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Metaproterenol

Metaproterenol

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EQUIPMENT TO TREAT SEVERE ASTHMA ATTACK IN CHILDREN: INHALERS, NEBULIZERS
This list of equipment should be kept in a set place in the home and always kept up to date. The inhalers and nebulizer solution can be readily obtained on prescription from your doctor and you should have no problems maintaining your stock of these. The nebulizer has to be bought and is usually ordered through the surgery. The only drawback is the effort required to pump it – and there will be no way your child will be able to do it so it will be down to you!
To my mind every asthmatic child should have access to a nebulizer. Not only has it kept my own children out of hospital but it has made them much more self-confident as they know the treatment will work. If you do decide not to buy one then many doctors’ surgeries now have them available to borrow. The obvious drawback is that many asthma attacks start at night when the surgery is closed and there is the inevitable delay in starting the treatment until your doctor brings the nebulizer. During this time the wheezing may become much worse. Also it is possible that the machine is already on loan to another patient so there is no possibility of using it, or the attack may start when you are away from home. Some children only experience asthma with a change of environment. It is important when the nebulizer first arrives that you are taught the correct way to use it and I am sure your practice nurse will show you this.
The only slight problem you may experience with this list of equipment is obtaining a course of cortisone tablets. Basically, it is a very powerful drug which over a period of time can cause side-effects. However, I have found that to settle an asthma attack it only takes a course of three or four days. Significant side-effects do not occur for about five weeks so there is a wide safety margin. Some doctors argue that they like to see the child before such a strong substance is given, but to my mind this causes delays when further deterioration may occur. Not only that but often if the nebulizer is used as well it may only be necessary to take one or two cortisone tablets. So if your GP is reluctant to give you any, be quietly insistent and I am sure you will be allowed them.
When treating an asthma attack it will obviously depend on how much of this equipment you have at home as to how far down the line you can go. If, for instance, you only have the simple inhalers then you will have to call your doctor as soon as these lose effect, or as soon as the peak flow readings begin to fall through the range of the yellow band.
*53/211/5*

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