Pharmacology Forum

Home going MDIs / DPIs

feeds@yuku.com (vince roberts) — Tue, 14 Apr 2009 07:26:33 GMT

Hello everyone,

We've recently committed ourselves to improve the process by...

Med Bulletin

feeds@yuku.com (shamrock2010) — Wed, 23 Nov 2005 12:30:25 GMT

www.fda.gov/cder/drug/inf...efault.htm

Nurse says albuterol causes veins to blow

feeds@yuku.com (RichardZ) — Sun, 08 Feb 2004 23:59:48 GMT

Our nursing staff says that we are not to do a breathing treatment before they attempt to gain I.V. access. They say that something in the albuterol causes the veins to blow after a treatment is given. I think it is just them trying to get the patient before we get them. Does anyone have any studies to prove that albuterol causes veins to blow during I.V. access? I need something to prove this is false. The RNs are spreading this like wildfire and it is becoming a pain.

I'm a first...

Dose spacing in renal failure in newborn

feeds@yuku.com (alaaswaify) — Wed, 06 Aug 2003 14:08:49 GMT

hi all , i would be grateful if anyone has guideline for spacing the doses of drugs in renal failure in newborn babies. thanks
Dr.Alaa
Neonatologist

Latest FDA approved Spirometer

feeds@yuku.com (ray999) — Mon, 26 May 2003 02:01:49 GMT

at www.iqteq.co.za

It is USB based.
PC Based.
Has a wide range of parameters, and extremely easy to use.

Exercised Induced Asthma.

feeds@yuku.com (NoviceDad) — Wed, 21 May 2003 10:58:23 GMT

My son is 11 years old and loves the sport of wrestling. The problem is he seems to have Exercised Induced Asthma. We have had him to the Allergist and the Asthma Specialist. Nothing seems to help. He has done all the inhalers and pills. As the season goes on the attacks become daily at practice or a meet. It gets to the point of were he can not complete a match without a severe attack.

I read on a wresting message board of a boy the same symptoms found relief with some sort of...

High does albuterol

feeds@yuku.com (Melanie Northcutt) — Fri, 09 May 2003 10:20:11 GMT

Is anyone using high dose albuterol for pediatric patients? What doses of albuterol do you use for peds in ER?

Advair

feeds@yuku.com (kateykakes) — Sun, 28 Jul 2002 16:31:23 GMT

I currently have been using Advair (fluiticasone/salmeterol 250/50) with excellent results. I'm wondering if anyone here uses it and your thoughts on this med.

kk

Lung Deposition of Ultrasonic Nebulizers ?

feeds@yuku.com (Unregistered(d)) — Mon, 21 May 2001 21:57:43 GMT

As an inexperienced RT student, I have a question that I was wondering if anybody could answer. In my Respiratory Care Pharmacology book by Rau, it states that the lung deposition of MDI's w/ & w/o spacers, DPI & SVN ranged from 8.8% for MDI, 9.1% for DPI, 12.4% for SVN & 13% for MDI with spacer. My question is does anybody know the percent amount of lung deposition for an ultrasonic nebulizer. With a smaller particle size than a conventional SVN, I would think that it would be...

Racemic epi vs. 1:1000 epi in the tx. of croup

feeds@yuku.com (Unregistered(d)) — Mon, 09 Apr 2001 05:22:27 GMT

I have noticed one of the hospitals that I work at in my agency job, that in the ER the doc's are using 1:1000 inj. epinephrine via SVN for croup kids. Is there any advantage that anybody knows of using this over racemic epinephrine? I didn't ask anybody, my guess would be that it's a cost issue. Does anybody have any insight regarding this practice.

"People sleep peaceably at night because rough men stand ready to do violence on their behalf". George Orwell

nebulized budesonide

feeds@yuku.com (jeffpray) — Fri, 13 Oct 2000 23:09:30 GMT

We have started using the unit dose budesonide (Pulmicort Respules). Is anyone using it in adult populations? Dose, frequency, etc.?

Jeff Pray

morphine nebs

feeds@yuku.com (Unregistered(d)) — Wed, 11 Oct 2000 09:10:01 GMT

I have found at the hospital I work at that since we introduced morphine nebs to the docs that they have been ordering them on just about every respiratory patient that walks through the door(overuse and wrong application). After doing a little looking on the web I found a pretty good summary on morphine nebs... take a look:
www.tlcpharmacy.com/nebul...phine.html
Bret

in-hospital Serevent and Albuterol

feeds@yuku.com (Jeff Whitnack) — Sat, 26 Aug 2000 05:40:16 GMT

A few years back, when Serevent first came out, the reps were saying that if a patient comes in for an acute excacerbation they should be taken off Serevent. But for some time now patients have been ordered on all, i.e. orders like

Albuterol Q4 (MDI or HHN)
Flovent 2 puffs BID
Serevent 2 puffs BID

I don't have time to locate the studies right now, but I recall reading a couple studies whereby,,(I think it was on Medscape and via a Grateful Med search)..

1) in one...

P&P Question re: Recommended Dosages

feeds@yuku.com (anglospud) — Thu, 10 Aug 2000 22:05:58 GMT

Hello All, I am currently going through our very outdated P&P book. The P&P for our medications gives a recommended dosage ex: Albuterol 2.5mg- to 1.25mg and states that these dosages WILL NOT be exceeded. I am suggesting that they go to "dosage per current FDA and NHLBI, Natioanl Asthma etc. recommendations " or "Suggested dosages are as follows..." and eliminate the "WILL NOT exceed" clause.

I feel that this clause puts the up-to-date, on the...

MDI puffs-pause between or not?ER debate

feeds@yuku.com (anglospud) — Sat, 05 Aug 2000 21:29:32 GMT

Hi All-My ER MD's have grasped the fact that Albuterol and Atrovent MDI's do work in the ER...but this is our debate..."NO, just give all 4 puffs and come back in 15minutes and repeat" I, having my own MDI in my backpack-teach the patients to do a puff and wait at least 1 minute. Yes, it takes me 4-5 minutes longer but I feel this technique works better. This is based on literature research and my own personal experience. The MD's are basing their request on their current Canadian...

Continuous nebs & Xopenex

feeds@yuku.com (jeffpray) — Fri, 09 Jun 2000 19:15:43 GMT

Is anyone using levalbuterol in continuous nebs? It seems that the population we use continuous nebs on might be the same population who might benefit. Protocol?

Ventolin via SVN f/b Atro via MDI

feeds@yuku.com (anglospud) — Mon, 15 May 2000 00:22:32 GMT

Help...I am banging my head against stubborn MD who insists ALL of his patients must receive their Ventolin via neb and their Atrovent via MDI...includes those breathing on their own (irregardless of technique) and those on mechanical ventilation. His reasoning is that he has seen pt's in the ER who use Combivent "and it just doesn't work"...not noting if these patients were using spacers (were not) or using correct technique.

Is this a new theory or abstract abberation? Am...

Tobramycin down the ETT

feeds@yuku.com (erinann) — Sun, 26 Mar 2000 19:26:18 GMT

I was wondering if anyone else is using Tobramycin to treat gram-neg bacterial infections in patients with a tracheostomy tube. We have one Doc in the ICU who has requested that the RT's instill 40 mg (5cc total) directly down the trach or ETT twice a day to fight Gram-neg bacterial pneumonia. The patient's are still receiving their IV antibiotics but there is one study that he sights that shows that direct instillation will lower and eventually eradicate the bacteria in the lungs thus...

Flovent and serevent

feeds@yuku.com (vrcinc1) — Sat, 11 Mar 2000 06:10:52 GMT

Has anyone been using serevent and flovent on pediatrics? We have a couple of times with great sucess but I have a child in my asthma program on flovent with 3-4 weekly asthma flare ups. He also has a constant runny nose but is not on anything DUH!! he is on disability for sever asthma but mom says no one even asked her about his nose or has told her...

Nebulized Decadron

feeds@yuku.com (anglospud) — Mon, 22 Nov 1999 21:26:08 GMT

Is anyone out there using nebulized decadron? We did so in Idaho with wonderful results in asthmatics, croup and severe COPD exac. We usually used 4mg/ml vials and used anywhere from 2mg to 10mg doses.I know it is not approved for this route by the FDA (kind of like Terbutaline) but am curious if anyone is using and do you have a written policy? Thanks for any input. bethashworth@videotron.ca