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Daycare Center and Family Home Forum>Nebulizers - Yes or No
Baby Beluga 04:52 AM 02-08-2018
I do not administer any medication except live saving meds. Insulin, epi pen, inhaler, etc.

What if a child needs a nebulizer treatment throughout the day? Is that considered life saving? Technically it is the same medication as many inhalers (albuterol) but nebs are often prescribed for illnesses, right?

WWYD?
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amberrose3dg 05:25 AM 02-08-2018
Originally Posted by Baby Beluga:
I do not administer any medication except live saving meds. Insulin, epi pen, inhaler, etc.

What if a child needs a nebulizer treatment throughout the day? Is that considered life saving? Technically it is the same medication as many inhalers (albuterol) but nebs are often prescribed for illnesses, right?

WWYD?
Me personally I wouln't do it. It is most likely an illness and they should probably be at home.
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MomBoss 06:11 AM 02-08-2018
I recently had an infant with RSV who needed a neb. Told them that because shes needing breathing treatments, she needs to stay home.
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Baby Beluga 07:41 AM 02-08-2018
Okay, that's good to know.

I haven't come across this situation with a DCK yet...but with all the stuff going around I need to have a plan before it happens.
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BrynleeJean 08:32 AM 02-08-2018
I've never thought of this. good point.
I administer whatever usually, well not fever reducers but if a doc prescribes an antibiotic to be given like 3 times a day but child isn't contagious after the first day or what they were home with mom and that middle dose is while they are in my care i do that for them.

I would do a nebulizer but yes it could be for pneumonia or RSV or bronchitis or lots of lung things that could be contagious. its up to you maybe as the doctor to email something to you about what its for and them you can make a better decision.
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LittleExplorers 10:21 AM 02-08-2018
I will administer them. My son has asthma and has used them from a very young age. However, for an infant, I would not. It can quickly turn bad with such little ones. For my son, using his neb at the first sign of a cold actually helps prevent it from turning into worse things like pneumonia, bronchilitis etc. I would want a physician's note to determine the diagnosis and go from there. It also would depend if the child fights them or is ok taking them.
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nannyde 11:48 AM 02-08-2018
Originally Posted by Baby Beluga:
I do not administer any medication except live saving meds. Insulin, epi pen, inhaler, etc.

What if a child needs a nebulizer treatment throughout the day? Is that considered life saving? Technically it is the same medication as many inhalers (albuterol) but nebs are often prescribed for illnesses, right?

WWYD?
Is it an acute illness or chronic?
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Baby Beluga 07:27 AM 02-09-2018
Originally Posted by nannyde:
Is it an acute illness or chronic?
Neither yet, just planning ahead
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Baby Beluga 07:35 AM 02-09-2018
The distinction between asthma/allergies and illness is an important one....and one I didn't think of. THIS is why I ask you all

Here is what got me thinking:

DCB had a barking cough, no other symptoms. Told mom he needed to see the doc and I would determine if/when he could return. Doc cleared DCB of everything, doc said cough was just lingering from a cold. Unfortunately here, it IS common to have coughs that last weeks after colds. This DCB's cough didn't last weeks (two days and was very infrequent but when he did cough it sounded barky. The barky sound is what had me concerned) but it got me thinking: what if doc prescribed a neb treatment? How would I handle it?

I suppose if it were for an illness I would require the child to stay home for a certain amount of time and would possibly administer the treatments if child no longer met exclusion policies but was at the tail end of the neb treatment.

For allergies/asthma it makes sense to do it with proper documentation from the doc. Especially if it can help ward off a much worse illness. After DS had a round of RSV and bronchiolitis his ped said if he gets a cough or cold to do neb treatments for two days to try and prevent DS from getting a worse illness so I can see how that could happen to a DCK.
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Blackcat31 07:38 AM 02-09-2018
Originally Posted by Baby Beluga:
The distinction between asthma/allergies and illness is an important one....and one I didn't think of. THIS is why I ask you all

Here is what got me thinking:

DCB had a barking cough, no other symptoms. Told mom he needed to see the doc and I would determine if/when he could return. Doc cleared DCB of everything, doc said cough was just lingering from a cold. Unfortunately here, it IS common to have coughs that last weeks after colds. This DCB's cough didn't last weeks (two days and was very infrequent but when he did cough it sounded barky. The barky sound is what had me concerned) but it got me thinking: what if doc prescribed a neb treatment? How would I handle it?

I suppose if it were for an illness I would require the child to stay home for a certain amount of time and would possibly administer the treatments if child no longer met exclusion policies but was at the tail end of the neb treatment.

For allergies/asthma it makes sense to do it with proper documentation from the doc. Especially if it can help ward off a much worse illness. After DS had a round of RSV and bronchiolitis his ped said if he gets a cough or cold to do neb treatments for two days to try and prevent DS from getting a worse illness.
But the difference is you are the parent in that scenario and are the one assuming liability and managing treatment.

If this same scenario occurred with a DCK, I'd want the parent to have to do the "hard work" of managing their child vs putting it on the provider...kwim?
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hwichlaz 08:01 AM 02-09-2018
Many illnesses cause lung damage that needs to be treated for weeks or months after the illness itself has run its course. neb treatments are needed every 4-6 hours depending on which meds are used. So.....I'd require parents to do the first one of the day so that I only had to do one treatment.
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Baby Beluga 09:10 AM 02-09-2018
Originally Posted by Blackcat31:
But the difference is you are the parent in that scenario and are the one assuming liability and managing treatment.

If this same scenario occurred with a DCK, I'd want the parent to have to do the "hard work" of managing their child vs putting it on the provider...kwim?
Absolutely
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