Within the space of a year all three of my boys aged 3,3+5 have been put on a blue inhaler for their unconfirmed asthma. The two younger ones have been in hospital a couple of times each and given oral steroids and one of them has recently been put on a brown inhaler having had to have the oral steroids 3 times within a couple of months. Anyway it is the oldest who is suffering at the moment he has never been in hospital with it, and has been given his first course of oral steroids this morning (and antibiotics). About 11.30 he had the oral steroid (spit some out!) with 6 puffs of blue inhaler, then 3.30 gave 8 puffs, by 6pm he didn't look good at all and was very wheezy, tight chested and pulling in in the rib area, I phoned the out of hours dr's and at 6.30 whilst waiting for them to phone back gave another 8 puffs. he immediately picked up and improved a lot. I explained this when they rang back and she just advised to keep giving up to 10 puffs. When I asked how often I can give this she said so long as I left a good half hour it was ok to keep giving it! Is this right? when the twins have been in hospital they say that if they need it more than 2 hourly they need admitting so I always try to space it 3-4 hourly and get them seen if they need it more. is that because they are younger? I was really surprised she didn't want me to bring him down. and even more surprised at being told to administer such a high amount of salbutamol at home!
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