Giving Tobramycin nebs while pregnant

[redhairboy]

I work in Peds private duty homecare. I seem to give many tobi nebs and I'm wondering if I can safely give them to my patents while being pregnant? We put a filter on the end of the peep valve but it is still in the air. Not sure what to do being this is a home setting and we don't have protective equipment available for nurses. Would you refuse to give them or find other measures to protect myself?

[manncer]

Tobramycin inhaled does cross the placenta and is toxic(auditory damage) to the fetus, even though the amounts in serum is low. Also, it should be discontinued in lactation. The doctor should explain risk benefit to patient. As long as doctor and patient agree on using them, seems you wouldn't be libel?

[tvccrn, ASN, RN]

Tobramycin inhaled does cross the placenta and is toxic(auditory damage) to the fetus, even though the amounts in serum is low. Also, it should be discontinued in lactation. The doctor should explain risk benefit to patient. As long as doctor and patient agree on using them, seems you wouldn't be libel?

Although the screen name says different, I think the OP is referring to themselves being pregnant and administering the nebs.

[redhairboy]

Yes I am pregnant and may be giving Tobi nebs to the children I care for.

[ONCRN84]

I'd talk to your OB and do some research. Congrats on the pregnancy and good luck!

[manncer]

Although the screen name says different, I think the OP is referring to themselves being pregnant and administering the nebs.

OopS!