morphine or lasix in the nebulizer

[psvec]

I am currently a hospcie nurse and work in an inpatient setting. I have recently heard that lasix is beneficial to use in the nebulizer... does anyone use it now? also, we use morphine in the nebulizer and it is really effective.. do you use it in your practice?

[Werblessed]

Morphine delivered via nebulizer can be very helpful in addressing acute dyspnea due to it's bronchodilator effect (however it has not been demonstrated to be an effective treatment for pain as the medication is not well absorbed systemically through this route). I haven't had occasion to work with nebulized lasix but would be interested to know it's effectiveness. Based on what I know about the absorption of nebulized morphine I would have reservations about the absorption of nebulized lasix as the medication is a loop diuretic so would have to have good systemic absorption to kick those kidneys into higher gear and work in the expected manner.

Please let me know your experience and your patients response to this intervention. Interesting....

[psvec]

I am looking for the article for lasix but it is not approved yet through our hospice. Morphine in the nebulizer along with saline works great!! It works for pain when it is given po. Do you know of any evidence based resources on nebulized morphine?