Inhalation therapy

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Inhalation therapy

Stuart please include a link to inhalation therapy in the community site.

Need to develop more information on initiating inhalation therapy in young children, troubleshooting, ensuring effectiveness e.g masks vs mouthpiece, nose breathers etc.

Inhalation therapy is the delivery of medications to your child’s lung using a nebuliser or an inhaler device. 

Each child will start on inhaled therapies at different ages and this will be decided together with your child’s care team. 

Inhaled medications can work in different ways to directly help the lungs. 

  • bronchodilators: these will open up the airways helping airflow but also protecting them from irritants that may cause the airways to tighten
  • mucolytics – these are medications that will help the secretions in the airways, that can get thick and sticky, to become thinner and easier to move
  • antibiotics – these are medications that help to fight any bacteria or bugs in the airways

Your physiotherapist can help you learn more about inhaled therapies, how to use the devices, and techniques to help your child get used to these therapies. Your physiotherapist will work closely with your child’s doctor and you, when first introducing these treatments as needed. 

There is more useful information in the links below on inhaled therapies. 

When you first introduce these treatments to your child it is important to make your child feel comfortable, sitting in a space they like, and with some happy distractions. Some ideas you might like to try:

  • music playing with their favourite song
  • sitting with colouring in or doing a puzzle together
  • watching their favourite tv show

Cleaning and maintenance of airway clearance devices and nebulisers

Cleaning your airway clearance devices and nebulisers is very important. Good cleaning habits will help to stop bacteria growing in your devices and possibly entering your airways. Looking after your airway clearance devices and nebulisers is important to make sure they are working best for you. Each device has different cleaning recommendations, and it is important that the instructions for cleaning are followed. Instructions should be available with all products, check the manual for these instructions.

Airway clearance and nebuliser equipment should be stored away from areas that are more likely to create dust, mould or mildew build-up. Equipment should be replaced if faulty, broken or visibly damaged. Talk to your physiotherapist if your equipment is not working.

Please refer to the product manuals for instructions on the cleaning of your equipment.  However, general principles for equipment cleaning include:

Cleaning after you have used the equipment:

  • Take the device apart
  • Wash all the pieces in warm soapy water
  • Rinse with fresh water
  • Shake excess water from each piece of the device
  • Place pieces on a clean dry towel or dish rack and leave to air dry

Weekly sterilisation (be sure to check product descriptions and instructions).

There are several ways in which to sterilise the device. These include:

  • Boil all parts of device in rapidly boiling water for 10-15mins OR,
  • Use a baby bottle sterilising device (avoiding microwave devices especially if your device has metal parts to it).

Storage of devices

Store your devices in a clean, dry covered container. Regularly wash and dry this container

At least once a year your physiotherapist should review your equipment and your techniques for airway clearance and nebulisation. Ask for more regular reviews if you have questions or if you don’t think the equipment is working well for you.

How to clean and disinfect the nebuliser in cystic fibrosis

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