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If your child is having difficulty breathing, please call There are many types of family emergencies. Some are of a more desperate nature, while others can be simply mammoth inconveniences. If you were stuck at home with an adult or child, and you could not get out to a physician for a day or two, and your child began with a cold or flu which had large amounts of thick mucus, what would you do? First, hydration is most important. The child or family member needs plenty of varied fluids.

Pedialyte for small ones is a good idea if there is diarrhea or vomiting. Gatorade the standard formulation would be beneficial to an older child. Plain drinking water is underrated, and this is also a good idea. Secondly, you wish to feed them moderately and contain a fever. Many physicians leave a fever to burn out a viral syndrome, and they use Tylenol name used in the US, paracetamol in many other nations also known as Acetaminophen to treat a fever of or greater.

I don't use Ibuprofen Motrin in the US on children without a direct physician's order to do so. There is something else you can do that will help to break up thick secretions on both children and in adults. Physicians usually order this treatment for children with cystic fibrosis, or for adults with COPD or other respiratory illnesses where excessive thick mucus is a problem. An increasing number of families own a nebulizer. It is important that such respiratory materials are not shared between family members who often do not have the same respiratory or oral organisms, especially in the presence of another chronic disease.

When a physician orders a nebulizer device for a child or adult, he also orders a solution to be placed in the device for each treatment. Often these are bronchodilators which means they open the airways. Drugs called Albuterol, and an analog of Albuterol which does not cause the increase in heart rate, is called Xopenex the generic name is Levalbuterol. Sometimes, following the bronchodilator as listed above, the physician will order another solution. Sometimes, such a solution will be a salt solution.

Salt, in solution, when used in a nebulizer treatment can be a potent mucolytic, which means it can help to break up thick secretions. Salt does several things when used in a respiratory solution. First, it does act as a counter-irritant, and the patient does tend to cough, expelling mucus from areas he may not have prior. Secondly, a higher percentage of salt solution may make it more difficult for viruses and bacteria to replicate in the mucus lined regions of the lungs. For this reason, those with respiratory infections,may benefit from nebulizer treatments with salt solutions, two or three times a day, particularly during acute respiratory infections.

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The amount of saline or salt in normal body fluids is 0. This means that the solution is stronger than the amount of saline found in normal body fluids.


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Some people with asthma who also have an concurrent infection have benefitted from such treatment when physician ordered. When breathing nebulized fluids deep into your lungs, or the lungs of a family member, it is very important to ensure great cleanliness and often sterility of the articles used, including the fluids. When you open a medication that is pre-packaged, it has been presterilized. You will need the following items. Please assemble them in advance. Measuring spoons, washed in the dishwasher.

A bottle of unopened distilled water 4. A polypropylene pharmacy grade bottle with the plastic code 5 on the bottom.


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Posted by JaneofVirginia at Russian Diplomats and Potential Spies: Being expelled from a nation near you. Former British spies and businessmen have been emigrating to London and to other parts of England, in the last few years, as was also true of murdered British subject, and former KBG agent Alexander Litvinenko.

My prior posts on the subject of the Litvinenko murder were: The result was Novichok, a chemical weapon without a clear antidote, which is more dangerous than VX nerve gas, in even smaller amounts. Compelling evidence must exist which implicates the government of Russia because not only has Britain expelled a large number of Russian diplomats, but fourteen other suspicious deaths in the UK are being reopened, and other actions are being taken against the government of Russia..

On the heels of this investigation, another Russian, Nikolai Glushkov , who was a witness in the Litvinenko investigation was found in his London home, dead in suspicious circumstances. Yesterday, it was announced that the United Kingdom is not the only nation to be expelling their diplomats and potential spies. Four Russians expelled; 3 applications for additional diplomatic staff being denied.

Four Russian diplomats expelled from each country.

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Three Russian diplomats expelled from each country. Two Russian diplomats expelled from each country. One Russian diplomat expelled from each country. One Russian diplomat expelled, plus one Russian representative of a Russian company blacklisted. The closure of the Russian Embassy in Seattle, Washington, and the expulsion of 60 Russian diplomats. Imagine how compelling the evidence that the Russian government must be involved in these poisonings must be for all of these nations to have taken such actions, knowing full well that Russia will likely expel the same number of diplomats from their own embassies in Russia.

This uneasiness with Russia is not simply over Russia attacking and killing people on the soil of another sovereign nation, and endangering innocent people there also. It is also about the treatment of Ukraine, and about the increasing illegal flyovers of the US, Britain, Canada, and other places in the world by a Russian regime which feels that it's own wishes seem to supersede international law and treaties. Remember that the Russian people themselves are decent hardworking and generous individuals who possess great creativity and have developed a fascinating culture, however if prior behavior is an indicator of future behavior, then Putin's regime will not stop at propaganda, cyber attacks, military attacks which thwart our own efforts in other parts of the world, and likely worse, if it benefits their regime.

Sergei Skripal and his daughter Yulia remain in stable yet critical condition. They may not survive, and if they do, they may never recover. There is also another aspect of this. Russia will, and always does, strike back following each limitation or correction placed upon her. They too will expel diplomats and those who may function as spies on our own behalf. The result is that Russia will not be monitored as well as it has been. We may also not be communicating with Russia as well as we once did.

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Keep in mind that we stopped training those to be really skilled in Russian language, after when we made Arabic our focus to the near exclusion of all else. Subject of another one of my articles: Sergei's cat and two guinea pigs who were at home were not nearly as lucky. The Blog and Rational Preparedness: At the time, registered nurses needed to start discharge planning from the time a patient was admitted to the hospital.

Part of discharge planning was how such a patient, on discharge would survive a normal emergency. For example, if a patient with ALS went home on a portable ventilator, how would he survive either a failure of the ventilator, a power outage, or other emergency. Before a patient with a long term care or equipment need could be discharged, this type of emergency planning needed to be completed. This type of planning also needed to be done on new diabetics, those with special dietary needs, etc. Today, hospitals are no longer staffed so that this level of preparation can be done before discharge.

Today, it is more often done by the employees of a medical supply equipment company, the patient's family, or even the nurse at their primary care physician. Sometimes, disaster planning for a newly discharged medically dependent patient isn't done at all. This was my first introduction to disaster preparedness. In other positions I had afterward, other nurses and staff knew that post discharge disaster planning for patients was an interest of mine, and so I did a fair bit of it.

After awhile, I created post discharge templates for different disease processes or for different equipment needs. The fact is that we all need to make reasonable plans for normal disasters. Depending upon the location in which we live, ice storms, snowstorms, protracted power outages, flooding, earthquakes, forest fires are all possibilities, for all people, as well as those with a medical issue. In the s, I also became aware, through a patient family, that there were fairly large numbers of people who were preparing for an interruption in normal society where they believed that they would need to function for months or even longer without the benefits of normal society.

Some of them were stockpiling food for seven years or more. The problem is that although preparing for normal and reasonable disasters is an intelligent thing to do, particularly if you have a vulnerable medication or machine dependent family member. However, diverting large sums of your income to seven to ten years of food, saps money from the present day. It also takes money from your relative who might have a limited lifespan on Earth anyway. It was at this time that the Rational Preparedness movement was born. My plan for Rational Preparedness , is that people make reasonable plans for the reasonable types of disasters that are most likely to occur within the next ten to fifteen years or so.

It is not possible, or even financially expedient for most families to make disaster plans for all of the possibilities. My point was that purchasing gas masks for your children, and a pair of night vision googles for yourself, means that your children might not have the funds and opportunities that allow them to excel within the world as it exists today.

Hurricane preparedness tips

Therefore, my contribution to the preparedness community was the concept of Rational Preparedness. This means that each family should prepare for reasonable disasters that are most possible in the area in which one's family is living. Each family should make plans to "Shelter in Place" or "Evacuate Family" including pets. Most every disaster will fall into either the category of sheltering in place or evacuation of family.

If course, when people with medical issues, children, pets, farms or other issues consider this concept, it becomes more complicated. A diabetic child requires more supplies during an evacuation than a child without medical issues. Sheltering in place with a great grandparent who normally gets pharmacy supplies each week could be challenging when the power distribution and roadways are impaired for a time for some reason. In , I agreed to do a series of podcasts, using the name Rational Preparedness.

The series was well received. I also began the blog Rational Preparedness , so that listeners could find not only a synopsis of the broadcast, but urls for the information I may have quoted or for suppliers for helpful items with regard to preparedness, both medical and otherwise.

Please know that in the years that both the blog and the book have existed, that I have never advertised anything that I have not personally used or can endorse fully. Unlike my copycats, I do not receive monies to endorse any preparedness or medical products whatsoever. A Crisis Preparedness Guide. The Paranoid's Pocket Guide. Prepare Today Survive Tomorrow. Survive Now Thrive Later. Surviving a Hostile City! Public Restroom Survival Guide. How to Start a Fire with Water.

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