PDA

View Full Version : neb bulbs



entropy
10-22-2010, 01:43 PM
I've been in the habit of rinsing out my neb with water before I do a treatment but in the hospital the nurses rarely rinsed it.

I'm doing only pulmozyme right now. Should I rinse it every time before a treatment? or is it safe not to?

entropy
10-22-2010, 01:43 PM
I've been in the habit of rinsing out my neb with water before I do a treatment but in the hospital the nurses rarely rinsed it.

I'm doing only pulmozyme right now. Should I rinse it every time before a treatment? or is it safe not to?

entropy
10-22-2010, 01:43 PM
I've been in the habit of rinsing out my neb with water before I do a treatment but in the hospital the nurses rarely rinsed it.
<br />
<br />I'm doing only pulmozyme right now. Should I rinse it every time before a treatment? or is it safe not to?

hmw
10-22-2010, 02:09 PM
Nebs should be cleaned and sterilized between each use. Cleaning them is important to keep them from getting clogged as well as to keep germs from growing in them (germs from your respiratory tract are being deposited in the neb with every use.)

Nurses/RT's not keeping nebs clean or providing fresh ones is a common concern. Emily was provided a fresh disposable neb with each treatment when she was in over the summer upon orders from her CF dr. Next time you are in I would talk to your team about this. The hospital environment is not the place to stick anything unwashed into your mouth to inhale...

hmw
10-22-2010, 02:09 PM
Nebs should be cleaned and sterilized between each use. Cleaning them is important to keep them from getting clogged as well as to keep germs from growing in them (germs from your respiratory tract are being deposited in the neb with every use.)

Nurses/RT's not keeping nebs clean or providing fresh ones is a common concern. Emily was provided a fresh disposable neb with each treatment when she was in over the summer upon orders from her CF dr. Next time you are in I would talk to your team about this. The hospital environment is not the place to stick anything unwashed into your mouth to inhale...

hmw
10-22-2010, 02:09 PM
Nebs should be cleaned and sterilized between each use. Cleaning them is important to keep them from getting clogged as well as to keep germs from growing in them (germs from your respiratory tract are being deposited in the neb with every use.)
<br />
<br />Nurses/RT's not keeping nebs clean or providing fresh ones is a common concern. Emily was provided a fresh disposable neb with each treatment when she was in over the summer upon orders from her CF dr. Next time you are in I would talk to your team about this. The hospital environment is not the place to stick anything unwashed into your mouth to inhale...

Ratatosk
10-22-2010, 02:11 PM
Rinse? With tap water? The concern with tap water and even distilled water is that bugs like pseudomonas can actually live, thrive in the water.

We sterilize nebs after each use by boiling.

We wash them in soapy water, rinse, boil. Then dry. We have a different neb for each drug.

Tobi gets really sticky, so I do rinse it after we use it, but then it gets washed and boiled when I boil a big pot of nebs over my noon hour.

At the hospital, being you can't probably wash them, the nebs need to be tossed after each use. And shouldn't be sitting out in the hospital getting exposed to germs which you'd end up inhaling.

Ratatosk
10-22-2010, 02:11 PM
Rinse? With tap water? The concern with tap water and even distilled water is that bugs like pseudomonas can actually live, thrive in the water.

We sterilize nebs after each use by boiling.

We wash them in soapy water, rinse, boil. Then dry. We have a different neb for each drug.

Tobi gets really sticky, so I do rinse it after we use it, but then it gets washed and boiled when I boil a big pot of nebs over my noon hour.

At the hospital, being you can't probably wash them, the nebs need to be tossed after each use. And shouldn't be sitting out in the hospital getting exposed to germs which you'd end up inhaling.

Ratatosk
10-22-2010, 02:11 PM
Rinse? With tap water? The concern with tap water and even distilled water is that bugs like pseudomonas can actually live, thrive in the water.
<br />
<br />We sterilize nebs after each use by boiling.
<br />
<br />We wash them in soapy water, rinse, boil. Then dry. We have a different neb for each drug.
<br />
<br />Tobi gets really sticky, so I do rinse it after we use it, but then it gets washed and boiled when I boil a big pot of nebs over my noon hour.
<br />
<br />At the hospital, being you can't probably wash them, the nebs need to be tossed after each use. And shouldn't be sitting out in the hospital getting exposed to germs which you'd end up inhaling.

hmw
10-22-2010, 02:27 PM
Yuck Liza... I had forgotten all about the PA thing.

hmw
10-22-2010, 02:27 PM
Yuck Liza... I had forgotten all about the PA thing.

hmw
10-22-2010, 02:27 PM
Yuck Liza... I had forgotten all about the PA thing.

cf4life
10-22-2010, 02:50 PM
I'd love to see some studies done on this. I mean boiling nebs between each use sounds good on paper, but is it really necessary? I know we have been told this, and we encourage between ourselves on this site regularly, but where is the study that shows this is really needed. I bought into this for a few years too, but I have gone back to a weekly sterilizing. I rinse with hot tap water and wash with mild detergent after each use and make sure they dry between uses. This, btw, is the same tap water that steams up my bathroom every morning when I shower. I just don't know anymore.

cf4life
10-22-2010, 02:50 PM
I'd love to see some studies done on this. I mean boiling nebs between each use sounds good on paper, but is it really necessary? I know we have been told this, and we encourage between ourselves on this site regularly, but where is the study that shows this is really needed. I bought into this for a few years too, but I have gone back to a weekly sterilizing. I rinse with hot tap water and wash with mild detergent after each use and make sure they dry between uses. This, btw, is the same tap water that steams up my bathroom every morning when I shower. I just don't know anymore.

cf4life
10-22-2010, 02:50 PM
I'd love to see some studies done on this. I mean boiling nebs between each use sounds good on paper, but is it really necessary? I know we have been told this, and we encourage between ourselves on this site regularly, but where is the study that shows this is really needed. I bought into this for a few years too, but I have gone back to a weekly sterilizing. I rinse with hot tap water and wash with mild detergent after each use and make sure they dry between uses. This, btw, is the same tap water that steams up my bathroom every morning when I shower. I just don't know anymore.

crickit715
10-22-2010, 11:37 PM
i always wash and sterilize nebs between every use....when my daughter was first born i wasnt aware that i needed to sterilize the nebs and i would only wash them out and we are pretty sure that is how she contracted pa. since then i have done much, much research ...i guess its up to each individual how much they want to take the risk of damaging their lungs. i know pa is said to never leave the lungs once contracted but luckily she has never had another episode or culture of pa. as per the shower steam mentioned..i dont allow my daughter in the bathroom with me when i shower and i always wash and bleach my shower heads periodically. but that is just me. <img src="i/expressions/face-icon-small-smile.gif" border="0">

crickit715
10-22-2010, 11:37 PM
i always wash and sterilize nebs between every use....when my daughter was first born i wasnt aware that i needed to sterilize the nebs and i would only wash them out and we are pretty sure that is how she contracted pa. since then i have done much, much research ...i guess its up to each individual how much they want to take the risk of damaging their lungs. i know pa is said to never leave the lungs once contracted but luckily she has never had another episode or culture of pa. as per the shower steam mentioned..i dont allow my daughter in the bathroom with me when i shower and i always wash and bleach my shower heads periodically. but that is just me. <img src="i/expressions/face-icon-small-smile.gif" border="0">

crickit715
10-22-2010, 11:37 PM
i always wash and sterilize nebs between every use....when my daughter was first born i wasnt aware that i needed to sterilize the nebs and i would only wash them out and we are pretty sure that is how she contracted pa. since then i have done much, much research ...i guess its up to each individual how much they want to take the risk of damaging their lungs. i know pa is said to never leave the lungs once contracted but luckily she has never had another episode or culture of pa. as per the shower steam mentioned..i dont allow my daughter in the bathroom with me when i shower and i always wash and bleach my shower heads periodically. but that is just me. <img src="i/expressions/face-icon-small-smile.gif" border="0">

mamerth
10-22-2010, 11:48 PM
Boil them with each use is my practice. At the hospital they just run sterile water over them and set them beside the sink to dry. Icky!!

It doesn't take very long to boil them and then store them in a safe place (wrapped in a clean linen towel). For me this is just part of my after supper/before bed routine.

CF4Life, I don't let my bathroom steam up for this very reason.

mamerth
10-22-2010, 11:48 PM
Boil them with each use is my practice. At the hospital they just run sterile water over them and set them beside the sink to dry. Icky!!

It doesn't take very long to boil them and then store them in a safe place (wrapped in a clean linen towel). For me this is just part of my after supper/before bed routine.

CF4Life, I don't let my bathroom steam up for this very reason.

mamerth
10-22-2010, 11:48 PM
Boil them with each use is my practice. At the hospital they just run sterile water over them and set them beside the sink to dry. Icky!!
<br />
<br />It doesn't take very long to boil them and then store them in a safe place (wrapped in a clean linen towel). For me this is just part of my after supper/before bed routine.
<br />
<br />CF4Life, I don't let my bathroom steam up for this very reason.