How to do inhalations with a nebulizer with saline solution for coughs in children

What should I do if my cough gets worse after inhalation?

Main types of inhalations

The most commonly used types are:

Important: Heat-steam inhalations using an inhaler and nebulizer are in greatest demand.

Causes of increased cough

What factors could have caused the child’s cough to intensify after inhalation? Symptoms in adults and children after using inhalations may increase for the following reasons:

Choice of treatment depending on the type of cough

Why does my cough get worse after using a nebulizer? In this case, the effect is associated with the properties of the drug used. The last inhalation should be carried out no later than 18 hours, this will prevent the occurrence of new coughing attacks.

Important: when treating respiratory diseases, complex treatment is often used; in such cases, a certain sequence must be followed.

Sequence of taking medications:

medications with a bronchodilator effect by inhalation;
sputum thinners (after 30 minutes);
antiseptic medications (after 30 minutes), combined use with anti-inflammatory drugs is allowed.

Why be consistent? Violation of this sequence can lead to the appearance of a hysterical cough in children and adults.

What to do if your cough gets worse after inhalation

If the situation gets out of control and the condition worsens, you should consult a doctor. After the examination, the doctor will prescribe another drug or reduce the dosage; in any case, it is better to avoid self-medication.

Conclusion

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Berodual for inhalation

Berodual instructions

Berodual is a medicine that is used when bronchospastic syndrome occurs to relieve difficulty breathing and acute suffocation. It is used to treat obstructive bronchitis in chronic form.

Berodual is available in two forms:

Aerosol in 15 ml cylinders with a metering valve, designed for three hundred doses of berodual. One dose contains such active substances as fenoterol hydrobromide (0.05 mg), ipratropium bromide (0.02 mg). The auxiliary components include citric acid, distilled water and ethanol;
Solution for inhalation in the form of a 20 ml dropper bottle. 1 ml contains ipratropium bromide (0.261 mg), fenoterol hydrobromide (0.5 mg).

According to its pharmacological action, Berodual is classified as a bronchodilator. The composition includes two active components - ipratropium bromide and fenoterol hydrobromide, which in combination with each other enhance the antispasmodic effect on the bronchial muscles and have a bronchodilator effect. The substance fenoterol can relax the smooth muscles of the bronchi and enhance mucociliary clearance.

When Berodual is used by patients with bronchospasms caused by chronic bronchitis or emphysema, an improvement in lung function is observed within 15 minutes; after one to two hours, the maximum effect is achieved, which in most people lasts for six hours.

The drug Berodual is indicated for use not only for the symptomatic treatment of chronic diseases of the respiratory organs, such as bronchial asthma, chronic bronchitis, but also for their prevention.

The drug berodual is contraindicated for use in cases of hypersensitivity, hypertrophic obstructive cardiomyopathy, tachyarrhythmia. During pregnancy in the first trimester and while breastfeeding, the use of this drug is also contraindicated.

Side effects include the following:

from the central nervous system, nervousness, headache or dizziness are observed, in rare cases, mental disorders are possible;
on the part of the cardiovascular system, tachycardia, rapid heartbeat are observed, with increasing dose, arrhythmia appears, low or high blood pressure is observed;
from the respiratory system: cough, local irritation, and in isolated cases – paradoxical bronchospasm may appear;
from the gastrointestinal tract there is vomiting or nausea;
in some cases, allergies may occur in the form of a rash or hives, swelling of the lips, tongue and even the face.

If there is pain in the eyes, redness, clarity of vision is lost, and colored spots appear before the eyes, then this indicates the development of angle-closure glaucoma. With such symptoms, it is necessary to drip your eyes with drops that constrict the pupils and immediately seek qualified help.

When taking Berodual in combination with beta-adrenergic and anticholinergic drugs, the bronchodilator effect can be enhanced. Concomitant use of other beta-agonists may cause unwanted side effects.

When treating severe forms of obstructive respiratory disease in patients, xanthine derivatives, diuretics and steroids should be prescribed with caution in combination with beroduol. This can cause hypokalemia, which in turn increases the risk of arrhythmia. In this case, before prescribing drugs, monitor the level of potassium in the blood serum.

Berodual is prescribed with extreme caution to patients with diabetes mellitus, severe cardiovascular diseases, hyperthyroidism, prostatic hypertrophy, urinary tract obstruction, as well as patients who have suffered a myocardial infarction,

When using the drug Berodual for a long time, you must take some precautions:

if the patient suffers from bronchial asthma, as well as chronic obstructive pulmonary disease, then instead of long-term treatment, preference should be given to symptomatic treatment;
patients suffering from a steroid-dependent form of chronic respiratory diseases must undergo anti-inflammatory therapy.

Inhalation with Berodual

The solution used for inhalation is a combined bronchodilator drug. It is transparent, almost colorless, odorless and contains no suspended particles. 1 ml of Berodual inhalation solution contains fenoterol hydrobromide 500 mcg and ipratropium bromide anhydrous 250 mcg.

Berodual for inhalation helps restore normal bronchial mucus, dilate the bronchi, and accelerate the formation of sputum. Inhalation with Berodual is prescribed for obstruction of the respiratory tract, which is provoked by respiratory diseases, as well as for bronchitis or pneumonia.

To carry out the inhalation procedure with Berodual, it should be diluted in water immediately before use. The remainder of the solution must be destroyed. There should be a break between inhalations, which is at least four hours.

The therapeutic effect of inhalation depends on the correct operation of metered dose inhalers. Before each use, shake the bottle with Berodual. It should be used according to the following scheme: after removing the protective cap and placing the container vertically, take a deep breath and inject a portion of the drug into the mouth, after which you hold your breath for a few seconds and exhale. The mouthpiece of the inhalation bottle should always be kept clean and washed in warm water.

The mouthpiece should always be clean. It can be washed with warm water. If you use soap or detergent, the mouthpiece should be rinsed thoroughly with clean water after use.

An overdose of berodual mainly occurs due to the active substance - fenoterol. Side effects manifest themselves in the form of tachycardia, hypotension, arterial hypertension, angina pectoris, dry mouth, expansion of the pressure pulse, arrhythmia, and more. If side effects occur, they should be treated with sedatives, tranquilizers, and in severe cases, intensive therapy is prescribed.

Berodual application

The use of Berodual for inhalation can be prescribed by a doctor in the form of an aerosol or in the form of a solution.

For inhalation, a Berodual solution is taken according to the following scheme:

to relieve attacks, adults and children over 12 years of age take 1-4 ml, which corresponds to 20-80 drops;
for long-term therapy, 1–2 ml is prescribed up to four times a day;
to ensure ventilation of the lungs with severe bronchospasm, take up to 10 drops;
to relieve attacks, children 6–12 years old are prescribed 10–20 drops once, for severe attacks – 40–60 drops, for long-term therapy – 10–20 drops four times a day, for moderate bronchospasm – 10 drops;
Children under 6 years of age weighing less than 22 kg are prescribed 10 drops up to 3 times a day under the strict supervision of a doctor.

Before using the solution, the dose prescribed by the doctor must be diluted with saline immediately before use. Do not dilute with distilled water. Using the prescribed dose of Berodual, the duration of inhalation is regulated. Inhalation is performed using those inhalation units that are available for sale in pharmacies. The recommended injection rate of the solution is 6-8 liters per minute. If it is necessary to repeat the procedure, the break should be at least four hours.

Berodual in the form of an aerosol is prescribed to adults and children over 6 years of age, two doses. If breathing does not return within five minutes, you can take two more doses. If four doses do not have a positive effect, then you should urgently seek medical help. Typically, one or two doses are prescribed three times a day (on average up to 8 doses per day). The mouth adapter is specially designed for Berodual aerosol in order to accurately dose the drug and is not recommended for use with other aerosols. One aerosol can contains exactly two hundred doses of the drug.

Berodual for children

In pediatric practice, the use of Berodual is widespread, despite the fact that it has contraindications for children under six years of age. Since berodual acts effectively and quickly, it helps a lot in many situations. But under no circumstances should you prescribe this drug to your child on your own.

Children over six years old are prescribed three times a day with one or two injections of Berodul aerosol. In case of respiratory failure, I inject the child with two doses, and after five minutes, two more. When prescribing an inhalation solution to a child, take 2-8 drops six to eight times a day.

Children 12 years of age and older are prescribed to take Berodual up to four times a day, 1-2 ml. per day, the maximum dose should not exceed 8 ml.

Berodual aerosol

Aerosol for inhalation Berodual is intended for the symptomatic treatment and prevention of chronic obstructive respiratory disease.

An aerosol is produced in the form of a 10 ml can with a special mouthpiece that controls the amount of the sprayed dose.

Berodual is based on two active ingredients - ipratropium bromide, which is an m-anticholinergic blocker, and fenoterol hydrobromide, which is a beta2-adrenergic agonist. These two components, in interaction with each other, can enhance the antispasmodic effect on the bronchial muscles.

There are a number of contraindications for the use of aerosols: tachyarrhythmia, hypertrophic obstructive cardiomyopathy, hypersensitivity. During pregnancy, especially in the first trimester, it is not recommended to use Berodual aerosol, as it can have an inhibitory effect on the contractile activity of the uterus.

The use of berodual aerosol can cause side effects such as nervousness, headache and dizziness, tachycardia, rapid heartbeat, increased or decreased blood pressure, cough, nausea, vomiting, allergic reactions in the form of rash and urticaria, increased sweating, convulsions, hypokalemia, delay urine.

Directions for use and doses

The aerosol is prescribed for adults and children over 6 years of age, two inhalation doses. Two more doses can be injected after five minutes if there is no relief in breathing. If four doses do not have the desired effect, you should immediately contact a medical facility. Injections are done up to three times a day.

In order to get the maximum benefit from the aerosol, it must be used correctly. Each time before use, shake the container, and when using a new one, press it twice. After removing the protective cap, exhale and place the mouthpiece in your mouth, with the canister positioned bottom up. Take a deep breath while simultaneously pressing the canister, hold your breath for a few seconds and exhale. After each use, it is recommended to rinse the mouthpiece with warm water. The cylinder contains exactly 200 doses; when finished, it should be replaced.

Symptoms of an overdose of an aerosol drug may include tachycardia, hypertension, palpitations, arrhythmia, anginal pain, and flushing of the face. In this case, sedative medications or tranquilizers are used to eliminate symptoms.

Some patients may notice a change in taste when using a new drug that contains freon. But this in no way affects its effectiveness and safety.

Berodual solution

Berodual solution, which is used for inhalation, is colorless, transparent, with an imperceptible odor and does not contain suspended particles. Available in the form of a 20 ml dropper bottle.

This is a combined bronchodilator drug that contains two active substances - fenoterol hydrobromide in a volume of 500 mcg and ipratropium bromide anhydrous in a volume of 250 mcg.

Berodual solution is used for inhalation in the treatment of chronic obstructive respiratory disease.

The dosage of the drug is selected individually; during long-term therapy, the patient must be constantly monitored by a doctor. The solution should be used only for inhalation, and under no circumstances should it be taken orally. Treatment begins with the smallest dose, which is diluted with saline to a volume of 3-4 ml. Fill the nebulizer with the prepared solution and use it completely.

Berodual price

Berodual inhalation solution in one package contains a dark glass dropper bottle with a volume of 20 ml and an inhalation solution of 0.2 mg + 0.5 mg/ml. The average cost of such packaging is 294 Russian rubles.

Aerosol Berodual in the form of a 10 ml balloon for 200 doses costs an average of 1,320 Russian rubles.

Berodual reviews

In winter, my son developed a severe cough, the pediatrician prescribed inhalations twice a day, but you can’t go to the clinic with a small child. Therefore, I purchased an inhaler and Berodual inhalation solution. It helps very quickly with a dry cough - immediately after inhalation, sputum appears, which comes off easily. The main thing here is to follow the dosage prescribed by your doctor.
My daughter had a very dry cough. I didn’t cough all day, and in the evening I started having attacks with a gag reflex. They no longer knew how to help. We ran to the clinic and the doctor prescribed Berodual for inhalation. We did it twice a day. The product is good, but the instructions say about many side effects, but the cough went away quickly and we only inhaled for two days. The only thing you should buy is an inhaler.
When the child began to experience shortness of breath, I bought Berodual for inhalation on the doctor’s recommendation. Since the child was one year old, they took it according to the scheme: 1 drop per 1 kg of the child’s weight, diluted in 2 ml of saline solution. After inhalation with Berodual, they breathed Lazolvan. And so three times a day. After the first time, improvements were noticeable, but side effects appeared - nausea and dizziness. And then I inhaled myself for a dry cough - it became wet and sputum came out easily.

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What should I do if my cough gets worse after inhalation?

Main types of inhalations

The most commonly used types are:

Important: Heat-steam inhalations using an inhaler and nebulizer are in greatest demand.

Causes of increased cough

What factors could have caused the child’s cough to intensify after inhalation? Symptoms in adults and children after using inhalations may increase for the following reasons:

Choice of treatment depending on the type of cough

Important: when treating respiratory diseases, complex treatment is often used; in such cases, a certain sequence must be followed.

Sequence of taking medications:

medications with a bronchodilator effect by inhalation;
sputum thinners (after 30 minutes);
antiseptic medications (after 30 minutes), combined use with anti-inflammatory drugs is allowed.

Why be consistent? Violation of this sequence can lead to the appearance of a hysterical cough in children and adults.

What to do if your cough gets worse after inhalation

Conclusion

https://ingalyatsii.ru/instrukcii/kashel-usililsya.html

Allergy

An allergic cough occurs due to swelling or spasm of the lumen of the bronchi upon contact with some irritating substance - an allergen. It can be anything - animal hair, house dust, medicines, household chemicals and even cosmetics (dry eye shadow, loose powder).

This cough is very intrusive, paroxysmal. Usually it appears suddenly without accompanying symptoms of an infectious disease - runny nose, sore throat, fever.

A prolonged cough in a child without fever may be the only manifestation of bronchial asthma. Contrary to popular belief, asthma attacks are not necessary with this disease.

Only a pulmonologist or allergist can find out whether it is an allergy or not. If your child has a persistent cough, keep track of when the attack occurs. Your task is to ensure that the air in the apartment is not dry (use humidifiers) and reduce contact with allergens to a minimum. Wet cleaning and frequent ventilation are some of the best remedies for coughs (and not only allergic ones).

Cough increased after nebulizer

The girls breathed saline solution yesterday, and today they breathed once... the cough has gotten exponentially worse, snot comes out in such a quantity when you sneeze that it's fucked up... is this normal, is this how it should be?

So, do you still take medications other than inhalations?

Can you put sage in there?

The cough should become wet and expectorate.

We have a regular inhaler. I pour brewed sage and chamomile into it. works great.

her cough came out when he coughed

You wrote a question before, I answered. Now you are saying. I don’t understand. Fill in what you want.

that's good! The faster the sputum comes out, the better. The bronchi are cleansed. That’s what they breathe for.

dad shouts give me some medicine, you see how he’s coughing... I tell him that this is how it should be, but I started to doubt it, thanks for reassuring me)))

Children should not be given antitussives.

After saline solution, my daughter’s cough also intensified and became dry. That’s why we don’t breathe anymore. I do steam inhalations. I heard that saline solution dries, but I don’t know.

It can’t dry - then there’s no point in using it!

it doesn't dry out, it liquefies

On the contrary, we have become hydrated

It may be that you are coughing up. You should also add some saline solution for cough.

Do you only breathe saline solution? That is, if you are also taking something for cough at the same time, then stop immediately. Mucolytics cannot be taken with a nebulizer. Otherwise, the cough may get worse, the sputum will thin out and go away, and it will become easier.

nothing, just breathe... and I give anaferon

If it doesn't last long, good! You have softened everything - now the body is cleansing. Continue to breathe - 2 times a day, but do not inhale too much - so as not to provoke a cough even more! — that’s what the doctor from the physiotherapist advised me to do.

Yes, she doesn’t inhale much))) you can’t force her

the sputum is thinning from the saline solution, our cough also became stronger and more wet, the snot was thick, now it has started to flow out in a stream and the nose is breathing better

and it just flows like a stream, I don’t have time to wipe it... and if he sneezes, it hangs down to my chin))))

Wow, she's got it all crammed in there. You also massage your forehead and under your eyes - where the sinuses are! - helps a lot!

get well. My mother-in-law says that if a child is snotty during illness, it means he is happy, because all the infection is cleared up)))))))))

The inhaler helps us a lot; when we have a runny nose we can’t breathe without coughing because everything goes down

My cough also got worse from the inhalations. I was breathing for 6 days, it only got worse, and then one nanny said that it doesn’t help many people.

Yes, our cough also got worse, the sputum went away, this is good. But we didn’t breathe saline solution, but Borjomi, basically the same thing, but Borjomi will be better, and we also breathed Ventolin

Thanks Anyut, I’ll do that... should I take something else for the cough?

but they don’t willingly come to us without pace, and I really don’t want to drag her to the hospital tomorrow.

yeah, they prescribed meds, they said I don’t need a nebulizer for now and they prescribed me to go to physio

I didn’t do it with just saline solution, I don’t know how it should be. We always do saline solution + ambroxol, after the first time the result is visible, but only as prescribed by the doctor, because... The sputum may go lower, as the doctor explained to us.

suck the snot out with a pear or otrivin baby

At what age can you do inhalations?

Inhalations are done from the one-year period, but the conditions can be changed. However, if the doctor deems it necessary, the device can also be used for younger people.

We recommend: Erespal syrup for children

In childhood, the procedure with a nebulizer is shortened and lasts no more than 180 seconds. The dosage of the medicine is also halved. These rules apply especially to infants.

All drugs are diluted with sodium chloride, as well as mineral water.

The procedure with a nebulizer for babies can be carried out while the baby is sleeping, using a baby mask and parents constantly monitoring the baby's breathing. If problems are observed or a barking cough develops, the inhalation procedure is stopped immediately.

Accompanying illnesses

Symptoms of the first week of illness for illnesses accompanied by a dry cough are considered to be the appearance of discomfort and itching that affects the larynx. A person is faced with an irresistible, constant urge to cough.

In addition, among the signs of an approaching illness one can see general weakness with malaise, increased body temperature and the appearance of headaches. To treat such health problems, doctors prescribe inhalations for dry coughs, which eliminate unpleasant symptoms at the initial stage of the disease.

Inhalation sessions for a sick person who has already begun to cough can be carried out for almost all problems with the upper and lower parts of the respiratory system. Diseases of the ENT organs can also be used for manipulation. Against this background, a dry, exhausting cough is also observed.

The main indications for steam manipulation include:

bronchitis (in chronic or acute form);
obstructive bronchitis;
asthmatic attacks;
pneumonia;
cough of allergic origin;
tracheitis;
tonsillitis;
pharyngitis;
laryngitis;
otitis;
rhinorrhea, sinusitis;
infections of viral origin;
respiratory diseases associated with professional activities (laryngitis in pop artists, bronchitis with pneumonia in miners and chemical plant workers).

Inhalation manipulations can also be performed for other ailments, but only a doctor can prescribe them, based on the individual characteristics of the patient’s body.

What to do

Exacerbation of the syndrome is in no way a reason to refuse further use of inhalations. They themselves cannot, under any circumstances, worsen the patient’s condition. The method in question has been used for a very long time, and during this time it has proven its effectiveness and safety.

If there is no fever, then you just need to observe the child for a while, noting for yourself both the frequency of attacks, their severity, and duration. If the general condition is stable, the problem will most likely resolve itself after a few days.

Nebulizers for inhalation treatment

Inhalations for dry coughs with a nebulizer (ultrasonic or compression type) are currently popular among the people. They are considered very effective. Using this device, medicinal compositions are sprayed into microscopic particles that are converted into steam.

When inhaled, they end up at the site of inflammation and settle on the mucous membrane of the nasopharynx and the entire respiratory system. This involves large areas starting from the larynx and extending to the bronchioles.

It is permissible to place a variety of medicinal suspensions in a nebulizer for manipulation with dry cough. Among such pharmaceutical products you can see the following:

bronchodilators like “Berodual” and “Beroteka”;
medications with mucolytic properties (for example, Lazolvan);
antibiotics;
medications with an antiseptic effect like Furacilin.

Decoctions of medicinal herbs are also applicable. It is acceptable to take mineral alkaline water (for example, Borjomi) for an inhalation session with a nebulizer. It is important that the solution intended for manipulation does not contain large particles or sediment. They may damage the device. In addition, soda or saline solution (sodium chloride) can be used in inhalation procedures for dry cough.

The most common nebulizer is a compressor type device, as it allows you to use a larger number of different medications. Such a device can even be used for therapy of infants.

Among the unsuitable solutions that are not recommended to be poured into a nebulizer are formulations based on essential oils, as well as syrups. Drugs like Diphenhydramine, Eufilina, and Papaverine do not provide a medicinal effect on the mucous membrane of the nasopharynx for the problem of dry cough.