question about breathing tx's

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Specializes in nursing home.

i have a pt. that is takes breathing treatments, and my question is do you give the mucomyst first or the albuterol?

sorry if this seems like a dumb question.

everyone at work tells me they dont think it matters, in which order it is given.

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Specializes in ER, ICU.

Mucomyst is a mucolytic and albuterol is a bronchodilator. Since the albuterol works almost immediately I would give that first. The bronchioles can be dilated a lot faster than mucus can be affected.

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Specializes in adult ICU.

At my facility we dump them together in the same neb setup so they get them at the same time. This is what the RTs do and they say it's ok.

I'm assuming you are talking about nebs. To my knowledge, mucomyst doesn't come as an inhaler (right?)

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Specializes in Vents, Telemetry, Home Care, Home infusion.

mucomyst when inhaled can trigger bronchospasm, rare but does happen. ... so i like to give albuterol first then mucomyst.

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Specializes in Geriatrics, Adult Psych, Peds HH.

We also combine mucomyst with albuterol. I suppose if you have the time, then by all means give the albuteral before the mucomyst.

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