I have twins with lung issues who absolutely require nebs. At first (they were 10 months old then), it was every 2 hours for each of them-levalbuterol followed with saline. I burned out my nebulizer in a few months! I only use my own machine, because I don't want parents stuff around my house and don't like the back and forth of equipment.

A kid with pneumonia who required nebs? They'd stay home.

I base it on the child. A sick child needing nebs is a liability in some cases. A child who needs it as maintenance, I can do that.

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