I have a 2 year old son, who had been to A&E yesterday because of bad wheezing and difficulty breathing. He was given a few doses of oxygen mixed with salbutamol at first, then today he was given salbutamol through a volumatic spacer and face mask, and I was told to administer it to him 4 hourly. During the day, he can be cajoled into doing it with tv and sweets afterwards. The hard part is administering it to him at night. I was told I could just hover it a few mm above his nose and mouth and he'd get a few breaths of it that way. However he normally likes to sleep on his tummy or turned right to the side, which made it impossible to administer it because the volumatic just wouldn't fit into his baby cot once he's in a sideways-facing position. So I tried to turn him so that he sleeps on his back, but he just won't have it, and eventually gets into a semi-conscious rage at being woken up from his sleep - truth be told, he seemed to be sleeping so soundly otherwise. Well, I tried cradling him in my arms, in front of the telly playing his favourite shows, he just wouldn't have it. And he's usually a very determined fellow. He kept insisting to be put back to sleep in his cot right now. He put up a real fight and took the volumatic apart or knocked it out of my hand. Not once did I manage to get the mask to fit over his face for more than a second. He'd cry as well. I just attempted to give him his midnight dose an hour ago, a bit of a nightmare, and I doubt he got much of it really. I'm gonna have to try again at 4 am and really not looking forward to it. Can someone here give me any tips on this? Will this trigger an asthma attack if he doesn't get enough of it? How else can you administer this to a baby who otherwise just wouldn't cooperate during night time? I'm worried that something bad might happen to him if he does not get enough of the medicine - I've seen how bad his breathing can get yesterday at the A&E (he almost lost consciousness), and really don't want a repeat - or worse - but I feel so exasperated at my inability to help him out. And my partner absolutely refused to help me. He said it felt wrong and cruel to pin a baby down to do this, and he thinks it would be fine just to skip a dose. Is he right? would it really be okay to skip a dose if the baby really refuses it?
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