How far nebulization (Impravent sol and ventolin with Nacl sol effective for my 3year boy with acuteBroncAstma
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By cold, do you mean a bad cough? If so, coughing is a symptom of asthma too.
Since your son sounds like his present medication isn't enough to maintain control of his asthma, the best solution is to talk to the doctor about putting him on an inhaled steroid. Because he is 3 years old, the inhaled steroid would be Pulmicort (Budesonide) via nebulizer. Inhaled steroids are very useful for asthma control and actually help bronchodilators works better.
Because people under 12 years old have a limited selection of asthma medication options, asthma control can be more difficult than with older populations.
In my opinion, you have two treatment changes that could help your son feel better. There is an inhaled steroid, probably Pulmicort. Then there is Xopenex. Xopenex is a newer and much stronger bronchodilator like Salbutamol. It is often used for patients of all ages who are not getting adequate asthma control on Salbutamol. Impravent (Ipratropium bromide?) acts on a different site in the lungs to cause bronchodilation. You would be giving a long breathing treatment if you were giving Xopenex, Impravent, and Budesonide, but chances are that your son would have better control of his asthma.
Asthma is a chronic lung disease. Once you have been diagnosed with it, you have it for life. Your son won't be joining the military because of it. Asthma may go away as your son grows, but it can come back later on in life or when he exercises. It may always stay the same intensity too. Asthma is random and potentially fatal.
I have asthma and was diagnosed almost a year ago when I was 24. I had no history of lung disease before that. Now that I'm being treated, I find that I sometimes can go for months using my Salbutamol rescue inhaler only once or twice a week. Now, being summer, hot, and humid, I'm on Advair (long acting brochodilator with inhaled steroid) to keep myself breathing well. When the season changes, humidity decreases, etc... I might be able to go back to using Salbutamol only. Who really knows? I assess my asthma every day because it changes constantly.
There is a drug that he can take that prevents asthma attacks. You need to talk to his doctor about this.
you may still have to give him updrafts, but less often.
Both of my children had asthma as children , and one has grown out of it completely, so there is a chance that he will grow out of it.
There are other medications your son's doctor can prescribe.
At 3 he probably can't handle an inhaler, but they do make mask attachments for kids to use. When your doctor prescribes the inhaled meds, he'll also need to prescribe a "spacer."
The daily inhaled meds probably won't replace the need for nebs, but it can decrease them.
If you do not already have a nebulizer machine at home, ask your doctor's office to help you get one. Then you'd have the option of doing nebs twice a day routinely, which could also decrease emergency use.
Hang in there. My son went from nebs every 2 hours when he was little to almost never now that he's a teenager. As kids grow and get stronger, their lungs often do too.
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