Val: Has the family tried using a mask nebulizer set up? These can be
used with relatively little supervision. If that is too costly, the
standard procedure here is to use a "spacer". The best one for kids is
called "Inspir-ease" because it has an accordian-like spacer that collapses
has the vapor is inhaled. The child can take her time and do it in a few
breaths.
Chris
Chris Hafner-Eaton, PhD, MPH, CHES, IBCLC email: [log in to unmask]
HSR & Health Educational Consultant