Nebulizer and Big 3 questions

Posted by tconz @tconz, Jan 5 9:33am

Should Nebulizing Sodium Chloride 7% be used before or after levalbuterol and how many times a day should I use the levalbuterol? Just calling my doctor to try and get off the Spriva and add levalbuterol instead. Also, I am asking for an Aerobika? How is the Aerobika used? I am so new to this and will be a pro one day. LOL I am just starting Big 3 today and took the Azithromycin in the morning without food. Will do this for 4-5 days and then add Ethambutol for 4-5 days and then Rifampin last. Any suggestions are truly appreciated. I am waiting for an appointment time with NJH which will probably be around April.

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@tconz I'm glad to see you are making progress in getting treated and in getting an appointment at NJH.
Levalbuterol or albuterol is inhaled or nebulized before the saline. It opens the airways so the saline penetrates better.
Most people use the Aerobika during or after nebulizing – some attach it to the nebulizer and do it at the same time. Each of us must find what works for their lungs.
Here is my routine:
2 puffs of my inhaler, after 5-10 minutes begin nebbing saline. When the urge to cough becomes overwhelming, put down the neb and do 5 breaths with the Aerobika, huff cough to bring up junk. Repeat neb-Aerobika-cough until the saline is gone or no more mucucs is coming out. This seems to work for me, has kept me off the big 3 for 3 years with only a few minor exacerbations. Before winter set in, with all its respiratory viruses & cold air, I was down to saline every other day but now I am faithful to stay healthy.
Sue

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This is so helpful and I really appreciate it!

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@sueinmn

@tconz I'm glad to see you are making progress in getting treated and in getting an appointment at NJH.
Levalbuterol or albuterol is inhaled or nebulized before the saline. It opens the airways so the saline penetrates better.
Most people use the Aerobika during or after nebulizing – some attach it to the nebulizer and do it at the same time. Each of us must find what works for their lungs.
Here is my routine:
2 puffs of my inhaler, after 5-10 minutes begin nebbing saline. When the urge to cough becomes overwhelming, put down the neb and do 5 breaths with the Aerobika, huff cough to bring up junk. Repeat neb-Aerobika-cough until the saline is gone or no more mucucs is coming out. This seems to work for me, has kept me off the big 3 for 3 years with only a few minor exacerbations. Before winter set in, with all its respiratory viruses & cold air, I was down to saline every other day but now I am faithful to stay healthy.
Sue

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I just started all this about a month ago and no one gave me a clear protocol. They told me to nebulize levabuterol, then saline, then Aerobika for 2 breaths, then huff cough. Repeat the Aerobika and huff cough 10 to 15 times. I cough sometimes but never can bring the mucous up.
When using the Aerobika, I thought you inhaled through the Aerobika and then exhaled through it. I then saw a video that showed inhaling normally and then exhaling through the Aerobika.
There is no training and I am frustrated.

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This is all so helpful. I've been using albuterol, saline 7%, and then AirPhysio device. Just ordered Acapella. Is Aerobika a better choice? I was just diagnosed with MAC, bronchiectasis since 2016. I'm opting to not go on Big 3 since my CT is stable, but am upping the airway clearance.

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@sallyb827

I just started all this about a month ago and no one gave me a clear protocol. They told me to nebulize levabuterol, then saline, then Aerobika for 2 breaths, then huff cough. Repeat the Aerobika and huff cough 10 to 15 times. I cough sometimes but never can bring the mucous up.
When using the Aerobika, I thought you inhaled through the Aerobika and then exhaled through it. I then saw a video that showed inhaling normally and then exhaling through the Aerobika.
There is no training and I am frustrated.

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you can inhale and exhale through it or you can just exhale through it. You wait a second after inhaling to exhale. Personally I only exhale through it because it is plastic. But you really can do it either way. I would experiment to see what actually works. I have to do about 16 exhales through it before expelling mucus. And i have to repeat that cycle many times till I feel all the mucus is cleared. Some of those rounds are done lying on my back and sides as well as sitting up. Everyone is different so see what works! I do all this after nebulizing all the saline but again see what works. I tried the Acapella and find the Aerobika more effective.

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@irenea8

you can inhale and exhale through it or you can just exhale through it. You wait a second after inhaling to exhale. Personally I only exhale through it because it is plastic. But you really can do it either way. I would experiment to see what actually works. I have to do about 16 exhales through it before expelling mucus. And i have to repeat that cycle many times till I feel all the mucus is cleared. Some of those rounds are done lying on my back and sides as well as sitting up. Everyone is different so see what works! I do all this after nebulizing all the saline but again see what works. I tried the Acapella and find the Aerobika more effective.

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Thank you so much! That is very helpful information!

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I should also add that if you feel the need to cough out mucus during Saline nebulizing then of course do so. For me it just starts to come up during nebulizing without the Aerobika which i use afterwards. For others you may find that using the Aerobika during nebulizing works for you. Either attached to the nebulizer or used off and on during the nebulizing process. Whatever gets it out!

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