Giving an 18 month old asthma inhaler through a nebuliser?

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After a recent trip to the doctor it was diagnosed that my 18 month old son could possibly has asthma. He was prescribed two inhalers which should be administered through a nebuliser. He is supposed to take 5-10 breaths from the nebuliser for each one, however he gets really upset when he sees it or when we try and give it to him. This means we are lucky if he can get one or two breaths from it. We have tried to put him more at ease with it, by pretending to take it ourselves or pretending to give it to his teddies but it doesn’t seem to make any difference, he will still get really upset.
Can anyone give me any advice on how to help him be more comfortable with taking it? If any one has had any similar situations with their children and any solutions they found that worked.
Any advice anyone could give would be greatly appreciated. Thanks.

Mike_T says:


I know exactly how you feel, I was in a very similar situation. I remember that I was so nervous at that time and I took it out on everyone around me. I didnt know what could I do until, thanks god, I found Smoke Deter. Now I can look back and laugh on myself and in the same time I remember how helpless I was. I hope that I'll never be in the same situation again



Author: Dr. Louis on July 21, 2009
Category: asthma
Tags: , , , ,
9 responses to “Giving an 18 month old asthma inhaler through a nebuliser?”
  1. hopefully says:

    First of all you don’t give inhalers through a nebulizer. Did you get inhalers with a spacer (aerochamber) or did you get a liquid medicine to put in a nebulizer machine? I am assuming that since you said your son has to take 5-10 breaths you have an inhaler and spacer as a nebulizer treatment will last about 10 minutes which is way more that 5-10 breaths. So in saying that most children do not like doing inhaler with spacer treatments. You can give your son the spacer to play with to get him used to it and try to make a game out of holding it up to his face. Sometimes that will work as then they see the treatment as a game rather than something unpleasant. If that doesn’t work then if you are by yourself giving him the treatment sit him on your lap with him facing the same direction as you are facing (his back to your stomach) wrap your arms around his arms with the inhaler and spacer in one hand (this way you are holding his arms down) put your head on one side of his head (this way you are holding and controlling his head) put the spacer to his face and press the inhaler. If he is screaming and crying you do not have to wait for 5-10 breaths as he is taking much deeper breaths and will get all of the medicine in 2 breaths. I hope this helps. If you are using a nebulizer with a bronchodilator solution like albuterol or xopenex then as long as the medication is close to his face or is blowing in his face then he will breathe it in. Again you can let him play with the mask when not giving a treatment so that he can see it as a game as well.

  2. snikleback says:

    If your son has a face mask nebuliser,even if he cries he will still be breathing in and out thus taking in the medication.It sounds as if you have tried to make him more comfortable and it isn’t working.I have to say as sad and upsetting as it is,you need to still do it,so if he cries he cries at least you know he’s getting the medication that will prevent him being ill .

  3. MarksSweetElf says:

    Around the same age my son was given a nebulizer and medicine. He just flat refused. And their VERY strong willed at that age.

    There’s a little tube thing you can use instead of the mask. Wait until he’s asleep and hold the nebulizer in front of his face until he’s taken enough breaths to cover the doctor’s orders. If he wakes up, he’ll not realize what’s going on until he’s gotten his medicine and you can stop at that time anyway.

    That’s what I had to do to get the medicine in my son. He would go into a full blown tantrum and rip the mask right off his face. Doing it while he’s sleeping is less traumatic for him and certainly less so for you.

  4. Day says:

    try giving it to him n having/give something he likes afterwards

  5. shirl m says:

    when my child was young we had the same problem, she would scream and get upset when we put the mask near her face, the doctor said to just cuddle her and hold it near her, and while she was crying she was actually taking it in . She soon got used to it, and draw or paint at same time

  6. phatty_alpha says:

    I agree with Hopefully. I would assume from the 5-10 breaths that your child has an inhaler with an Aerochamber and if he is crying 2 breaths will get the medicine in. If it is a nebulizer with the liquid medication in a cup…then the ‘blow-by’ tubing to the face isn’t as effective as a face mask treatment. I know someone else answered that this is how they did treatments with their child – but studies now show that kids get less than about 25% of the medicine doing it that way vs. with the face mask (crying or not) they get almost 80%. I am sure that it is hard to watch your son cry – but the medicine is very important.

  7. dragonfly11 says:

    Recently my 14 month old daughter had respiratory problems as well due to serious cold virus. She used to struggle when I try to give her medication orally or using the nebuliser. So I’ve came up with a counting game to play with her so that she knows when I count to 10, it will be over. And while counting, I will also say ‘breathe" with every count. This works really well with my daughter, I guess it kinna prepares her for what’s going to happen and she’ll know when it will end. I do the same for her oral medication given through a stringe. Hope this helps. Good luck.

  8. carlie says:

    we started to do outs when he was asleep, hope that helps x

  9. roni says:

    I have a 15month old grandson who has asthma and the doc wants him to have mrbulizer every 4 hrs around the clock.HE HATES IT.I have not done this treatment yet but if he is that intense my suggestion is to papoose him and with the screaming he will deeply inhale his meds and maybe we can get this to be a game with a prize at the end. ALSO… there is a MOLD problem in the kitchen in his house (from early 1900′s) and they are fixing this. I do not kow what that means but short of going down to concrete, cnanging dirt flooring and usine treatesd lumbers and sheetrock, this is not going away.
    Do you think a dr would agree that this is a hazard for him and the rest of the house? The kids are ALWAYS sick and get headaches, colds, coughs, sniffles and start again within a week of getting oer the last bout.
    I think it is a sick house. How does she not get evicted if she complains> It is also part of her job’s perks to live on the grounds of this magnificent estate. Please help. I do not want to loswe any of them.
    peace
    grandma

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