As we have already mentioned, before the beginning of inhalations it is necessary to prepare a medicinal solution, and if the infusions of herbs can be used, especially without worrying about the dosage, then with medication you need to be cautious. If the drug can be used for inhalations, this must necessarily be written in the instructions to it. There you can find information about effective and safe doses of the drug.
Consider how you can apply "Fluimucil" 100, 250 and 500 mg for inhalation in diseases of the upper and lower respiratory tract.
"Fluimcil" 100 mg / ml is a mucolytic agent in ampoules containing 3 ml of a ready-made solution for inhalations and injections. This is a ready-made 10-percent solution of acetylcysteine, which does not require additional dilution.
Inhalations with it can be carried out in devices of any plan. For ultrasonic nebulizers per procedure, it is necessary to take from 3 to 9 ml of the preparation (1-3 ampoules). For the compressor devices, 2 ampoules of "Fluimutsila" are taken as standard.
The drug is generally safe, therefore the above dosage is applicable for the treatment of adults and children. However, the doctor can adjust the dose depending on the patient's condition. For example, if the secret leaves quickly and in large quantities, it will need to be removed (sucked off), and the dose of the drug is reduced.
Usually the doctor appoints from 2 to 4 procedures a day, which lasts 15-20 minutes. The course of treatment of acute pathologies usually does not exceed 10 days, for chronic diseases aerosol therapy can be prescribed for a period of up to six months.
The drug "Fluimucil - Antibiotic IT" goes on sale in bottles with powder. Each vial contains 500 mg of thiamphenicol. A 4 ml ampoule of water for injections is applied to the vial with the preparation, which is used to dissolve the lyophilizate.
How to prepare a solution for inhalation? First, from the vial containing the powder, remove the metal edging, then remove the rubber stopper. From the ampoule containing the solution for injection, with the help of a nail file, remove (top and break off on a special ring) top part. Its contents are poured into a vial of powder, close it with a rubber stopper and mix thoroughly.
There is another, more reliable way of preparing the solution, preventing once again the contact of the preparation with air. We open the ampoule with water for injections, draw the liquid into the syringe and release it into the vial of powder, piercing the rubber stopper with a needle. The composition is thoroughly mixed, and then the required quantity is still collected in a syringe and transferred to a nebulizer reservoir.
The preparation "Fluimucil - Antibiotic IT" for inhalation can also be diluted with purified water or a solution of sodium chloride (saline solution). Many readers are interested in how to build Fluimutsil with antibiotic saline, if required by the instructions to the nebulizer? In fact, saline solution should replace only one-fourth of the water for injections, i.e. Instead of 4 ml of the water for injection, complete with the preparation, take only 3 ml and add to it 1 ml of 9% sodium chloride solution. This composition subsequently and will need to dilute the powder.
If the preparation was prepared without opening the bottle with powder, it can be stored in a refrigerator for 1 day. However, some experts insist that the antibiotic compound is unstable and can be destroyed under the influence of water, so for each procedure they recommend taking a new vial of the drug and an ampoule with water for injection.
The liquid that is used to dilute the drug must be at room temperature, i.e. Not less than 20 degrees.
According to the manufacturer's official instructions, 1-2 procedures can be performed per day, although in a difficult situation the doctor can increase their number up to 4 times a day. Independently to change the multiplicity of procedures is not necessary, after all it is not a safe mucolytic, but a potent agent with an antibiotic, an overdose of which can have very unpleasant consequences.
If inhalation is performed by an adult in 1 procedure, 250 mg of thiamphenicol should be used, i. E. We take the amount of solution equal to half of the prepared dose. Children for the procedure can use only half of the adult dose, i.e. 125 mg of thiamphenicol or ¼ full dosage.
If necessary, the attending physician may increase the dosage of the medication for inhalation. Usually prescribed increased doses of the drug or increase the multiplicity of procedures in the first 2-3 days of treatment, if it comes to acute pathology. An increase in the dose is unacceptable in the treatment of newborns and premature infants.
If the drug "Fluimucil - Antibiotic IT" is used for inhalations for the first time, doctors recommend preliminary to make an allergic test, i.e. A small amount of the finished composition should be applied to the inner surface of the forearm and left for a day. Usually, an allergic reaction occurs within the first 2 hours, but for greater persuasiveness, if there is no rash, flushing or itching of the skin, it is better to observe it within 24 hours. In the absence of a negative reaction of the body to the drug, it is possible to carry out inhalations with it.
After the finished solution is poured into the reservoir of the device, and the mask is put on the face, the nebulizer can be turned on. For the treatment of children usually use a mask that is attached to the head and closes both the mouth and the nose of the baby. For older patients, special nozzles can be used:
- nasal nozzle for inhalation with sinusitis, sinusitis and other diseases of the upper respiratory tract, where it is important to get the medicine deep into the nasal passages,
- mouthpiece for inhalation treatment of bronchitis, tracheitis, pneumonia and other infectious-inflammatory pathologies of the lower respiratory tract.
Inhalations using special attachments are considered to be more effective than those in which the mask is used.
During the procedure, the patient should sit comfortably (for young children and those who are seriously ill, the reclining position is allowed with the upper body raised so that the nebulizer remains in the upright position). Breathing should be smooth and calm. When inhaled nebulizer does not necessarily take a deep breath. To breathe deeply it is necessary only at treatment of deep departments of the bottom respiratory ways. After inhaling, you need to hold your breath for a couple of seconds, then exhale should follow.
If a mask is used depending on whether the upper or lower respiratory tract needs to be treated, it is necessary to breathe properly. With sinusitis and sinusitis, breathing in must be done with the nose, so that the medicine penetrates into the nasal passages and exerts a therapeutic effect there, and lets the air out through the mouth. If it is necessary to treat cough, bronchitis and other pathologies of the lower respiratory tract, inhale with the mouth, but breathe out with the nose, if necessary, cough up phlegm from the bronchi, removing the mask and turning off the device.
What can not be done with inhalation nebulizer? Of course, talk. Ideally, for these 15-20 minutes, when the procedure is carried out, a person should be distracted from conversations and all sorts of cares and focus on equal and proper breathing, which will make treatment effective.