Nebulizers, Asthma and COVID-19

Nebulizers, Asthma and COVID-19

Do you have children in your care with asthma? Parents/caregivers of children with asthma who use nebulizers should contact their child’s health care provider about using a metered dose inhaler (MDI) instead of a nebulizer. Use of inhalers with spacers instead of nebulizers involves decreased close exposure time during the medication administration. According to The Centers for Disease Control’s (CDC), people with asthma should use inhalers with spacers (with or without a face mask, according to each student’s personal treatment plan) instead of nebulizer treatments whenever possible during the COVID-19 pandemic. Children’s medical records/care plans should be reviewed to see who may require nebulizer treatments. Care plans should be updated as per the health care provider’s recommendations. Guidance for Operating a Childcare Center, Group Home or Family Child Care During the Coronavirus Pandemic in Pennsylvania - The Pennsylvania Key Resource for Frequently Asked Questions (FAQ) pages 16-17 offers important guidance to consider and precautions to take.

Increased cleaning and disinfecting is necessary because of the pandemic. Disinfecting products maybe a trigger for some children so care should be taken to prevent exposure to them:

If you have asthma:
    •  Ask an adult without asthma to clean and disinfect surfaces and objects for you.
    •  Stay in another room when cleaners or disinfectants are being used and right after their use.
    •  Use only cleaning products you must use. Some surfaces and objects that are seldom touched may need to be cleaned only with soap and water.
    •  Make a list of the urgent care or health facilities near you that provide nebulizer/asthma treatments. Keep it close to your phone.
    •  If you have an asthma attack, move away from the trigger such as the disinfectant or the area that was disinfected. Follow your Asthma Action Plan. Call 911 for medical emergencies. 10-27-20