Normal Saline in a nebulizer?

  1. I know this question probably belongs in pulmonary, but here goes: My question: in clinicals the other day a patient, 19yo (with mild asthma, on QVar inhaled 40mg bid ) said that when she has a cold (or is congested) she uses normal saline (2cc) in her nebulizer. I asked if she mixed abuterol or any other med's with it, and she said only when in crisis. The normal saline seems to loosen her mucus and makes her cough more productive. I had never heard of that (of course there is ALOT I have never heard of, LOL) so I thought I'd ask here. Anyone ever heard of this? Standard procedure? Any risk involved? Many thanks!
    Last edit by LadySugarBug on Nov 10, '06
    •  
  2. 16 Comments

  3. by   cardiacRN2006
    We had a pt who was having a lot of SOB/DB. The RT put her on some cool mist, and that seemed to really do the trick.

    I can see how that would work, the NS nebulizer. It's almost like a lavage. Like when I'm suctioning out a ETT and the mucus is too think, I just squirt a little saline bullet into the tube to help loosen it up.
  4. by   kukukajoo
    Yes it works very well. THink of the vent tents- same concept almost. The nebulizer mists the NS and that in turn loosens the secretions and thins them out. Good way to go without drugs if it works for you.

    I think I remember two friends (sisters) who had CF used to get chest PT and would also use this during the day at various times as welll as during PT to help loosen. We would have to stop playing so they could get the treatments!
  5. by   Crocuta
    It's great for little kiddo's with various respiratory and airway issues. Fill the chamber with saline and give it to mom or dad to just hold nearby in a blow-by position. Kids tolerate it better than a mask and they get the added benefit of position of comfort in the parent's arms.
  6. by   TazziRN
    It's great for older people with coughs that you need a sputum sample from. Have RT give a saline neb and it loosens things up enough to bring it up. All you do is request RT to come and induce a sputum collection.
  7. by   perfectbluebuildings
    Our pulmonary specialists are starting to prescribe this a LOT for the patients with CF and are seeing a BIG difference- one of the doctors told us it started out when a guy with CF who lived in Australia and liked to surf, started noticing that after a long day on the waves he would have a much more frequent cough and able to bring up a lot of mucus and feel much better for several days. It's pretty cool I think!!
  8. by   sunnyjohn
    Quote from Rayrae
    Our pulmonary specialists are starting to prescribe this a LOT for the patients with CF and are seeing a BIG difference- one of the doctors told us it started out when a guy with CF who lived in Australia and liked to surf, started noticing that after a long day on the waves he would have a much more frequent cough and able to bring up a lot of mucus and feel much better for several days. It's pretty cool I think!!
    Funny,

    I grew up in the Bahamas. If you were congested, had a cold, were stopped up or had any ailment (from a skin rash to a cold to near death) your parents would take you down to the beach and dip you 'in the sea'

    It cleared up lots of things. Plus you had the fun of splashing around!
    Last edit by sunnyjohn on Nov 11, '06
  9. by   Lacie
    My son has had asthma most of his young life and we have used NS in his neb from the start. Considering that has been about 14 years now. We do use albuterol but only as prescribed (QID) or in crisis, otherwise when he's just congested and is unable to expectorate the secretions the NS not only loosens them but encourages him to cough significantly. LOL I even have 3 pet prairie dogs that have had respiratory infections and that's what the vet has us do for them to get the secretions loose since they dont exactly blow thier noses or cough on demand.
  10. by   KRVRN
    I've heard of respiratory giving hypertonic saline nebs to help draw water into the mucus to thin it and make it easier to cough out.
  11. by   RNAnnjeh
    Agree. We use saline nebs liberally. Not harmful and usually helps to loosen things up.

    RNAnnjeh
  12. by   TrudyRN
    all the time
  13. by   Kelli the nurse
    I have seen this used most frequently to treat pediatric patients. I have also personally used it to treat my kids when they had croup. It is a lot more effective (and more pleasant) than sitting in a hot steamy room!
  14. by   nicenurselpn
    We too use NS in our nebs at our pediatric long term care facility. Along with good old chest pt or a vest tx it really helps!

close