General recommendations ( Must be adapted to individual ! )
Date: 3 Inhalations a day for 5 days:
Child's name & weight
0.2-0.5 cc VENTOLIN Solution ( or Bricalin ) with Water 1.5cc
( for a total of 2cc per inhalation )
once a day. Twice daily ( morning and evening )
0.3 cc Ventolin, 1.0 cc Flixotide Amp ( 0.5mg/2cc ), 0.7 cc Water.
Total of 2 cc per Inhalation.
As a result of cough and wheezing the doctor has has decided that
your child needs to be treated with inhalations to help him/her
Inhalations are generally done with a machine that one can (and
should if this is the first time) borrow at a number of places
( the list of places in Rehovot is at this document). A new machine
costs about 300 NI Shekel. Maccabi members can get a sizable refund
of the purchase expense if they have a letter from their doctor
recommending purchase dated before they bought the machine.
Inhalations are done with liquids, the most important being a
"broncho-dilator" , usually Ventolin or Bricalin. (Salbutamol).
This method of giving the medicine is much more efficient than
with syrup, and worth the added effort. This treatment does not
mean your child has Asthma. It only means he is wheezing.
This treatment is not habit-forming; nor does it affect his future
health. Inhalations last about 10 minutes. You prepare a dose
of medicine and water immediately before each use. The medicines
are helpful for up to 4 hours; so one can repeat treatment every
4 hours; even if the doctor's recommendations are less frequent.
(As usual - if in doubt = call !
In order to
do inhalations you will need the following:
1) An inhalation machine.
2) A new mask ( they are disposable; and can be purchased at the
places that loan them out )
3) The medicines ( Ventolin ; Flixotide etc. ) You need a prescription.
4) Water for inhalation ( or sterile saline ). You do not need
5) A 1cc syringe ( for diabetes ) 100units = 1 cc
The dosage of the medications is weight dependent. No more than
0.5 cc of Ventolin for a child.
Water is added for a total of 2 cc.
Water " for inhalations" Water must be sterile. It can be either
water "for injections" or "physiologic" water or "Saline". The
best way to buy it is in small plastic bottles, (ampules ). Generally
10 - 20 cc . They can be repeatedly used for one day. They cost
about 2 NIShekel )
inhalation Takes 5 - 10 minutes.
It must be done with the mask covering the child's face. (A mist
in front of his face will not work). It is important to entertain
your child during this boring treatment. A few books or a video
are a good idea. Generally children get used to inhalations after
the first one or two. They notice the improvement in breathing
within a few minutes.
Inhalations with a spacer/aerochamber
Inhalations can also been done with a simple combination of a
small "spray" with a plastic or aluminium canister ( it looks
like a widened tube ) called a spacer. These come with a mask.
The advantages of this method is that it does not require electricity;
is small and easier to carry; and you do not have to "prepare"
the medicines. It also only takes 2 minutes. ( Ten breaths after
each dose of the spray ). It is less effective than the inhalation
machine for people very short of breath.
Where can we loan medical supplies in Rehovot?
1. YAD SARA ; Haneviim Street 8. ( Opposite the "Kanion") 08-
9450764 Open daily: 9:00 - 13:00 Sun;Tues;Thurs. 16:00 - 17:45
2. NTIV HACHESED; Mnucha VeNachla Street 4 & 8. 08- 9450355 ;
3. EZER LeTZION; Mendele Street 18 ( next to the Municipal Library
) 08 - 9456144. Open: 9 - 14:00 16:30 - 18:30.