Treatment FAQ

when should i give my baby a breathing treatment

by Russel Leannon Published 2 years ago Updated 1 year ago
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A doctor may recommend a nebulizer for an infant if they have swollen airways or experience shortness of breath or any breathing issue that could be due to:
  • chronic respiratory conditions, such as asthma or cystic fibrosis.
  • lung infections, such as pneumonia.
  • severe allergic reactions.
Jun 24, 2020

Full Answer

How do I give my Child a breathing treatment?

A breathing treatment may be given in any of the following ways: A face mask may be used for children of all ages. It should cover your child's nose and mouth completely. A mouthpiece may be used by children older than 4 years old. Your child places the mouthpiece between his lips. He breathes in and out through his mouth.

Is it normal for newborns to take rapid breaths?

Newborns can also take rapid breaths and then pause for up to 10 seconds at a time. All of this is very different from adult breathing patterns, which is why new parents might be alarmed. Within a few months, most of the irregularities of newborn breathing resolve themselves.

When should I take my child to the doctor for breathing?

Any time you’re concerned about your child’s breathing, you should get immediate help. Some things like colds, mild cases of asthma and bronchiolitis may be managed at your pediatrician's office or pediatric urgent care.

What should I do if my child’s Breathing is retracting?

If there is minimal retracting and your child has an inhaler or nebulizer available, giving a breathing treatment is reasonable to see if the retracting resolves. If it does, you can then call your child's healthcare provider to get instructions for further treatment.

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Can I give my baby a breathing treatment?

Nebulizers are useful in treating certain respiratory conditions. Doctors often use them for babies. They allow infants to take in medication while breathing as they normally would. When a baby breathes in the mist from a nebulizer, the medicine can go deep into their lungs where it can work to make breathing easier.

What age can a baby use a nebulizer?

A nebulizer is a machine used to deliver asthma medicine deep inside the lungs. It is an asthma treatment option that can be utilized by both children 6 years old and under with a mask and children above the age of 6 with a mouthpiece.

When do you give a nebulizer treatment?

Having a cough along with other symptoms of a respiratory flare-up, such as wheezing and trouble breathing, could indicate the need for a nebulizer. If you don't have a nebulizer, your healthcare provider may prescribe the machine as well as the necessary medication to use with it.

What age can you do breathing treatments?

Usually when children are 5 years old, they can begin to use a mouthpiece. Ask your CF doctor or respiratory therapist* to help you decide when your child is ready to use a mouthpiece. Some medicines used in a nebulizer come in a pre-mixed vial* that you just pour into the cup.

Can babies have albuterol breathing treatments?

In general, liquid albuterol is used for infants, but it doesn't provide as much relief as inhaled albuterol and may have more intense side effects. Most doctors will recommend inhaled albuterol for a wheezing child, which can be administered via inhaler, inhaler and spacer, or nebulizer.

When can I give my baby albuterol?

How often should I use albuterol? In general, a dose of albuterol (either 2 puffs from an inhaler or one breathing treatment) may be given every four to six hours as needed. Give it for dry, hacking cough (especially nighttime cough), wheezing you can hear, or if your child is working harder to breathe.

Does nebulizer help with mucus?

For people with bronchiectasis, nebulisers can be used to deliver saltwater solution to help manage mucus build up. It works by helping to reduce the thickness of phlegm so it's easier to cough it out. Nebulisers can also be used to deliver antibiotics if you have a bacterial infection.

Can I give my baby a breathing treatment while sleeping?

Yes you can give the nebulizations while your daughter is asleep but to get the maximum and best outcome it would be best to keep to keep her in a upright position while giving the nebulization.

Will nebulizer help cough?

Nebulizer treatments drastically reduce coughing, sputum production, and chest tightness, allowing you to breathe easier.

Is saline in nebulizer safe for babies?

Nebulized 3 % HS is effective, safe and superior to normal saline for outpatient management of infants with mild to moderately severe viral bronchiolitis in improving Clinical Severity Scores, facilitating early Out-Patient Department discharge and preventing hospital re-visits and admissions in the 24 h of ...

How do I know if my baby is breathing properly?

Signs and Symptoms Is your child breathing faster than usual? Retractions - Check to see if the chest pulls in with each breath, especially around the collarbone and around the ribs. Nasal flaring - Check to see if nostrils widen when breathing in. (“Ugh” sound), wheezing or like mucus is in the throat.

How can I Nebulize my baby at home?

1:123:17How to Use a Nebulizer Machine With Your Child - Nemours - YouTubeYouTubeStart of suggested clipEnd of suggested clipConnect either the mouthpiece or the mass to the top of the nebulizer. A fine Miss will be producedMoreConnect either the mouthpiece or the mass to the top of the nebulizer. A fine Miss will be produced to be breathed in through the mask or mouthpiece.

What is breathing treatment?

A breathing treatment is a type of process that administers medication to help a child breathe easier. It is ordered by a physician who also prescribes the dose of medication to use. Breathing treatments help to reduce swelling or inflammation in the lungs due to some illnesses or allergic reactions. A breathing treatment is typically administered ...

How fast does a toddler breathe?

A toddler’s respiratory system is similar to that of an adult’s, although the average respiratory rate for toddlers is approximately 24 to 40 times per minute, which is faster than adults, who normally breathe at a rate of 12 to 16 times per minute.

What is a nebulizer for toddlers?

A nebulizer provides a passive form of medication administration so a toddler needs only to breathe in the vapors to get the medication she needs. Meg Brannagan has worked as a registered nurse for more than 10 years, specializing in women's and children's health.

Why do toddlers have asthma?

Asthma occurs in toddlers when an environmental stimulus triggers the bronchioles of the lungs to tighten, causing difficulty moving air in and out of the lungs. Asthma causes wheezing with breathing and an increased respiratory rate. A nebulizer is one way to treat the symptoms of asthma, particularly if a child is in frequent contact with stimuli that trigger attacks, such as pet dander or cigarette smoke.

Why do children need nebulizers?

Using a nebulizer for a breathing treatment is one way to manage respiratory problems for a young child . Toddlers may not understand how to breathe in medications that are administered through an inhaler. Those who are having breathing difficulties may become anxious and unable to calm down to take medication.

How does a nebulizer work?

When a toddler needs a breathing treatment, the prescribed medication is added to a cup on the nebulizer attached to tubing that leads to an oxygen compressor. After turning the compressor on, the pressure through the tubing vaporizes the liquid into a breathable form.

When do newborns have breathing problems?

Within a few months, most of the irregularities of newborn breathing resolve themselves. Some newborn breathing issues are more common in the first few days, such as transient tachypnea.

How many breaths does a baby take?

This can slow down to 20 times per minute while they sleep. At 6 months, babies breathe about 25 to 40 times per minute. An adult, meanwhile, takes about 12 to 20 breaths per minute. Newborns can also take rapid breaths and then pause for up to 10 seconds at a time.

Why do newborns breathe differently than adults?

Newborns’ breathing looks and sounds different from adults because: they breathe more through their nostrils than their mouth. their breathing pathways are much smaller and easier to obstruct. their chest wall is more pliable than an adult’s because it’s made of mostly cartilage.

What does it mean when your baby's breathing pattern changes?

A change in newborn breathing pattern may indicate a serious breathing problem. If you’re ever concerned, call your doctor right away. Memorize the doctor’s after-hours phone numbers or have them available at all times. Most offices have a nurse on call that can answer and help direct you.

Why is it important to slow down your baby's breathing?

Irregular breathing can be very alarming and trigger parental anxiety. First, slow down and look at your baby to see whether they look like they’re in distress.

How much respiratory distress does a baby have?

If something sounds different or wrong, listen carefully so you can explain it to your pediatrician. Respiratory distress causes 15 to 29 percent. Trusted Source.

Do babies have amniotic fluid?

they may still have amniotic fluid and meconium in their airways right after birth. Usually, there’s nothing to worry about, but parents often do anyway. Parents should pay careful attention to a newborn’s typical breathing pattern. This way they can learn what’s normal to be able to tell later if something is not.

How do I prepare the nebulizer for my child's breathing treatment?

Wash your hands. Use soap and water. Always wash your hands, or have your child wash his hands, before preparing the nebulizer for use.

How old do you have to be to use a breathing mask?

It should cover your child's nose and mouth completely. A mouthpiece may be used by children older than 4 years old. Your child places the mouthpiece between his lips.

How to clean a nebulizer?

Clean after each use. Wash the container and mouthpiece or mask with dish soap and hot water. Shake off the excess water and let the parts air dry. You can also, attach the nebulizer pieces to the machine. Turn the machine on to dry the nebulizer quickly. Make sure all pieces are completely dry before storing them away.

How to use nasal cannula for kids?

He breathes in and out through his mouth. A nasal cannula may be used for babies and children up to 4 years old. The nasal cannula prongs are placed in your child's nose. A high flow of air pushes the medicine through your child's nose and into his lungs. Blow-by technique may be used ...

How to keep a child from removing a mask?

Place the mask on your child's face. You may need to distract an infant or younger child during the treatment. Distraction, such as a movie or favorite toy, may help to keep him from removing the mask. Have your older child place the mouthpiece in his mouth.

What is a nebulizer?

A nebulizer is a device that turns liquid medicine into a mist. The medicine may be an antibiotic or medicine for your child's lungs. The nebulizer is usually connected to a machine that pushes air through the nebulizer. The air helps turn the medicine into a mist. As your child breathes, the mist of medicine gets into his lungs.

Why does my child cough and wheeze?

Breathing treatments are used to treat the swelling in your child's airway, shortness of breath, coughing, and wheezing. These can be caused by any of the following: Chronic respiratory diseases, such as asthma and cystic fibrosis. Lung infections, such as pneumonia. Severe allergic reactions.

What to do if your child is gasping for breath?

Call 911 if your child: Is gasping for breath. Can't cry or talk because of breathing trouble. Grunts when breathing. Has blue lips. May have a small object caught in their throat. Is breathing very fast. Looks very sick. Breathing problems are common in young children, but in some cases they can be serious.

How to help a child with bronchiolitis?

1. Prevent Dehydration. Give babies plenty of breast milk or formula. Offer this frequently and in small amounts.

How to get mucus out of a baby's nose?

Remove mucus from a baby's nose with a suction bulb or a nasal-oral aspirator. 3. Ease Breathing. Use a cool-mist humidifier near the child to add moisture to the air. Sit in the bathroom with a hot shower running and have your child breathe in the steam. 4.

How old do you have to be to give a child Tylenol?

Give children's-formula acetaminophen ( Tylenol) or ibuprofen ( Motrin) if the child is older than 6 months to bring down a fever.

What can you give an older child?

Give older children water or an electrolyte solution such as Pedialyte.

What does it mean when you can't breathe?

Has trouble breathing or is breathing very fast when not coughing. Has severe coughing attacks, continuous coughing or a barking-type cough. Is wheezing or making a high-pitched whistle sound when breathing out or in. Can't take a deep breath because of chest pain or coughed-up blood. Has a fever that persists.

How to help a congested baby?

Just one or two drops per nostril will do the trick. The saline solution will help flush out any mucus that ’s causing the congestion in your baby’s sinuses.

What does it mean when a baby has congestion in their chest?

If your baby’s congestion is in their chest, it means there is fluid in their lungs or airways. This type of congestion can be scary, but take a deep breath because this is the least common of the two, especially in young babies.

What Causes Baby Congestion?

From skin conditions like eczema and rashes to the common cold and other ordinary infections, infants have a tough time in the beginning as a result of their weak immune systems. A congested baby is nearly as common as a baby with clear sinuses.

Why is my baby's nose so stuffy?

Nasal congestion is the most common of the two. With nasal congestion, your baby will have a runny or stuffy nose. This can make it hard for your baby to eat, but they will still show interest in feedings. Nasal congestion isn’t necessarily a serious concern. The culprit could be a common cold, not an actual infection.

Why do babies sit upright?

When your baby is sitting upright, the forces of gravity will help draw out some of the mucus that’s clogging their sinuses. As such, letting your little one sit upright will help clear up their congestion. It’s best to hold your baby in your arms or put them in a supportive device, like a carrier wrap or sling.

Why is it important to hydrate a baby?

Hydration is beneficial because the extra fluids can help flush out any excess mucus or other substances clogging your baby’s sinuses.

How long does a baby stay in amniotic fluid?

First of all, your baby spent their first nine months of existence submerged in amniotic fluid. After delivery, there may be residual amounts of fluid left in their sinuses, which can make your little one congested. Second, your baby has teeny-tiny little airways, so breathing can be quite a chore.

When to use a nebulizer for a baby?

Use the nebulizer at times your baby is more likely to be sleepy and tolerate treatments better. This includes after meals, before a nap, or at bedtime.

How long does it take for a nebulizer to work?

These devices deliver short bursts of medication when a person inhales. Nebulizers deliver medication over a course of time, usually 10 to 15 minutes. They don’t require a baby to cooperate to take the medicine in.

What is an ultrasonic nebulizer?

An ultrasonic nebulizer generates ultrasonic vibrations that transform water into a mist for delivering the medication. This method means the nebulizer is very quiet compared to a jet compressor.

What conditions can a doctor prescribe a nebulizer for?

Doctors may prescribe nebulizers for chronic conditions in infants . Asthma, for example, is a condition that causes an immune response that irritates the airways. Other conditions a doctor may prescribe a nebulizer for include: Croup. Croup is the result of one of the viruses that causes the common cold.

What type of nebulizer uses compressed air?

Two different power options exist for nebulizers: a jet or compressor nebulizer. an ultrasonic unit. A compressor nebulizer has a piston-style motor that uses compressed air to create the mist. This compressor type can be loud as it works to create the mist.

Why is it important to clean a nebulizer?

Bacteria and fungi thrive in warm, moist environments. If the nebulizer isn’t cleaned, these germs can build up. When you use an unclean nebulizer on your baby, the bacteria and fungi can be delivered directly to your baby’s lungs.

How to put a pacifier on a baby's face?

Connect one end of the tubing to the cup of medication and the other to the nebulizer. Connect the mask or pacifier to the cup. Hold the mask to your child’s face. While many of the infant masks come with strings to put around a baby’s head, most babies don’t tolerate these strings very well.

What to do if your child has stopped breathing?

Go straight to the ER or call 911 and get an ambulance. You should also go to the ER immediately or call 911 if your child has passed out or stopped breathing, has choked on something or an object is lodged in his throat, or the labored breathing came on suddenly, such as after an insect sting, new medicine or food.

When should you go to the hospital for labored breathing?

Any time you’re concerned about your child’s breathing, you should get immediate help. Some things like colds, mild cases of asthma and bronchiolitis may be managed at your pediatrician's office or pediatric urgent care.

What is considered labored breathing?

The medical term for labored breathing is respiratory distress, which is defined as shortness of breath or struggling to breathe.

How is labored breathing diagnosed in toddlers?

Once you’re in the exam room, the ER doctor will likely put your child on a monitor to check his oxygen levels and heart rate, and he may be given oxygen if his levels are too low. Oxygen levels are checked with a pulse oximeter, a device that attaches to your tot’s finger, toe or earlobe.

Why does my toddler breathe so much?

The causes of labored breathing in a toddler can be varied, ranging from illnesses to an allergic reaction. Here’s a rundown of what could be behind your tot’s shortness of breath: A cold. Congestion and runny nose are among the symptoms of the common cold, and both can contribute to labored breathing. Bronchiolitis.

Why do kids cough when they are sick?

Asthma and allergies (including food allergies). Both of these can leave kids wheezing, coughing or gasping. If it's a food allergy, labored breathing can be a sign of a serious allergic reaction and warrants at-home treatment and a 911 call. Choking hazards.

How to help a baby with croup?

The doc may also suggest installing a humidifier or standing near a hot shower so warm mist can relax your tot’s airway and ease his breathing in cases of croup or a bad cold. The doctor may suggest helping your child clear his nose by giving him saline spray or drops and suctioning out mucus, either with a bulb suction or a NoseFrida.

What does it mean when a child is wheezing?

Wheezing. Wheezing, or a high-pitched whistling sound made when a person exhales, is a significant sign that a child is having breathing problems. Although congestion may be heard when a person is breathing, true wheezing is a whistling noise.

What to do if a child has discoloration on their skin?

What to Do. Call 911 immediately. 1  If there is central discoloration to the child's skin, it is not safe to drive them to an emergency room. The child could stop breathing on the way and they will get care more quickly if you call an ambulance.

Why does my toddler turn blue?

1 . It is pretty obvious to most parents that if their child turns blue, they are probably having breathing problems. But central color change is the most important thing to look for, not just brief changes in fingers or toes.

What to do if a child retracts his ribs?

What to Do. If there is significant retracting—you can see nearly all of the child's ribs from a few feet away—and the child is not fully alert, you should call 911. 4  This is a sign that the child is in severe respiratory distress and making this call is the fastest and safest way to get help.

Can you drive a child with no history of wheezing?

If there is minimal retracting, but your child has no history of wheezing or using inhalers or nebulizers, you should seek medical attention immediately. 4  If the child is awake and alert, it is most likely safe to drive them yourself, but always have someone else in the car and a cell phone handy in case the situation changes.

How long does it take for a child to get jittery from a syringe?

In some kids, the jitteriness becomes hyperactivity! In most kids, these side effects wear off, or at least are much less bothersome, after about 10-15 minutes. If your child experiences side effects that are bad enough ...

Does every child who wheezes have asthma?

Not every child who wheezes has asthma.

Can you take albuterol for wheezing?

Albuterol also comes in a liquid form that can be taken by mouth, and a few doctors still use this for wheezing in babies. However, studies show it doesn't give nearly as much relief as inhaled albuterol, so most pediatricians don't use it anymore.

Is albuterol a bronchodilator?

Albuterol is a medication that is used as a bronchodilator -- it opens up tight airway passages by relaxing the muscle that surrounds the airways. Albuterol is used most commonly for asthma, but it is sometimes prescribed for other conditions too.

Can asthma be diagnosed by wheezing?

Because of this, we generally won't diagnose asthma just based on one or two wheezing episodes in a baby or toddler. Kids with true asthma tend to have other allergic symptoms (like eczema, food allergies, and allergic rhinitis) and family members with asthma.

Does albuterol help with coughing?

Remember, albuterol only helps one cause of cough: tight airways.

Is an inhaler better than a nebulizer?

In general, inhalers (with spacers and masks) work better in most situations than nebulizer machines. They are also more convenient, since it only takes a minute to administer a few puffs from an inhaler (while it can take 10-15 minutes to give a breathing treatment.) Occasionally, there are some circumstances in which breathing treatments may work better, however. If you are not sure which method is best for your child, or need a demo on how to use one or both devices properly, ask us.

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