Blue steroid inhaler use

[Thatsnotevenmyusername]

Totally in the wrong place I know but desperation posting in aibu for traffic. Can someone please tell me if I can give another dose of the salbutamol reliever inhaler after 4 hours? Previously given 10 puffs almost 4 hours ago due to loud wheeze and rapid breathing which relieved symptoms but now 4 hours later same symptoms have returned. Thanks

You can give the inhaler again, but you should also seek real life medical advice. As an aside salbutamol isn’t a steroid, it is a short acting bronchodilator - a short acting Beta-2 agonist.

PeekabooAtTheZoo 10 puffs can be given to a 1 year old.

I have a daughter with asthma and viral induced wheeze. If 10 puffs aren't lasting you 4 hours, you have to go to a&e for monitoring

Last time I was in with DS we did 10 puffs with spacer every hour 🥸 fucking covid

Hope your LO feels better soon x

We have very similar child here, same age. And we were told if ventolin is not working or you are needing to give it more than 6 puffs every 4 hours then the child needs to go to a and e. Your DC is still very small, please just go soon.

@PeekabooAtTheZooare you a nurse, doctor or respiratory physiotherapist? If you are then you would know that 10 puffs is absolutely acceptable if needed.

@Thatsnotevenmyusernameif they are just making it to 4 hours after 10puffs they need medical review

Not a doctor but fellow asthmatic. Blue inhaler is the reliever not the preventor. It's not a steroid and you can take as often as you need to. But if he needs that many puffs he needs to be seen, he probably needs a steroid preventer. Taking that much can cause it's own problems. If it was only 4 hours ago and needs again I would A&E because he's only 1 and you don't want to leave him wheezing overnight and be dosing him this regularly. You need to see a GP nurse and get him on asthma management.

I'm one of the unlucky ones that gets massive side effects from the blue one (most get some but mine were extreme). I was given a different one (pink called fostair) that is a combined steroid and reliever. Its not salbutamol and works much better for me.

Thank you all, you’ve been very helpful. The 10 puffs has not slowed down dc’s rapid breathing so we are off to a&e again now.

Another voice saying you need medical advice tonight, I hope he feels better soon

Brittle asthma person here but an adult
You can do 20 puffs in an emergency( that's nebuliser lite ie without the steam) bit doe q chika that young you just call an ambulance after 10 puffs not resolving jt

Soweto I know you ain't want to hear it but call ambulance is he's still wheezing

Asthma can deteriorate very quickly into respiratory distress ana then respiratory failure

It's only those is us that have asthma plans and known tried& tested recovery meds that can be a bit more blasé.

Not for a 1 year old

Never for a child

Paramedics will decide whether to admit him or not even for continuation of oxygen and consultant to review. That's what you want for your child

Calm the medics please

I'm sorry you are your DC are going through this. It's absolutely the right decision to go to a&e now. Hope your little one feels better soon.

Call the medics please (not calm. Doh!!)

Lifetime asthmatic here - Ventolin is very safe and you can give it again but I would also see medical attention at the point you are at.

I'd go for 999 (especially as 111 is not an option)
It's not you with a familiar condition, it's a young child with limited communication and an unstable, "new" condition. Children can deteriorate rapidly.

DS has had inhalers since he was a baby with sporadic use and easily calmed until the hot weather this summer. I ended up with two ambulances in a week because of exceeding his 10x puffs in a day and symptoms recurring. The first was via 111. Second time I went for 999. We had a third out early autumn after a brief period of stability. Each time he was assessed, once taken in (second time- clearly out of control, had used ventolin a lot that week), and otherwise had a prompt follow-up arranged within 24hrs.

My concern about driving directly would have been monitoring/ managing any rapid deterioration of condtion in the car.

Glad to see your update about going to a and e. Hope everything is ok

Hope that your child is okay and you dont have to wait too long to be seen. One of mine is an inhaler user and at that age it was between 2 and 10 puffs depending on the severity and then wait twenty minutes and if 10 puffs doesn't releive the wheeze then straught to childrens a&e...generally we were admitted to childrens ward for 3 days of steroids. Luckily he seems to have grown out of the worst of it although still uses an inhaler when he has a cold.

10 puffs call 999 repeat puffs

I've had ambulances out a few times when my asthma was bad.
They always advised me to steam my bathroom out as much as possible and lay down in recovery position.
They steam would act like a vaporiser for me and give relief.
Staying calm and relaxed as much as possible

Please don't lie down whilst your having an asthma attack. It's better to sit upright, this helps you to breathe x

A&E for little one now. Symptoms returning after 10 puffs needs medical review - do not wait around with asthma, especially in young children

My baby brother was horrifically asthmatic, eventually we had a nebuliser at home. Go to a&e if the ventolin is not cutting it, without a doubt for a 1 year old.

Do they have a steroid that is currently being built up in their system?

My mum was always cautious and called out of hours gp for a home visit. I spent way too many nights outside waiting to hail down the ambulance the gp would call...

How did you get on, OP?

DC was admitted, we are still in and will be tonight as well. Little one had a few good hours off oxygen there but is starting to go downhill again wheezing and oxygen dropping. Can’t seem to get her asthma under control at all 😞

You can. But only on medical advice. My son has a regime while he is ill that's maxs out at 8-10 puffs every 2hrs. But this was given by his consultant and its usually at this point we have to think about getting him admitted.

I'm glad you went to A&E and hopefully the medical professionals will be able to get things under control

You're in the right place OP. Hopefully things will improve as your DC grows older too. When they're little their airways are narrow which doesn't help, and every cold can mean inhalers and steroids and sometimes hospital, but asthma often improves given time. Not much help at the moment though💐