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Respiratory Handbook

The professional's guide to product selection

Products

PARI Compact 2 Nebuliser

This nebuliser is the mid-range nebuliser from Pari. The machine is supplied with the clinically proven Pari LC Plus nebuliser chamber. The compressor also features a useful chamber holder for when the unit is not in use. This product can be used to treat illnesses such as asthma, COPD and bronchitis.

 

Stockists: Evergreen Nebulisers, Nebulisers Direct.

PARI O-PEP

Patients breathe out slowly and completely into the Pari O-PEP. This action causes a steel ball in the O-PEP to vibrate. These vibrations combined with the gentle resistance when breathing against the ball thus causing airways to open and mucus to be dislodged. The cycle of breathing in and out for 10 to 15 breaths is then repeated. The O-PEP is dishwasher safe and autoclavable.

 

Stockists: Evergreen Nebulisers

Phenergan - Promethazine hydrochloride

Sedating antihistamine.

By mouth
• Child 2–4 years: 5 mg twice daily, alternatively 5–15 mg once daily, dose to be taken at night.
• Child 5–9 years: 5–10 mg twice daily, alternatively 10–25 mg once daily, dose to be taken at night.
• Child 10–17 years: 10–20 mg 2–3 times a day, alternatively 25 mg once daily, dose to be taken at night. Increase if necessary to 25 mg twice daily.
• Adult: 10–20 mg, 2–3 times daily.

By deep intramuscular injection
• Adult: 25–50 mg, maximum 100 mg.

By slow intravenous injection in emergencies
• 25–50 mg as a solution containing 2.5 mg/ml in water for injections, maximum 100 mg.

Philips InnoSpire Deluxe with Sidestream

The InnoSpire Deluxe is an easy-to-use mains- powered compressor offering reliable therapy at home or in hospital.
The high performance Sidestream chamber can be used with either a mask or a mouthpiece, both of which are supplied, and will nebulise all commonly prescribed bronchodilators. It produces a fast and accurate drug delivery with 76% of the output smaller than 3 microns, enabling more of the prescribed solution to reach the lower airways. The reusable Sidestream chamber can be sterilised by boiling and gives a consistent performance for at least a year.

 

Stockists: Evergreen Nebulisers, Nebulisers Direct

Philips Innospire Essence Nebuliser

A compact and lightweight design. The InnoSpire Essence incorporates proven Sidestream chamber technology, which ensures a fast and reliable delivery of commonly prescribed solutions. Supplied complete with a Sidestream Nebuliser kit containing a chamber, adult and child face masks, mouthpiece, air tube and a spare filter.

 

Stockists: Evergreen Nebulisers, Nebulisers Direct.

Philips Vitabreath

The Philips VitaBreath dyspnoea relief device is intended as an adjunct therapy for people with COPD to provide short-term relief of shortness of breath associated with physical exertion. It is for use in the home and hospital/institutional environments.
VitaBreath provides two levels of pressure, one on inhalation and another on expiration, to help patients recover from shortness of breath quickly. This bi-level pressure therapy helps make it easier to breathe and keeps airways open. It detects breathing patterns to provide the right level of pressure at all times.

 

Stockists: Philips, but must be ordered on prescription.

Pinnacle Peak Flow Meter

• measuring range 60–900 l/min
• accuracy of <5%
• recommended shelf life of three years
• conforms to EU standards.

Piriton - Chlorphenamine maleate

Sedating antihistamine.

By mouth for symptomatic relief of allergy such as hay fever, urticaria, food allergy, drug reactions, relief of itch associated with chickenpox.


• Child 1–23 months: 1 mg, twice daily.
• Child 2–5 years: 1 mg, every 4–6 hours, maximum 6 mg daily.
• Child 6–11 years: 2 mg, every 4–6 hours, maximum 12 mg daily.
• Over 12 years: 4 mg, every 4–6 hours, maximum 24 mg daily
• Elderly: 4 mg, every 4–6 hours, maximum 12 mg daily.


Emergency treatment of anaphylactic reactions or symptomatic relief of allergy by intramuscular injection or by intravenous injection over 1 minute.
• Child 1–5 months: 250 mcg/kg (maximum per dose 2.5 mg), max 4 doses daily
• Child 6 months–5 years: 2.5 mg, maximum 4 doses per day.
• Child 6–11 years: 5 mg, maximum 4 doses per day.
• Over 12 years: 10 mg, maximum 4 doses per day.

Plenadren - Hydrocortisone - Takeda

For the treatment of anaphylaxis and asthma.

By intravenous injection for acute hypersensitivity reactions
• Adult: 100–300 mg, to be administered as sodium succinate.

By intramuscular injection, or by intravenous injection for acute hypersensitivity reactions
• Child 1–5 months: initially 25 mg three times a day, adjust according to response.
• Child 6 months–5 years: initially 50 mg three times a day, adjust according to response.
• Child 6–11 years: initially 100 mg three times a day, adjust according to response.
• Child 12–17 years: initially 200 mg three times a day, adjust according to response.

By intravenous injection for severe acute asthma
• Child 1 month–1 year: 4 mg/kg every six hours. Maximum per dose 100 mg. Alternatively 25 mg every six hours until conversion to oral prednisolone. Preferably administer as sodium succinate.
• Child 2–4 years: 4 mg/kg every six hours. Maximum per dose 100 mg. Alternatively 50 mg every six hours until conversion to oral prednisolone. Preferably administer as sodium succinate.
• Child 5–11 years: 4 mg/kg every six hours. Maximum per dose 100 mg. Alternatively 100 mg every six hours until conversion to oral prednisolone. Preferably administer as sodium succinate.
• Child 12–17 years: 4 mg/kg every six hours. Maximum per dose 100 mg. Alternatively 100 mg every six hours until conversion to oral prednisolone. Preferably administer as sodium succinate.
• Adult: 100 mg every six hours until conversion to oral prednisolone. Preferably administer as sodium succinate.