapper1264

New member
DS just started his vest yesterday and the nurse told me NOT to do tobi with the vest because the vest can make him cough, and the tobi is too expensive to waste. That was a little surprising to me because I thought once that med was in your lungs it was there to stay...unfortunately not! She also said doing albuterol and pulmozyme is perfectly fine with the vest.
 

scrapper1264

New member
DS just started his vest yesterday and the nurse told me NOT to do tobi with the vest because the vest can make him cough, and the tobi is too expensive to waste. That was a little surprising to me because I thought once that med was in your lungs it was there to stay...unfortunately not! She also said doing albuterol and pulmozyme is perfectly fine with the vest.
 

scrapper1264

New member
DS just started his vest yesterday and the nurse told me NOT to do tobi with the vest because the vest can make him cough, and the tobi is too expensive to waste. That was a little surprising to me because I thought once that med was in your lungs it was there to stay...unfortunately not! She also said doing albuterol and pulmozyme is perfectly fine with the vest.
 

LouLou

New member
Albuterol - opens airways
Pulmozyme - thins mucus
HS - increases moisture level at the lung, under mucus.
Vest - shakes and loosens the mucus (is not true clearance)
Acapella/flutter/huff coughing - clears the mucus (is clearance)
Tobi - antibiotic that should be applied to lungs not mucus preferably
Advair - steroid that coats and protects lungs, reduces inflammation.

I think some of the reason you see a difference in regimens b/w children and adults is because doctors realize parents have a lot on their plates and want to make it easier on y'all. Where adults might choose to do things in away that might take a lot longer in hopes of it making a small difference.

The only thing I don't agree with, keep in mind I'm no doctor, is doing bronchial dialator (albuterol) while vesting. It takes 7 min. for the med to take effect and I believe the airways should be open for vest.
 

LouLou

New member
Albuterol - opens airways
Pulmozyme - thins mucus
HS - increases moisture level at the lung, under mucus.
Vest - shakes and loosens the mucus (is not true clearance)
Acapella/flutter/huff coughing - clears the mucus (is clearance)
Tobi - antibiotic that should be applied to lungs not mucus preferably
Advair - steroid that coats and protects lungs, reduces inflammation.

I think some of the reason you see a difference in regimens b/w children and adults is because doctors realize parents have a lot on their plates and want to make it easier on y'all. Where adults might choose to do things in away that might take a lot longer in hopes of it making a small difference.

The only thing I don't agree with, keep in mind I'm no doctor, is doing bronchial dialator (albuterol) while vesting. It takes 7 min. for the med to take effect and I believe the airways should be open for vest.
 

LouLou

New member
Albuterol - opens airways
Pulmozyme - thins mucus
HS - increases moisture level at the lung, under mucus.
Vest - shakes and loosens the mucus (is not true clearance)
Acapella/flutter/huff coughing - clears the mucus (is clearance)
Tobi - antibiotic that should be applied to lungs not mucus preferably
Advair - steroid that coats and protects lungs, reduces inflammation.

I think some of the reason you see a difference in regimens b/w children and adults is because doctors realize parents have a lot on their plates and want to make it easier on y'all. Where adults might choose to do things in away that might take a lot longer in hopes of it making a small difference.

The only thing I don't agree with, keep in mind I'm no doctor, is doing bronchial dialator (albuterol) while vesting. It takes 7 min. for the med to take effect and I believe the airways should be open for vest.
 

LouLou

New member
Albuterol - opens airways
Pulmozyme - thins mucus
HS - increases moisture level at the lung, under mucus.
Vest - shakes and loosens the mucus (is not true clearance)
Acapella/flutter/huff coughing - clears the mucus (is clearance)
Tobi - antibiotic that should be applied to lungs not mucus preferably
Advair - steroid that coats and protects lungs, reduces inflammation.

I think some of the reason you see a difference in regimens b/w children and adults is because doctors realize parents have a lot on their plates and want to make it easier on y'all. Where adults might choose to do things in away that might take a lot longer in hopes of it making a small difference.

The only thing I don't agree with, keep in mind I'm no doctor, is doing bronchial dialator (albuterol) while vesting. It takes 7 min. for the med to take effect and I believe the airways should be open for vest.
 

LouLou

New member
Albuterol - opens airways
Pulmozyme - thins mucus
HS - increases moisture level at the lung, under mucus.
Vest - shakes and loosens the mucus (is not true clearance)
Acapella/flutter/huff coughing - clears the mucus (is clearance)
Tobi - antibiotic that should be applied to lungs not mucus preferably
Advair - steroid that coats and protects lungs, reduces inflammation.

I think some of the reason you see a difference in regimens b/w children and adults is because doctors realize parents have a lot on their plates and want to make it easier on y'all. Where adults might choose to do things in away that might take a lot longer in hopes of it making a small difference.

The only thing I don't agree with, keep in mind I'm no doctor, is doing bronchial dialator (albuterol) while vesting. It takes 7 min. for the med to take effect and I believe the airways should be open for vest.
 

wanderlost

New member
I do my meds while doing the Vest (right now all I do is HTS, but I did do my TOBI with it too). I know this isn't the "best" way - but smetimes i think we have to do whatever it takes to get the most in in a short time. I know with kids of my own I don't alwasy have 45 minuted to do meds, so whatever I can get done int he 20 minuteds of the vest si what gets done for the day. I can't imagine trying to get little oens to sit still for all this. I think you have to take into account twhat the meds do, as LouLOu posted, but I also thnk that shortcutting here and there to get the most in in a short time has to be better than daily battles over doing the meds and resentment from kids for how much time it takes, kwim?

sorry abou tt he types - I am doing the vest and HTS while alittle one grabs at the keyboard/
 

wanderlost

New member
I do my meds while doing the Vest (right now all I do is HTS, but I did do my TOBI with it too). I know this isn't the "best" way - but smetimes i think we have to do whatever it takes to get the most in in a short time. I know with kids of my own I don't alwasy have 45 minuted to do meds, so whatever I can get done int he 20 minuteds of the vest si what gets done for the day. I can't imagine trying to get little oens to sit still for all this. I think you have to take into account twhat the meds do, as LouLOu posted, but I also thnk that shortcutting here and there to get the most in in a short time has to be better than daily battles over doing the meds and resentment from kids for how much time it takes, kwim?

sorry abou tt he types - I am doing the vest and HTS while alittle one grabs at the keyboard/
 

wanderlost

New member
I do my meds while doing the Vest (right now all I do is HTS, but I did do my TOBI with it too). I know this isn't the "best" way - but smetimes i think we have to do whatever it takes to get the most in in a short time. I know with kids of my own I don't alwasy have 45 minuted to do meds, so whatever I can get done int he 20 minuteds of the vest si what gets done for the day. I can't imagine trying to get little oens to sit still for all this. I think you have to take into account twhat the meds do, as LouLOu posted, but I also thnk that shortcutting here and there to get the most in in a short time has to be better than daily battles over doing the meds and resentment from kids for how much time it takes, kwim?

sorry abou tt he types - I am doing the vest and HTS while alittle one grabs at the keyboard/
 

wanderlost

New member
I do my meds while doing the Vest (right now all I do is HTS, but I did do my TOBI with it too). I know this isn't the "best" way - but smetimes i think we have to do whatever it takes to get the most in in a short time. I know with kids of my own I don't alwasy have 45 minuted to do meds, so whatever I can get done int he 20 minuteds of the vest si what gets done for the day. I can't imagine trying to get little oens to sit still for all this. I think you have to take into account twhat the meds do, as LouLOu posted, but I also thnk that shortcutting here and there to get the most in in a short time has to be better than daily battles over doing the meds and resentment from kids for how much time it takes, kwim?

sorry abou tt he types - I am doing the vest and HTS while alittle one grabs at the keyboard/
 

wanderlost

New member
I do my meds while doing the Vest (right now all I do is HTS, but I did do my TOBI with it too). I know this isn't the "best" way - but smetimes i think we have to do whatever it takes to get the most in in a short time. I know with kids of my own I don't alwasy have 45 minuted to do meds, so whatever I can get done int he 20 minuteds of the vest si what gets done for the day. I can't imagine trying to get little oens to sit still for all this. I think you have to take into account twhat the meds do, as LouLOu posted, but I also thnk that shortcutting here and there to get the most in in a short time has to be better than daily battles over doing the meds and resentment from kids for how much time it takes, kwim?

sorry abou tt he types - I am doing the vest and HTS while alittle one grabs at the keyboard/
 
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