Ended up admitted this weekend and discovered I'd been written up to have saline nebs prn as well as salbutamol ones. Although the care in general was great I wasn't that impressed I'd been written up for something without any explanation of why or what it was for (there was one dr who was rather tactless and bad at communication so suspect it was him as the rest were really good)! Apparently i'd been given one but not told it was saline not salb (not sure I actually believe this though as I've been given them once or twice before and they don't taste/feel the same IMO). Obviously it's not harmful but I llke to know what I""m getting and find salb generally helps but saline has not previously made much difference so a prn neb kinda needs to be the right one esp if they are counting how often you ask and using it to decide when you can escape!
As I said in general the care was great but the nurses also didn't seem to have been told why I had these on my chart. I did ask one and she said it was exactly the same as salb which I am afraid I don't quite buy as saline is not a beta-agonist! My understanding is that saline nebs are mainly used to loosen secretions and help cough them up. However, this isn't a problem I generally have and I did say I wasn't gunky + afaik they didn't think this was an issue (disch letter says dry cough)? I do tend to be cough variant during attacks though so wondered if it was related to that though as I said it's a dry asthma cough, no gunk - but have had A&E on about saline nebs for that before. not sure how it would help though? The doctor on that occasion was also on about how the cough was from the throat because it was dry (it's not but I did have a cold at the time so could understand the confusion) so perhaps related to that somehow?
Has anyone else been offered/had these in A&E or while in but not specifically told why/not known why or it's not been related to trying to cough stuff up? It's not that big a deal but I forgot to ask and now it's come up a few times I am curious.