3% sodium chloride solution and Albuterol vs 7% saline
In January, I was diagnosed with a mild case of Bronchiectasis. My pulmonologist prescribed Albuterol and a 3% sodium chloride solution. From reading the posts, I rarely see anyone using Albuterol or a 3% solution. I was wondering if anyone was using Albuterol and or a 3% solution? Is Albuterol safe a long term solution? Does the 7% solution come into play as Bronchiectasis progresses? I've learned so much from these online discussions and am so appreciative of this special community.
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I use albuterol (inhaler) for wheezing prn and before exercise and before nebbing sodium chloride 3%. The people who use the 7% seem mostly to have MAC along with bronchiectasis.
Having tried both 3% and & 7%, I can say with certainty that the 7% helps me clear more easily than the 3%. No MAC diagnosis. Completely up to what works for you. The extra salinity might help keep MAC away? I don't know.
Thanks for your comments. I am meeting with my pulmonologist tomorrow so I can ask about her thoughts about whether a 7% might keep MAC away. Preventative actions are always good.
I find 7% saline helps clear my mucus far better than 3%.
Also, there is a new protocol for treating long-term asthma that uses a combination inhaler (Symbicort or its generic equivalent) twice a day for control, and only uses albuterol/levalbuterol for sudden attacks. I use this 10-20 minutes before my saline neb.
My daughter, an ER nurse, says new standard protocols are showing the albuterol inhaler is as effective as the neb when used with a spacer – and it only takes a minute, compared to 15-20 minutes to nebulize albuterol. Less time = better compliance with most people.
Thanks, Sue. So interesting about the new protocols with Albuterol and the timing differences. Definitely have to review that. You're so right about "less time = more compliance". After I nebulize with Albuterol and the saline, I have to really push myself to complete more airway clearance steps. Thanks for your help.
Sue, can you go over that protocol again please. I usually nebulize my albuterol first, then right after nebulize the 7% saline. And you’re right it takes 30-40 mins to do both then there is 10 mins or so for PEP device. Twice a day!!! Now I’m not on Symbicort, but have albuterol rescue inhaler. So I would use albuterol inhaler with spacer 2 or 3 puffs, then wait 15 mins and nebulize 7% saline? Does that sound right?
Is a spacer the same thing as an aerochamber?
Yes, Aerochamber and Vortex are two. Even a simple corrugated extension tube, supplied with some nebulizer kits, helps.
Reminder – sanitize daity, sterilize weekly as with other breathing devices.
Exactly! If breathing is not tight, sometimes one puff of albuterol is enough,
Thanks. I read some reviews of the cheaper ones on amazon and they don’t always work well. I’ll try a brand name I guess.
It feels like I learn something new every day – wish I had this knowledge 4 years ago but better late than never…