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Nose sprays and a trach?



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May 30, 2009 10:32 PM

Nose sprays and a trach?


I do pediatric home health and have never seen this before.

Client has a trach and multiple orders for nose sprays (nasonex, flonase, etc) and standard updraft treatments. Dr order says 1 spray per nares. But isn't that medication wasted because the spray isn't carried throughout the nasal canal via nasal respirations? And certainly you wouldn't spray it directly in the trach.

What do you guys think? Thanks for reading.


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