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Saline nebulized inhalation

MAC & Bronchiectasis | Last Active: Sep 19, 2023 | Replies (73)

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@sueinmn

There are 280 milligrams of sodium in 1 4 ml vial of 7% saline. (210 mg in 3 ml vial) Not all of the nebulized liquid makes it into your body - some floats away in vapor, some residue stays in the machine. In addition, most of the sodium stays in the mucus in the lungs. You can test this by skipping nebs for a day - when you cough, the mucus is still salty tasting! So, yes, some sodium will cross the cell barrier and make it to your kidneys. How much? Just a guess, but far less than half - so roughly the amount in a slice of bread or a few chips.
I find 7% saline very valuable in staying healthy, so if I had CKD, I would still neb, and adjust my sodium-restricted diet a bit to compensate.
Have you asked your pulmonologist or nephrologist?
Sue

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Replies to "There are 280 milligrams of sodium in 1 4 ml vial of 7% saline. (210 mg..."

Thanks Sue. That’s helpful. I will ask the new ID doctor when I get to see him next month. He’s also trained in Nephrology so I’m hopeful he can suggest appropriate treatment options. My Pulmonologist advises the antibiotic regimen but I really don’t want them.

Hey Sue,
Catching up on old posts. Read that hefty article on the effects of saline on mucus. I found it fascinating that they said if saline delivered slower, not as effective. I was wondering if that is why the first year I was nebulizing 3% NS with a slowwww nebulizer(20-24 minutes). I didn't feel like I was getting anywhere. Now I'm doing 7% with a faster nebulizer (10-12 minutes)(the green machine). and feeling much clearer. Just thought I would add this healthy tidbit to the general knowledge base. ...Cindy