What medicine should be used for baby nebulization

If a baby has diseases such as asthma or bronchitis, it will often cause severe coughing. At this time, there are many treatment methods using medication. Among them, nebulizer therapy is a better method, because the nebulized medicine can directly reach the patient's body part and can achieve very good therapeutic effects. There are many drugs in this regard, such as bronchodilators, which are often used for children's asthma.

What medicine should be used for baby nebulization

1. Bronchodilators

It is mainly used to treat acute attacks of bronchial asthma and relieve bronchospasm. Commonly used drugs include:

① Ipratropium bromide solution for inhalation

Specification: 250ug, 2ml/tube

Indications: For the maintenance treatment of reversible airway obstruction caused by acute or chronic asthma and bronchospasm caused by chronic obstructive pulmonary disease, including chronic bronchitis and emphysema.

Dosage and Administration: 1 ml each time for babies under 8 months old; 2 ml each time for babies over 8 months old. Add an equal amount of normal saline solution and nebulize for inhalation, or you can directly inhale the original solution, 2 to 3 times a day. 10% to 30% of the inhaled dose is deposited in the lungs, with less absorbed by the gastrointestinal mucosa. It has a high selectivity for respiratory smooth muscle. It takes effect 10 to 30 minutes after inhalation, reaches its peak effect in 1 to 2 hours, and the effect can last for 6 to 8 hours after one inhalation.

Note: The adverse reactions of this drug are minimal, but there are reports of acute urinary retention after inhalation. Therefore, it should be used with caution in patients with prostate hypertrophy, glaucoma, and pregnant or lactating women.

② Salbutamol sulfate solution for inhalation

Specification: 100mg/bottle

Indications: For routine treatment of chronic bronchospasm that is refractory to traditional treatments and severe acute asthma. Relieve asthma or COPD.

Dosage and Administration: The usual dose for children under 12 years old is 0.5 mL (2.5 mg salbutamol sulfate), which is diluted to 2.0-2.5 mL with normal saline for injection. Some children may require a dose of up to 5.0 mg. It takes effect 5 minutes after inhalation, reaches its peak in 15 minutes, and the efficacy can last for 4 to 6 hours. There is no clinical data on the efficacy of this drug in infants under 18 months of age. Transient hypoxemia may occur, so oxygen therapy should be considered.

Note: Because this type of drug also has a partial agonist effect on the beta receptors of the heart and skeletal muscles, some patients may experience palpitations and skeletal muscle tremors after inhalation. Patients with organic heart disease, hypertension, and hyperthyroidism should use this type of drug with caution.

2. Glucocorticoids

It has the characteristics of local high efficiency and systemic safety. Commonly used drugs are:

①Budesonide suspension for inhalation

Specification: 2ml/1mg

Indications: Suitable for the treatment of acute attacks of severe bronchial asthma, especially for children with asthma. Oral steroid therapy may be substituted or reduced.

Dosage and administration: 2 ml each time, 2 to 3 times a day. Nebulized inhalation of budesonide takes effect quickly and can exert airway anti-inflammatory effects within 10 to 30 minutes.

Note: People who are allergic to budesonide, pregnant women and lactating women: teratogenic effects. It can be secreted into breast milk and can be applied to lactating women according to clinical needs. Another thing to note is that you should rinse your mouth thoroughly after nebulization inhalation to prevent Candida infection of the oral cavity and pharyngeal mucosa.