What is added to a nebulizer for coughs?

Cough inhalation solutions

Diseases of which cough is a symptom are very common in childhood.

One of the methods of their treatment is inhalation, which helps moisturize the mucous membranes, reduce inflammation, make sputum more liquid and improve coughing, which speeds up recovery.

Table of contents:

Indications and contraindications

Children may be prescribed inhalations for the following diseases:

  • For cough caused by ARVI.
  • For acute bronchitis.
  • For laryngitis and pharyngitis.
  • For bronchial asthma.
  • During the recovery period from pneumonia.
  • For tuberculosis or cystic fibrosis.

Inhalations cannot be carried out:

  • Children under one year old.
  • Children with bacterial sore throat.
  • At elevated body temperature.
  • Children with otitis media.
  • In case of intolerance to the drug.
  • For frequent nosebleeds.
  • When coughing with pus or blood.
  • In serious condition.

Why is the procedure performed for coughing?

Inhalations have the following effect:

  • Stimulates mucus secretion during dry cough.
  • Softens sputum and makes it easier to expectorate during a wet cough.
  • Prevents the spread of infection into the lower respiratory tract.
  • Bacteria and dead leukocytes are removed from the respiratory tract.
  • Reduce the risk of complications.
  • Increase blood flow in the lung tissue.
  • Activate metabolic processes in the mucous membranes of the respiratory tract.

Inhalation and bathing with a dry cough cause copious sputum production, so these procedures must be carried out with caution. For more information about this, see Dr. Komarovsky’s program.

Rules for inhalation

  1. The procedures are carried out an hour before meals.
  2. To have a therapeutic effect on the throat, you need to inhale through your mouth and exhale through your nose.
  3. The duration of one procedure is from 5 to 15 minutes.
  4. Inhalations are carried out in a course of 5-10 procedures.
  5. Before using any medications for inhalation, you should consult your pediatrician.

Steam inhalations

To carry out such procedures, you can use a steam inhaler or a container with boiling liquid. These inhalations involve the use of only those solutions that can withstand heat. Often this is water with the addition of soda, salt, essential oils or medicinal herbs.

Inhalation with a nebulizer

Using a nebulizer for procedures allows you to spray medicinal substances into tiny droplets and deliver them into the respiratory tract to the place where their action is important. For its operation, such a device can use ultrasound, a compressor or a special membrane.

Depending on the particles generated in the device, nebulizer inhalations can be directed to different parts of the respiratory tract. Medicines transferred into small particles will quickly enter the tissues of the respiratory system, and will also act on them longer and more effectively than with other methods of administration.

Solutions specially designed for use in such a device are poured into the nebulizer. Most often they are diluted in saline solution, and the use of herbal decoctions and oil solutions in most nebulizers is prohibited. Some models also have restrictions for medications, such as corticosteroid hormones.

Drugs

The following substances are used for inhalation when coughing:

  1. Products that help moisturize and soften mucous membranes. These include salt and mineral water, saline solution, water with soda. Such moisturizers are especially often prescribed for dry coughs.
  2. Medications with a bronchodilator effect that help eliminate spasms in the respiratory tract. This group of drugs includes Berotec, Atrovent, Berodual and Ventolin. They are recommended for dry and allergic coughs.
  3. Agents with mucolytic action. Such drugs are Ambrobene, ACC, Bronchipret, Lazolvan, Mucaltin and others. They are indicated for both wet and dry coughs.
  4. Anti-inflammatory agents to reduce swelling and inflammation. This effect is provided by Tonzilgon N, Pulmicort, Cromohexal, Rotokan and other drugs. They are recommended for barking, allergic and wet coughs.
  5. Antitussive agents. These include Lidocaine and Tussamag. Such drugs are prescribed for barking cough.
  6. Antiseptic agents for cleansing mucous membranes. This group includes Chlorophyllipt, Furacilin, Miramistin and Dioxidin. Their purpose is indicated for wet or barking cough.
  7. Medicinal herbs with mucolytic, anti-inflammatory and emollient effects. Such herbs include sage, chamomile, coltsfoot, St. John's wort, mint, thyme and others. Their decoctions are used for dry coughs.
  8. Essential oils with anti-inflammatory and softening effects. This effect is observed in oils of pine, sea buckthorn, eucalyptus, almond and others. Inhalations with them are recommended for dry cough.

For information about why you should not do inhalations with boiled potatoes, see Dr. Komarovsky’s program.

Dosages of solutions for inhalation

What product or drug is used to perform the procedure?

Dosages for different ages

Use 3-4 ml of solution per procedure.

With dry cough syrup

For one procedure you need 3-4 ml from a solution prepared with 1 sachet and 15 ml of water.

For children under 12 years old – 1 ml of the drug + 2 ml of saline solution.

For children aged 12 years and older – 4 ml of the drug without adding saline solution.

With Lazolvan or Ambroxol

For children under 6 years old – 2 ml of the drug + 2 ml of saline solution.

For children over 6 years old – 2-3 ml of the drug + 2-3 ml of saline solution.

Use 3-4 ml of mineral water per procedure.

From the age of 6, drops depending on the severity of the disease. Add saline solution to a total volume of 3-4 ml.

For children over 12 years old, 3 ml of the drug. Dilute with saline solution 1 to 1.

With Calendula Tincture or Rotokan

For one procedure, you need 4 ml of a solution prepared from 1 ml of the drug and 40 ml of physiological solution.

For children 2-12 years old – 1 ml of the drug + 2 ml of saline solution.

For children over 12 years old – 2 ml of the drug + 2 ml of saline solution.

At the age of 1-5 years – 1 ml of the drug + 3 ml of saline solution.

Children 6-16 years old – 1 ml of the drug + 2 ml of saline solution.

With Dioxidine 1%

The drug is diluted with saline 1:1. For one procedure, use 3-4 ml of solution.

Use 4 ml of aqueous solution per procedure.

One procedure requires 3-4 ml of solution obtained from 1 tablet and 80 ml of saline solution.

Before performing inhalations, watch the following video, which talks about many important nuances during the procedure.

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What can you put in a nebulizer?

Nebulizers are used to treat rhinitis, sinusitis, laryngitis and bronchitis, as well as some types of sore throat and pneumonia. They are often advertised on TV, there are programs dedicated to their choice; in addition, the nebulizer is a favorite topic for mothers in line to see the pediatrician. However, many make the mistake of believing that using a nebulizer in itself guarantees relief from the disease.

The therapeutic effect is not exerted by the inhaler, but by the drug introduced into the body through the use of this device. Therefore, the effectiveness of treatment depends not on the brand and type of nebulizer, but on what product is poured into it to convert it into an aerosol.

Types of nebulizers

Before pouring any solution into the inhaler container, you should make sure whether this type of drug can be used for this type of nebulizer. The thing is that the list of drugs used for different devices has its limitations.

Thus, oily solutions can only be poured into coarse devices that produce aerosols that are unable to penetrate deeper than the nasopharynx. If you ignore this recommendation and use oily drugs for inhalation in a nebulizer that sprays a liquid 1–2 microns in size that can penetrate the trachea and alveoli, you can get complications in the form of oil pneumonia.

In addition, you can break a nebulizer that is not designed to spray such a liquid, but this is a secondary problem.

When treating a runny nose, you can often hear recommendations about inhaling a decoction of herbs that have anti-inflammatory, moisturizing and antiseptic properties. Such procedures are possible only with the use of ultrasonic nebulizers in the instructions, of which herbal decoctions are included in the list of permitted ones. Most compressor and strainer devices are incompatible with this type of liquid.

A nebulizer is used not only to treat a runny nose; it can be used to administer antibiotics, glucocorticoids and mucolytics for complicated bronchitis or pneumonia. But you should know that such drugs can only be administered using a compressor and mesh nebulizer, but under the influence of ultrasound, these complex molecular substances lose their medicinal abilities.

With a runny nose

When treating a runny nose, moisturizing inhalations with a 0.9% sodium chloride solution are popular, as well as using alkaline mineral waters, for example, Borjomi, Essentuki No. 4, which not only prevent the mucous membrane from drying out, but also restore it.

When treating a bacterial rhinitis, one cannot do without the use of antibacterial and antiseptic drugs. You can use inhalations with Decasan diluted half with saline solution to treat purulent runny nose.

Also, to eliminate fungal and bacterial infections in the oropharynx and nasal passages, inhalations with a solution of Miramistin, Gentamicin, Chlorophyllipt, Furacilin or Dioxidin are suitable, which have disinfecting abilities, while affecting only the mucous membrane, without penetrating into the blood and without affecting the functioning of the gastrointestinal tract. When using a nebulizer for antiseptic therapy in the treatment of bacterial rhinitis, you should use only a freshly prepared solution, and also observe the proportions and dosage.

In acute sinusitis, to remove exudate from the paranasal sinuses, as well as relieve inflammation, inhalations with the homeopathic drug Sinupret are used, which contains extracts of many medicinal plants, including primrose, gentian, sorrel, verbena, known for their mucolytic and anti-inflammatory abilities. If you are not allergic to herbal components, you can use a nebulizer to administer herbal remedies Retokan and Propolis, which also relieve inflammation of the mucous membrane and help restore nasal breathing.

For the treatment of runny nose and cough in children under 3 years of age, inhalations are used only after examination by a doctor and his recommendations. Uncontrolled use of the procedure can lead to swelling of mucus in the narrow airways, which can lead to obstruction.

For sore throat

For throat diseases such as tonsillitis, pharyngitis, laryngitis and laryngotracheitis, a nebulizer is also used to administer medications and solutions.

Antibacterial therapy is based on the use of the same solutions as in the treatment of a runny nose. In case of swelling of the larynx, characteristic of allergic reactions, acute tonsillitis, as well as false croup against the background of laryngitis, a single injection of a solution of Epinephrine or Naphthyzine is administered. To prepare a solution, 0.5 ml of the drug is diluted in 3 ml of saline solution.

To eliminate inflammatory processes in the throat, herbal preparations such as Tonsilgon or calendula extract are used.

For dry and wet cough

For dry, non-productive cough, inhalations with mineral water can be used at the beginning of treatment. After filling the nebulizer with 5 ml of Borjomi, you should inhale for up to 10 minutes. During the day, you can carry out 4-5 inhalation sessions. As a rule, on the 2nd day of such therapy, the cough will moisten and sputum will be released.

For dry, suffocating cough caused by asthma, inhalations with bronchodilators, such as Albuterol, Berodual, Bortek, as well as drugs based on Salbutamol, are used to alleviate the condition.

If a dry cough is a symptom of acute respiratory infections, mucolytics are used - drugs that dilute sputum for further expectoration. The nebulizer is suitable for administering medications such as Mucaltin solution, Ambrobene, Fluimicil, ACC, which contribute to the transition of a painful cough into a more productive, moist one. When treating a runny nose and cough with inhalations, you should remember that the nebulizer is not suitable for administering sugar-containing drugs, and remove the solutions.

For wet cough, inhalation procedures are carried out only on the recommendation of a doctor. If there are indications for the use of such procedures, the recommended treatment agents are special solutions for administration into the body in the form of an aerosol - Ambroxol, Lazolvan, Ambrohexal.

For bronchitis

A nebulizer is simply irreplaceable for those diagnosed with bronchial asthma. This is a chronic disease that requires constant use of medications, the administration of which through inhalation reduces the risk of side effects.

The list of medications, as well as their dosage, is determined by the attending physician. Most often, bronchodilators are prescribed for bronchial asthma, such as Berodual for inhalation. In case of complications, Bortek or inhalations with Ventolin Nebula are prescribed, which eliminate an attack of suffocation.

Glucocorticosteroids and antihistamines are also prescribed for bronchial asthma. Only compressor and mesh nebulizers are suitable for administering this group of drugs in the form of a fine aerosol.

Effective means to relieve swelling of the lower respiratory tract:

  • Pulmicort is a suspension for inhalation, suitable for the treatment of adults and children. It has anti-inflammatory effects and also eliminates swelling due to an allergic reaction. Pulmicort is often used in the treatment of obstructive pulmonary inflammation as a complementary therapy to the administration of antibiotics.
  • Cromohexal is a solution for inhalation for asthma and allergic bronchial edema.
  • Dexamethasone is a strong drug designed to eliminate inflammation in the lower respiratory tract.
  • In case of bacterial nature of inflammatory diseases in the bronchi and alveoli, it is effective to use inhalations with the antibiotic Fluimicil, which also helps to thin the sputum.

Before you begin treatment of the respiratory tract with inhalations, you should consult a doctor, who will prescribe the correct dosage of solutions, as well as the frequency of administration. Self-medication can lead to serious complications.

Source: http://nasmorklechit.ru/procedury/nebulaizer-chto-mozhno-zalivat.html

Inhalations for coughs with a nebulizer: recipes for children

The concept of “inhalation” comes from the Latin word “inhalo”, which means “I inhale”. This is a method of administering the active substance based on inhalation. Inhalation can be natural (for example, in coniferous, eucalyptus forests) and artificial, using special spray devices. A nebulizer is a type of these devices; it is used to treat respiratory tract ailments. This article will teach you how to properly inhale a cough with a nebulizer and contains recipes for treating children.

Types of inhalers

  • steam - based on the effect of evaporation of the active substance;
  • ultrasonic - vibration at ultrasonic frequencies allows you to break healing solutions into tiny aerosol particles;
  • compressor - ultrasonic vibration breaks the drug into an aerosol, collects it in a cloud and, with the help of a compressor, is forcefully ejected in a selective direction.

Nebulizer advantage

During inhalation, it is possible to deliver a medicinal substance, crushed into particles, directly to the site of inflammation. The deeper the penetration and the smaller the particles, the more effective the effect on the inflammatory process and the better the absorption of the healing drug.

A nebulizer belongs to compressor inhalers; when it works:

  1. the particles of the healing solution are broken up so finely by ultrasound that they resemble dust;
  2. Thanks to the work of the compressor, the delivery of the active substance to the source of inflammation is as deep and accurate as possible.

As a result, 2-3 times more of the active substance is deposited at the site of inflammation.

Treatment of cough with a nebulizer

When a child develops a cough, it is understandable for loved ones to worry. A cough may signal the onset of a serious illness.

Types of cough

  • physiological - a normal phenomenon associated with cleansing the bronchi in the morning;
  • hoarse - “barking” cough with laryngitis, dangerous for suffocation due to possible swelling of the larynx. Characterized by severe sore throat;
  • dry - characterized by severe tearing, leading to vomiting. May be a symptom of whooping cough, bronchitis, influenza;
  • whistling - occurs as a result of bronchospasm, characterized by gurgling sounds;
  • wet - characterized by copious sputum production. It is the most common and occurs with various types of cough.

Timely treatment of cough allows you to avoid the development of complications of the disease. The first step in starting therapy is to visit your treating pediatrician. Based on a thorough examination, the doctor will find out the cause of the cough and prescribe effective treatment.

One of the methods of such treatment is inhalation with a nebulizer. Healing vapors, entering the respiratory tract, settle on their mucous membrane. By disinfecting, restoring and moisturizing it, they relieve inflammation and eliminate cough.

Basic rules of use

The nebulizer is easy to use. The kit includes a mask for children. Before starting treatment, you must read the instructions.

  • It is prohibited to prepare solutions for inhalation using it yourself. You can only use the medications prescribed in the instructions. For devices that work with a certain particle size of a solution, special packaging is produced with the particle size indicated on the label. Medium-disperse solutions (2-4 microns) are used for ailments of the bronchopulmonary system; inhalations for a runny nose are done with a nebulizer with a coarse solution (15-20 microns);
  • Therapy should be carried out an hour before meals and 1.5-2 hours later;
  • The therapy is done in a special mask in a sitting position, during which it is forbidden to utter any sounds;
  • You should breathe naturally, without using sharp deep breaths;
  • If the child experiences discomfort during the procedure, it is necessary to interrupt it, then try again;
  • If more therapy solution has been prepared than needed, the remainder can be stored in the refrigerator for a day;
  • At the end of therapy, parts of the device should be washed and disinfected with alcohol.
Recommended recipes for solutions for various types of cough:

For a hoarse cough (laryngitis)

  1. Lazolvan is the most effective remedy. The active ingredient, ambraxol, mucolytes mucus and promotes its rapid exit from the pulmonary tract. For therapy, Lazolvan is diluted 1:1 with saline solution. Children under 2 years old - 1 ml of the drug, from 2-6 years old - 2 ml, after 6 years old - 3 ml. Inhalations are done for 5 days in the morning and evening. Parallel use of Codeine and Libexin will increase the effectiveness of treatment;
  2. Mineral water - 4 ml of Narzan, Borjomi will moisturize and soften the mucous membrane of the respiratory tract, mucolyte mucus and promote its rapid exit from the pulmonary tract. The procedure can be done up to 5 times a day;
  3. ACC injection and Fluimucil - mucolytes sputum and promotes its rapid exit from the pulmonary tract. Children from 2-6 years old - 1-2 ml, after 6 years old - 2 ml for 10 days;
  4. Chlorphilipt (1% ethanolic extract of eucalyptus) is a strong antiseptic. Dilute with saline solution 1:10. For therapy, 3 mg of the drug is sufficient. inhalation course - 5 days, 3 times a day;
  5. Rotokan is a drug that helps relieve inflammation, with extracts of chamomile, calendula, and yarrow. Diluted in saline solution 1:40. Use 5 days 3 times a day;
  6. Tonsilgon N and calendula extract are a homeopathic remedy. Dilute with saline solution 1:40. Do it morning and evening for no more than 5 days. After a 2-day break, continue;
  7. Berodual is a delicate drug that dilates the bronchi. Do 5 days morning and evening;
  8. Berotek is also used for attacks of bronchial asthma. Use at intervals of 4 hours;
  9. Salbutam is an emergency pocket drug for asthma attacks;
  10. Atroven is the safest drug of all listed. The therapeutic effect is fully manifested after an hour and lasts for 6 hours.

For laryngitis, the goal of therapy is to relieve inflammation of the throat and trachea, soften and moisturize the mucous membrane.

For dry cough

  • Troventa - diluted with saline 1:1, 4 ml of solution is taken. Children under 6 years old - 8 drops, under 12 years old - 15 drops, over 12 years old - 20 drops. Carry out 3-4 times a day;
  • Berotek - should not be used for children under 6 years of age. 10 drops are diluted in 3 ml of saline solution. As an emergency one-time aid, take a ratio of 20 drops per 4 ml of saline solution;
  • Berodual - for children under 6 years old - 10 drops per 3 ml of saline solution, after 6 years - 20 drops per 3 ml;
  • Salgima - do not dilute with saline solution. One dosage is taken - 2.5 mg per inhalation.

Inhalations for dry coughs with a nebulizer help relieve sore throat, liquefy and remove mucus. The intensity of the procedures is adjusted depending on the severity of the disease. A dry cough usually hurts at night. Therefore, it is imperative to carry out the procedure at night.

For wet cough

For a wet cough, the goal of treatment is to facilitate the removal of accumulated mucus from the lungs and bronchi. In this accordance, the following drugs are used:

  • Mucaltin - 1 tablet per 80 g of saline solution, do 5-6 days, 4 times a day;
  • Lazolvan - see above;
  • Pertusin - 1 ml of the drug per 3 ml of saline solution. Use for 7 days 4 times a day;
  • Fluimucil - see above;
  • Borjomi, Narzan - see above.

For nasal diseases, inhalation using a nebulizer is also effective. For example, inhalation for sinusitis with a nebulizer allows you to get rid of the disease much faster. It is recommended to use saline and alkaline solutions. They help to liquefy viscous mucus and intensively cleanse the maxillary sinuses.

Contraindications

  • Children under one year of age;
  • Bleeding from the lungs;
  • Increased air content in the lungs (bullous emphysema);
  • Serious heart failure;
  • Individual intolerance to the drug.

In the absence of a nebulizer, you can use traditional inhalation recipes for coughs - soda, medicinal herbs, essential oils and other healing drugs.

Details about the treatment and symptoms of adenoids in children of 1st, 2nd, 3rd degree

Choosing nasal drops for newborns, instructions for instilling drops in children

Adenoids grade 3: treatment without surgery

Thank you very much for such a useful, complete article about the treatment of cough in children using nebulizer inhalation! I found so many useful and accurate recipes for preparing solutions for inhalation for different types of cough in a child! And they wrote about contraindications, which is also very important; for example, I didn’t know that babies under one year old should not have inhalations!

Source: http://domlor.ru/deti/ingaljacii-pri-kashle-nebulajzerom-recepty-dlja-detej.html

Features of cough treatment using inhalation. Secrets of success.

Without any doubt, and this has been proven by practical medicine, inhalation for the treatment of cough is the most gentle and safe, and most importantly, an effective method of treating inflammatory colds of the upper respiratory tract, which allows you to very quickly alleviate the patient’s condition. We always try to cure a cold with the help of pills, potions and injections, without thinking about the fact that they all have side effects and effects. Drug therapy is very effective and at the same time unsafe. If there are no complications, then it will always be more correct to start treating the disease with traditional methods, in particular, with the help of inhalations.

Before you continue reading: If you are looking for an effective method of getting rid of a runny nose, pharyngitis, tonsillitis, bronchitis or colds, then be sure to look at this section of the site after reading this article. This information has helped so many people, we hope it will help you too! So, now back to the article.

Inhalation is a very ancient method that was used to treat allergic and inflammatory diseases of the respiratory system. At the first signs of the disease, the use of therapeutic inhalations can significantly shorten the painful period, facilitate sputum production, soften the pathological process, reduce the severity of cough and quickly approach full recovery.

Why are inhalations needed during a cough?

The term “inhalation” comes from the Italian word ihalo, which means “inhale.” This procedure can have a therapeutic or prophylactic effect, because inhalation does not require inhalation of medicinal substances. Remember what a positive and beneficial effect inhaling sea air or the healing aroma of a coniferous forest has on the body. This is a real natural or natural inhalation.

Colds that are accompanied by a dry hacking cough or, conversely, difficult to separate sputum, have different approaches to treatment. But the use of inhalations is almost always indicated, which can be carried out using old “old-fashioned” methods or using a modern inhalation device - a nebulizer. The method of inhalation for cough in both cases has common features, because it involves irrigation of the mucous membrane of the upper respiratory tract while the patient inhales vapors containing medications or medicinal extracts of medicinal herbs.

Medicinal solutions for inhalation for coughs are inhaled in a vapor state and immediately act on the inflamed mucous membranes of the respiratory tract, covering very large areas, from the larynx to the surface of the bronchioles. At the same time, some medications can penetrate the circulatory system, but this method has shown much greater effectiveness than oral administration of drugs using conventional potions, tinctures and tablets for the treatment of diseases of the respiratory system.

What types of inhalations are used for coughs during a cold?

Inhalations can be divided into two more types - natural and artificial inhalation. The natural way is to inhale clean air filled with phytoncides, microelements and many other beneficial substances that are contained in the clean air of mountains, sea coasts, coniferous and deciduous forests. This type of inhalation is more therapeutic and prophylactic, because it has a mild effect on the mucous membranes of the respiratory system, increases the overall tone of the body and immunity, helps fight chronic respiratory diseases, and has general strengthening properties.

The second type involves the use of inhalation drugs for coughs and specialized devices for inhalation administration of them into the upper respiratory tract. The artificial inhalation method can be used not only in physiotherapy rooms of clinics, but also in ordinary home conditions.

Several types of inhalations are used to treat inflammatory diseases of the upper respiratory tract. At home, the simplest method is steam inhalation during a cough. To do this, it is enough to add a medicine to boiling water, which, together with steam microparticles, enters the throat, larynx, trachea, etc.

Inhalations using oily solutions - essential oils - are often used. There is a method of dry inhalation, during which cough medicine is initially dissolved in water, and then the resulting inhalation solution is mixed with heated dry air. When such vapors are inhaled, the water evaporates quite quickly, so only particles of the dry drug enter the lungs. The third method is wet vapor inhalation, which is formed when the medicinal solution is converted into an aerosol, which is very similar to fog.

There is another type of therapeutic inhalation - aeroionoinhalation or aeroionotherapy, when positively or negatively charged air particles - water or air ions - are introduced into the body. The greatest positive effect from a medical point of view will come from inhaling negatively charged ions.

When treating cough in children, ultrasound inhalation is often used, which has a number of advantages. This technique is based on the “crushing” of medicinal inhalation solutions with ultrasound for further delivery of the smallest particles into the respiratory system. Such aerosols penetrate very deeply, but for this it is necessary to use special ultrasonic inhalers.

Depending on the temperature of the healing solutions used for inhalation treatment of cough, the following types are distinguished:

We will talk in more detail about the use of inhalation for coughs in children and adults, as well as how to use inhalations for coughs, and what medications to use for this, depending on whether there is sputum production or not.

Contraindications for the use of inhalation cough treatment

Almost all diseases of the respiratory system are accompanied by a cough - dry or wet. Cough is a protective reaction of the body aimed at removing foreign objects and large amounts of infected sputum from the lungs and bronchi. Although very often the cough takes on an annoying, dry character. In this case, it does not have a protective function, but is simply a consequence of irritation of the inflamed mucous membranes. Due to the fact that cough is one of the main symptoms of respiratory diseases, and treating cough with inhalation is a fairly popular method, let’s first figure out which diseases can be treated and which cannot using this effective method.

Under no circumstances should you resort to a therapeutic inhalation treatment method if the patient has:

  • increased body temperature more than 37.5° C;
  • nosebleeds, hemoptysis and tendency to bleed in general;
  • individual intolerance and allergy to the medicinal substance used in the inhalation solution for the treatment of cough;
  • severe diseases of the cardiovascular system - heart failure and stage III hypertension, conditions during and after myocardial infarction and cerebral stroke, cerebral atherosclerosis with cerebrovascular accidents;
  • severe diseases of the respiratory system - respiratory failure of the third degree, bullous emphysema, giant cavities, recurrent spontaneous pneumothorax.

Before carrying out inhalations, it is better to consult your doctor to clarify whether there are any contraindications for the use of inhalation treatment for dry and wet cough in each individual case.

In all other cases, the inhalation method is indicated for the treatment of respiratory diseases. Inhalations are indicated for coughs and for pregnant women; it is only necessary to use medications that are not prohibited for treatment during intrauterine development of the fetus. In addition to colds and inflammatory diseases of the upper and lower respiratory system, inhalations for allergic coughs, which are considered the main method of administering a medication, are popular and extremely effective.

As mentioned above, inhalations are used for coughs and in children, but the age limit is a limitation. It is recommended to use the inhalation method for children over 2 years of age, when the child is able to understand his actions and follow parental instructions.

What kind of cough should be treated with inhalations?

Listed above are diseases and conditions for which inhalation treatment is strictly contraindicated. Now let’s look at the list of diseases and the principles for which coughs are inhaled. Of course, first of all, this group of diseases includes acute respiratory diseases, chronic inflammatory pathologies of the respiratory tract, for example, bronchitis, chronic pharyngitis, bronchial asthma, sinusitis, etc.

Most often, inhalations are used for dry cough during acute laryngitis, which occurs against the background of ARVI and hypothermia and is accompanied by damage to the vocal cords, sore throat and dry hacking cough. In these cases, warm inhalation solutions are used, which should relieve swelling of the vocal cords and possible laryngeal stenosis with acute development of respiratory failure. We will tell you which inhalations for dry cough are most often used in the section “Inhalation treatment for dry cough.”

Acute tracheitis, acute laryngotracheitis, acute bronchitis, acute obstructive bronchitis, which are accompanied by both dry and wet cough, respond well to inhalation treatment. We will consider the basic methods and use of medications below in the section “Inhalation treatment for wet cough.” In the treatment of such diseases using inhalation in the presence of a wet cough, one strives to liquefy thick, difficult to separate sputum to facilitate its removal from the bronchi, reduce the inflammatory process and swelling in the mucous membrane in order to alleviate and relieve the severity of a severe debilitating cough.

The inhalation method has proven to be excellent for the treatment of acute and chronic ENT diseases - rhinitis, tonsillitis, sinusitis, for example, frontal sinusitis and sinusitis. In such cases, inhalation of inhaled drugs through the nose is sometimes indicated to relieve swelling of the mucous membrane of the upper respiratory tract.

An indispensable method of administering drugs for inhalation for coughs of an allergic nature, for asthmatic bronchitis and bronchial asthma, to eliminate bronchospasm, expand the lumen of bronchioles and eliminate the allergic component in the pathological process. Inhalations for allergic cough are considered one of the main methods of treating such diseases.

Such a terrible disease as pneumonia is almost 100% accompanied by a severe cough with the release of a large amount of mucopurulent sputum and increasing swelling of the lower respiratory tract. When the body temperature is less than 37.5 ° C, inhalations are indicated to relieve a wet cough with the introduction of anti-inflammatory drugs, antibiotics, antiseptics, enzymes, and herbal decoctions into the respiratory system. When the inhalation technique is carried out correctly, a strong cough subsides quite quickly, swelling is relieved and expectoration of sputum is facilitated.

Inhalations are indicated for wet coughs that occur during pulmonary syndrome of cystic fibrosis and against the background of fungal diseases of the respiratory tract.

In addition, inhalations are used to eliminate and relieve cough in tuberculosis, for the treatment and prevention of cardiovascular diseases, in particular, coronary artery disease, hypertension, during the rehabilitation period after a myocardial infarction. Inhalations are also used to treat diseases of the nervous, endocrine and other systems, and if benefits from aromatherapy are expected, then to improve the mental state, blood and lymph circulation.

12 rules for effective inhalations to get rid of cough

The inhalation procedure is a very simple event, but it will be effective and useful only if certain simple rules for its implementation are followed. Otherwise, the patient runs the risk of turning inhalation into a painful and painful procedure that will bring harm and unexpected benefits, or at worst, will be ineffective.

Follow the following 12 rules, and drugs for inhaled cough treatment will have a positive effect:

1. You need to start inhalation an hour and a half after eating or performing serious physical activity.

2. Do not use the inhalation method if there are contraindications for it (see above).

3. Use only those medications for inhalation for cough that are prescribed by your doctor and follow the exact dosage of the drug and the concentration of the herbal decoction.

4. The duration of the inhalation procedure for coughing in children lasts 1-3 minutes and no more than 1-2 times a day. For adults, this time is 5-10 minutes with the number of inhalations up to 3 times a day.

5. After inhalation, it is not recommended to talk, eat, drink, and, especially, smoke for an hour.

6. When treating ENT diseases, inhale aerosols through the mouth and nose to increase the effect without unnecessary strain.

7. After inhaling a medicinal aerosol or another dose of steam inhalation, to relieve a cough, it is recommended to hold your breath for a couple of seconds, then exhale as much air as possible.

8. Clothing and body position during the procedure should not constrain or constrain the patient or interfere with the free process of breathing.

9. Carry out inhalation in complete silence, concentrating, without others in the room.

10. Observe personal hygiene measures; wash your hands thoroughly before inhalation.

11. Before using a special device, for example, a nebulizer for cough inhalation, be sure to disinfect it. Do not use oil-based medications in ultrasonic inhalers.

12. Do not allow the inhalation steam to come into contact with the skin of the face, because medicinal drugs will not be absorbed through the skin.

Methods of inhalation to treat cough

We examined the questions of what kind of cough inhalations are used for and for what diseases this method is indicated and contraindicated. And if there is a need to use this method, then it’s time to study it in more detail and understand how to use inhalations for coughing.

Of course, it is much easier and more effective to inhale a cough with a nebulizer or another type of modern inhaler, but what if you don’t have one at hand? This problem can be solved quite simply. You can pour a hot solution for inhalation treatment of cough into a teapot or teapot, close it and inhale the resulting vapors with the remedy through the spout. If the steam is very hot and there is a risk of getting burned, then you can make an improvised cone out of cardboard or thick paper, insert the tip into the spout of the kettle and breathe through this tube.

Some people manage to perform steam inhalations to get rid of coughs by bending over an open pan with a medicinal solution and covering themselves with a thick terry towel. This method has a right to exist, but it is dangerous because you can burn the skin of the face and neck, and worst of all, the mucous membrane of the upper respiratory tract with hot healing fumes. Therefore, during the procedure, you should not take very deep breaths from the very beginning.

By the way, a hot healing solution does not mean boiling water! And in general, forget about experiments with a boiling solution before inhalation! The maximum temperature of the liquid for the hottest method of cough treatment, steam inhalation, should not exceed 52-57 ° C.

And the steam temperature during therapeutic inhalation for a dry cough for a child of the younger age group should not exceed 30°C. For older children aged about 3-4 years, you can increase the aerosol temperature to 40°C. And the younger the child, the longer the cardboard cone needs to be made to avoid throat burns.

To prevent accidental absorption of the hot inhalation solution into the respiratory tract during coughing, ensure that the cardboard cone does not come into contact with the surface of the healing liquid. Usually, the time of using a warm medicinal solution for the inhalation procedure is always enough so that its temperature does not drop. But if necessary, if it is impossible to warm up the contents of a home inhaler, you can simply add hot water with the required dose of medicine.

Types of modern inhalers for the treatment of cough and respiratory diseases

If you or your child very often suffer from colds, which are accompanied by a long and painful cough, it would be a good idea to purchase a modern inhaler in advance, which will always be at hand in order to administer life-saving inhalation in time for a child with a dry or wet cough. Let's give a brief overview of how to use inhalations for a cough, so that you can navigate choosing the most suitable inhaler for you.

What are the advantages of using an inhaler, and that it helps to deliver therapeutic inhalation agents as far as possible and more effectively to the affected mucous membranes of the respiratory system, facilitates the procedure itself, and can be used not only at home, because you can always keep it at hand.

Inhalers are divided into three main types:

1. The steam inhaler has recently been used very rarely, because many medicines should not be heated to a very high temperature, at which they disintegrate, decompose, and lose their therapeutic effect. But, for example, to treat a cough using inhalations with soda, a steam inhaler is perfect. By the way, using modern steam inhalers, the possibility of burns is excluded, because they have a button for adjusting the steam temperature. In addition, this device is very convenient to use for cosmetic and therapeutic procedures for the skin of the face and neck, the so-called steam bath. These inhalers are best used for aromatherapy.

2. An ultrasonic nebulizer is quite expensive. Its use is limited to the use of those drugs that are destroyed by ultrasound. These can include many types of antibiotics and expectorants. At home, this inhaler is used extremely rarely for the above reasons. However, they are very compact, which allows you to always have them on hand.

3. The most popular, effective and convenient is the compressor inhaler, which is also called a nebulizer. It can be used literally from the moment of birth for newborns without any restrictions. Inhalation procedures for coughing with a nebulizer can be done both at home and in mobile conditions. The medicinal aerosol in nebulizers is created using discharged pressure, and it is activated by inhalation. The higher the inhalation rate, the greater the release rate of this aerosol.

Such inhalations are indispensable for allergic coughs and for relieving attacks of bronchial asthma. The advantage of this inhaler is its ability to create aerosols with tiny particles of medicinal liquid that reach the deepest parts of the lungs. Inhalation for children with a nebulizer when coughing is the most convenient and effective.

What is a nebulizer: advantages and methods of use

The name of this device comes from the Latin word “nebula”, which translates as cloud or fog. The nebulizer inhalation device, under the influence of compressed air, transforms the liquid medium into a healing aerosol, which can then be easily delivered during the procedure to the farthest parts of the respiratory system. A nebulizer is used for inhalation for dry or wet cough caused by acute and chronic inflammatory diseases, including bacterial ones, of the respiratory system, as well as for the emergency relief of attacks of bronchial asthma.

Nebulizers can be portable to serve only one patient or stationary, which are used to treat several people simultaneously. But they all have the same principle of operation, which is based on the spraying of a medicinal solution of the drug, converted by a compressor into an aerosol cloud. A powerful stream of air passes through a small hole in the nebulizer container, which contains the treatment solution. And then the aerosol cloud is fed through a tube or mask into the upper and lower respiratory tract.

The aerosol particles are so small that they easily penetrate into the farthest parts of the lungs. However, depending on the size of the aerosol microparticles, they may not overcome a certain boundary and reach the farthest depths of the respiratory system:

  • particles larger than 10 microns reach the oropharynx;
  • particles of 5-10 microns in size settle in the area from the oropharynx to the trachea;
  • aerosol particles of 2-5 microns in size reach the lower respiratory tract;
  • particles of 0.5-2 microns reach the alveoli.

A nebulizer consists of a chamber shaped like a plastic cup with a volume of 5 to 10 ml, into which a medication solution is poured. This container has a special valve with two outlets. One of them leads through a tube to the device itself, the other is the output one, for supplying a medicinal aerosol into the body of a sick person. A tube or mask is connected to the second hole, from which an aerosol is supplied in the form of fog. If the aerosol has large particles, the compressor is malfunctioning, and inhalation with a nebulizer for a wet cough will be ineffective because it will not penetrate to the desired depth.

By the way, depending on the type of nebulizer, the aerosol can enter the respiratory tract in different ways, having some features:

  • constant supply of an inhalation solution when coughing with a nebulizer in case the supply of aerosol is adjusted during inhalation and exhalation, which leads to loss of the drug and a decrease in the use of a given dose;
  • the process of supplying an aerosol during inhalation and exhalation is regulated by the patient himself in order to save the drug, for which he constantly presses a special button (this method is not suitable for inhalation and treatment of cough in a child).
  • automatic supply of aerosol during inhalation and turning it off during exhalation using a special valve system allows for an increase in the dose of medicinal mist during inhalation.

It should be remembered that there is almost always a residual volume of liquid of 1 ml left in the container, which cannot be used to create an aerosol.

The nebulizer has many advantages:

  • greater work resource;
  • no need to purchase consumables except medicines;
  • compactness;
  • possibility of spraying almost all types of medicines and mineral water;
  • use for inhalation in children suffering from cough.

But there are also minor drawbacks - the noisy operation of large appliances. The ultrasonic type of nebulizer is not suitable for the treatment of bronchial asthma.

We recommend that you read it. “Inhalers for children. Which one to choose and how to use it correctly? — a very educational and informative article about nebulizer inhalers.

Drugs that are not used for inhalation with a nebulizer

Although the range of drugs used for inhalation using a nebulizer is very wide, it is useful to know which inhalations for cough are not indicated, or rather, which drugs and means should not be used for this procedure:

  • drugs that are not capable of providing a medicinal effect upon contact with the mucous membrane of the respiratory tract - Diphenhydramine, Papaverine, Eufillin;
  • solutions containing essential oils, which are useful for treating the nose and nasopharynx, but not for treating the lungs. They can cause damage to the nebulizer and the inability to rinse the “apply membrane”;
  • herbal infusions, decoctions and tinctures due to the risk of overdose of active substances, clogging of the device passages with pieces of grass, roots and leaves;
  • independently crushed solid drugs or syrups due to possible breakdown of the device and the inability to use many topical products.

Drugs recommended for inhalation for cough using a nebulizer

For use in nebulizers, not only medications are indicated, but also mineral water such as “Borjomi”, “Narzan”, “Essentuki” for alkaline inhalations for coughs. In this case, before treating a cough and inhaling mineral water, it is necessary to warm it up, first releasing all the carbon dioxide bubbles. The most harmless and simplest are inhalations for coughing with saline solution.

Medicines must be ready for use, so we list the main drugs that are used in inhalations:

  • antiseptics and antibiotics – Gentamicin, Dioxidin, Tobramycin, Fluimucil, Furacilin;
  • bronchodilators - Atrovent, Salbutamol, Berotek, Berodual, Magnesium Sulfate;
  • hormonal agents - Pulmicort, Budesonide;
  • immunomodulators - Dry leukocyte interferon;
  • local anesthetics – lidocaine;
  • mucolytics – Lazolvan, Pulmozyme, Fluimucil;
  • membrane stabilizers – Cromohexal;
  • herbal medicine – Rotokan;
  • combination drugs – Fenoterol, Berodual;
  • saline;
  • mineral water.

All drugs can be used only after first consulting a doctor, according to his indications. You can independently use 0.9% saline solution or mineral water without any problems or restrictions. Inhalation of a dry cough with saline helps soften the inflammatory process, ease breathing and coughing, moisturize inflamed mucous membranes of the respiratory tract, and thin viscous sputum. In addition, inhalation procedures for coughing with saline solution have a mild disinfectant effect on the mucous membranes.

If several drugs are prescribed at once, then you should always start with bronchodilators, which dilate the bronchi, and only then, after 20 minutes, mucolytics are used, and then antibiotics. All solutions for inhalation for the treatment of cough must be sterile, prepared on the basis of distilled water or saline. You cannot use boiled tap water for inhalation.

Features of inhalation treatment for dry and wet cough

Many are faced with the choice of which drug to choose and which cough inhalations will be effective, depending on whether sputum is being released or a dry hacking cough is tormented.

One can imagine the condition of a patient who is overcome by a dry, unproductive cough. There is no sputum production, and coughing attacks deprive sleep and rest. With such a cough, the inflammatory process in the mucous membranes of the respiratory tract does not stop, against the background of which pathogenic microorganisms actively multiply. At the same time, they are not eliminated from the body, as a result of which the cells of the surface layer of the mucous membranes are destroyed, and only then does exudation begin with the release of tissue decay and inflammation products from the bronchi.

But until this process begins, it is necessary to carry out anti-inflammatory therapy and soften and even temporarily stop the dry cough. Using a nebulizer for dry coughs, lidocaine is inhaled, which has a local anesthetic effect and has a mild anti-inflammatory effect. To stimulate the formation of sputum, the mucolytic drug Ambroxol is indicated. Inhalation of saline solution for dry coughs or alkaline inhalations will help to soften the inflammatory process in the mucous membranes. By type, inhalations should be moist with a low temperature of the aerosol, so as not to cause increased hyperemia of already inflamed mucous membranes.

If you use a steam inhaler, you can resort to oil inhalations, which have a protective effect by covering the mucous membranes with a thin layer of oil particles. Oil inhalations help soothe dry coughs, reduce swelling and irritation of the mucous membranes. At the same time, inhalations of antibiotics and antiseptics are prescribed.

If it is possible to cause a wet cough, then inhalations for a wet cough are started first with bronchodilators, for example, Atrovent or Magnesium Sulfate, then mucolytics are used - Lazolvan, and only then antiseptics and antibiotics are prescribed. The main thing is to create the opportunity for sputum to freely and easily exit the respiratory tract.

The most popular and effective folk remedies for treating cough by inhalation

To treat wet or dry cough using inhalation, it is imperative to use herbal preparations, which are very effective in nature and are an integral component of the entire treatment. These include eucalyptus leaves, sage, calendula and chamomile flowers, St. John's wort herb, as well as tinctures of St. John's wort, romasulone and salvin. You can use phytoncides in steam inhalations - onions and garlic in a concentration of 1 to 50. There is an alcohol tincture of onions on sale, drops of which are used per 100 ml of water.

An excellent remedy for inhalation for wet and dry coughs would be the following products, which are diluted in 500 ml of warm water:

  • a teaspoon of salt or soda;
  • up to 10 drops of eucalyptus, mint, peach, pine or anise oil;
  • a drop of Vietnamese balm “Star”.

For 100 ml of water, prepare a solution from:

  • gram of chamomile flowers and 5 drops of menthol oil;
  • gram of Romazulone;
  • 10-20 drops Calendula tincture.

In general, the choice of oils for inhalation is very large, in addition to those listed, these are sea buckthorn, olive, rosehip, turpentine, vaseline, almond, rosemary, camphor or mixtures of oils. A 10% alcohol solution of propolis is often used.

The main condition for successful treatment is to always consult a doctor to avoid mistakes when choosing a medicine for inhalation for cough.

The article above and comments written by readers are for informational purposes only and do not encourage self-medication. Consult a specialist regarding your own symptoms and illnesses. When taking any medicine, you should always use the instructions that come with the medicine and your doctor's advice as a guide.

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