Tap Posted September 5, 2017 Share Posted September 5, 2017 Asking for a neighbor. Her daughter is 8yo and has asthma. She uses a rescue inhaler at least once daily but is not on a daily steroid inahaler (I don't know why). We are in are area with fires so there is a quite a bit of smoke/haze around us. She ended up in the ER this morning. They did a breathing treatment and gave her prednisone. They got her O2 to 95 and released her. Daughter has slept all day. Her O2 hasn't gone about 95 all day (mom has a pulse ox). She started oral prednisone and is using her albuterol inhaler. ER doc didn't give her a steroid inhaler (odd to me). Any suggestions on getting her stats over 95. The girl is still feeling bad. Mom has an appointment for her with the pediatrician Wednesday. Quote Link to comment Share on other sites More sharing options...
melmichigan Posted September 5, 2017 Share Posted September 5, 2017 No advice to get her sats up, but if it's not maintaining or dropping I'd take her back to the ER. If possible decrease her exposure to outside air, a recirculation option on the AC, running filters, etc. 1 Quote Link to comment Share on other sites More sharing options...
fdrinca Posted September 5, 2017 Share Posted September 5, 2017 Does she have a nebulizer for albuterol treatments? I find that more effective for my DS than his rescue inhaler. What is her pulse rate? How hard is she working for each breath? If the local conditions are going to remain the same, I would not hesitate to return to the ER, or, at a minimum, call my ped's triage nurse (no charge for us, so it's an attractive choice) and ask her opinion. I'd also call the ped first thing in the morning and try to get in ASAP. 3 Quote Link to comment Share on other sites More sharing options...
happypamama Posted September 5, 2017 Share Posted September 5, 2017 When I start needing my albuterol often, it means I need my steroid inhaler for a while. She needs to ask her doctor why not. Benadryl or Zyrtec might help fight the histamine response if there is one. Steam sometimes helps. In a pinch, caffeine can be a bronchodilator, but it's not my preferred. (Also, it's not a great idea to mix it and an inhaler. One summer day my allergies were flaring and causing my asthma to flare so I took my inhaler, and I was drinking caffeinated coffee. I think it was too much stimulation because I felt really horrible for a bit, like I was going to pass out.) 1 Quote Link to comment Share on other sites More sharing options...
happypamama Posted September 5, 2017 Share Posted September 5, 2017 Also, at 8, she might still need an aerochamber for the albuterol. Mine works best if I can hold my breath for several seconds, but the timing of breathing out and then in deeply and holding it is hard for young children, so the aerochamber traps the medicine so they can get it with multiple breaths. 1 Quote Link to comment Share on other sites More sharing options...
kiwik Posted September 5, 2017 Share Posted September 5, 2017 By rescue inhaler I assume you mean a treatment inhaler. In NZ where we have high asthma rates using a treatment inhaler daily would get you put on a preventative inhaler. Personal experience says for asthma preventers are the way to go. 1 Quote Link to comment Share on other sites More sharing options...
Tap Posted September 5, 2017 Author Share Posted September 5, 2017 Thanks everyone, I will pass it on! Quote Link to comment Share on other sites More sharing options...
Okra Posted September 5, 2017 Share Posted September 5, 2017 Nebulizer worked wonders here. Rescue inhalers are hard for children to use properly sometimes. Also, we were given steroids also when we had an emergency, but once when my son was not better, I called the pediatrician. She felt that the ER doctor did not prescribe the right amount for his weight, and decided to increase the dose. (This worked wonders) So, definitely a call or visit to the pediatrician's office. Quote Link to comment Share on other sites More sharing options...
Ausmumof3 Posted September 5, 2017 Share Posted September 5, 2017 I'm assuming they are following the usual advice of stay indoors, close windows and vents etc.? Just stating the obvious in case with all the stress it's been overlooked. Quote Link to comment Share on other sites More sharing options...
Ausmumof3 Posted September 5, 2017 Share Posted September 5, 2017 Also it may be worth using a basic safety gear type mask for a couple of days. Annoying but better than ER visits. Quote Link to comment Share on other sites More sharing options...
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