How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Anthony Bray, MD Your Own Question
Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Medical
Satisfied Customers: 10337
Experience:  14 years experience in the field of Family Practice
13781349
Type Your Medical Question Here...
Anthony Bray, MD is online now
A new question is answered every 9 seconds

Been having problems with asthma took a nebulizer no help

Customer Question

Been having problems with asthma took a nebulizer no help anything else to do
Submitted: 2 months ago.
Category: Medical
Expert:  Anthony Bray, MD replied 2 months ago.

Hello!

You may be best to go to ER as asthma that is so resistant that it is not responding to a nebulizer treatment needs medical attention I urge you ....

Ok to repeat duoneb treatment but these flairs are dangerous and you need to be in medical setting by the time you need back to back Duoneb nebulizer treatments ...

You need to be monitored ...

Suspect you need steroid on board such as IV solumedrol followed by oral prednisone ...

The medical staff should hear your lung sounds and check a chest xray and follow your vital signs and pulse oximetry and perhaps blood count ..

Frequently a bad asthma flair might be brought on by a respiratory infection so you might need an anntibiotic ...

I hope that this information is helpful for you

Let me know if you have further questions or concerns

I will be happy to get back with you

If my answer has been helpful and to your satisfaction then please remember to leave positive feedback

Thank you and Best Regards,

Anthony Bray MD

Customer: replied 2 months ago.
My peak flow is 200 normally 300-350 is that bad I live alone been trying to deal with this on my own
Customer: replied 2 months ago.
Very tight lots of trying to clear my throat
Expert:  Anthony Bray, MD replied 2 months ago.

Peak flow is fairly low ...

I'm sure you could get by with moving that much air but I can't say it may not get worse ...

Plus you are alone which increases danger factor to you ...

I think go ahead with 2nd Duoneb then get to ER ....

Expert:  Anthony Bray, MD replied 2 months ago.

I'm considering that peak flow may drop further before it gets better ...

Expert:  Anthony Bray, MD replied 2 months ago.

What else do you take for your asthma?

Singulair ?

An inhaled steroid ?

Xopenex or Albuterol?

Customer: replied 2 months ago.
Take dulera nothing ringgit is working
Customer: replied 2 months ago.
Nothing
Expert:  Anthony Bray, MD replied 2 months ago.

I understand ...

I think it is in your best interest to get to ER ...

Ok if you need to call 911 ...

Customer: replied 2 months ago.
I live alone hate going to er been trying to deal with it just nothing seems to be working how many nebulizer treatments can I take
Customer: replied 2 months ago.
My chest hurts is that normal with asthma and very shaky
Expert:  Anthony Bray, MD replied 2 months ago.

Hi again,

The how many nebs is not the only issue ...

With multiple nebs you need to be MONITORED ..you could have flip to abnormal heart rhythm ...you could lose conciousness ...it becomes riskier

At ER that may give you 3 sequential nebs BUT this is not advised HOME TREATMENT ...

Take a second and go to ER I would urge you ...

Expert:  Anthony Bray, MD replied 2 months ago.

The albuterol from nebulizer treatment will make you feel shaky and increase your pulse rate ....

Expert:  Anthony Bray, MD replied 2 months ago.

It is not good that your chest hurts ...no to that ...not " normal"

Customer: replied 2 months ago.
Would u reccomend ambulance or go by taxi with how I'm feeling what would ambulance do for just scared being alone been trying to deal with it on my own
Expert:  Anthony Bray, MD replied 2 months ago.

You have to take the asthma seriously ...

It should respond to treatment over next several hours but this is too much to just treat at home ...

It can potentially lead to respiratory failure ...

You need to bite bullet and get to ER !!

Expert:  Anthony Bray, MD replied 2 months ago.

Recommend ambulance ( safest and guarantee that you get rapid treatment that you need ) 911 >> puts you in front of line which I think you need now .... Not out in waiting room waiting for over an hour !!

Customer: replied 2 months ago.
just am really scared sorry being alone I just try and deal with it alone
Expert:  Anthony Bray, MD replied 2 months ago.

Asthma exacerbation are common reason for ER and 911 calls ...

It is OK ...don't hesitate ...take care of yourself !!

Expert:  Anthony Bray, MD replied 2 months ago.

Scared is normal for this ...

It is terrifying when you can't breathe as you should ...I understand that !! It is OK !!

Customer: replied 2 months ago.
I'm trying another nebulizer my chest is tight it hurts what do I tell 911 operator new at this usually am able to get there by taxi it's just gotten worse which scares me
Customer: replied 2 months ago.
I'm 37 shouldn't be this scared just hate the er and chest hurts which normally my chest doesn't hurt like this
Expert:  Anthony Bray, MD replied 2 months ago.

Hi again,

Tell 911 operator that you are short of breath / you are alone / can't drive yourself -- not safe / doctor has advised you to call 911 and get to ER ASAP !!

That may help ....

Expert:  Anthony Bray, MD replied 2 months ago.

Normal // everyone hates ER --- I'm sorry that you need to go but that is what is needed for you now .....

Customer: replied 2 months ago.
I'm still on nebulizer should I wait to get it dfinished
Expert:  Anthony Bray, MD replied 2 months ago.

You know that you are in trouble or you would not be reaching out ....

Expert:  Anthony Bray, MD replied 2 months ago.

That is fine ...couple minutes ....get medicine in you then call ...

Customer: replied 2 months ago.
Yup normally not This bad so quickly it scares me neb isn't doing much
Expert:  Anthony Bray, MD replied 2 months ago.

It will take the treatment about 10 -15 minutes and hopefully it will feel a bit better but you need to go ahead to ER as planned ....

Customer: replied 2 months ago.
I'm exhausted :(
Customer: replied 2 months ago.
I guess this is all normal with asthma flairup
Expert:  Anthony Bray, MD replied 2 months ago.

I understand ....make that call soon !!

Customer: replied 2 months ago.
Never had ambulance here before what will happen so I know
Expert:  Anthony Bray, MD replied 2 months ago.

I say it may be somewhat common with a bad flair but I do not call it "normal"

Short of breath / chest hurts / tight in chest --- not a "normal " state -- no to that ....

Customer: replied 2 months ago.
I'm so scared all this scares me
Expert:  Anthony Bray, MD replied 2 months ago.

They may have a response team there first ( firemen usually ) they assess the situation and see if someone is there unresponsive needing CPR ... Then ambulance team shows up ...

They ask a few questions and load you to stretcher and take you to hospital ER ....

May give you another treatment in route ..may put you on oxygen ...

They take you directly to room ...no waiting at least then ... You are seen right away ....

Expert:  Anthony Bray, MD replied 2 months ago.

Its ok and normal to feel scared ..you will be ok ...

You will be a bit intimidated that probably 4 people in 2 sets come to your door though ..

Don't freak out ..it is the norm for this ....

Customer: replied 2 months ago.
Oh ok I'm so scared but guess this is what needs to be done I hear wheezing now is that normal after neb still taking neb should be done soon I'm hoping
Expert:  Anthony Bray, MD replied 2 months ago.

You will still hear wheezing for some time -- yes to that -- even with multiple neb treatments it will take time ( several hours before you are clear enough to breathe without wheeze )

Customer: replied 2 months ago.
Hopefully neb be done in next few I'm so shaky
Expert:  Anthony Bray, MD replied 2 months ago.

Yes the medicine makes you shaky ..

If toward the end go ahead and call ...

You don't have to wait out the last bit of vapor ...

Customer: replied 2 months ago.
I don't wanna go but it hasn't gotten any better just am really scared could u stay around till they show don't wanna bother u though
Expert:  Anthony Bray, MD replied 2 months ago.

Sure I'm happy to wait with you and answer your questions ...that is fined...

Customer: replied 2 months ago.
Thanks neb just ended so u know just have to go call now like you know am scared
Customer: replied 2 months ago.
My chest is still so tight normally neb loosens it up some wish I wasn't alone it's scary
Expert:  Anthony Bray, MD replied 2 months ago.

Go ahead and call and explain that you need ambulance to get to hospital / you are Short of breath and chest hurts and chest very tight / you have treated with 2 Duoneb nebulizer but do not feel much better / you have contacted online MD and advised to go to ER ASAP by ambulance ( you live alone )

Expert:  Anthony Bray, MD replied 2 months ago.

Call should only take a couple of minutes ...

Operater may give you a few instructions such as open/ unlock door

Lights on ....

Confirms address ...

Customer: replied 2 months ago.
I'm so scared give me a few mins just got dressed now need to get house phone so it's easier to find me dunno how that works
Customer: replied 2 months ago.
it will be pretty easy the call
Expert:  Anthony Bray, MD replied 2 months ago.

Try to stay calm but focus on what you need to do

Yes call should be easy ...

Customer: replied 2 months ago.
Just unlocked door and lights are on
Expert:  Anthony Bray, MD replied 2 months ago.

That's good ...

Customer: replied 2 months ago.
Now I gotta make call the scary part for me don't want ppl in complex being nosy but can't do cab I feel like shit ugh
Expert:  Anthony Bray, MD replied 2 months ago.

It's OK

Not time to worry about neighbors or noise ...etc ...

Just focus and do what you need to take care of YOU right now ...

Customer: replied 2 months ago.
Ok I see your point just so scared doing this on my own will the police be showing up too
Expert:  Anthony Bray, MD replied 2 months ago.

I don't think police no to that ....

That is not the case from what I have seen ...

Traffic accident or shooting yes / asthma not so much !!

Customer: replied 2 months ago.
Ok how long till they show u think I'm about to call now
Expert:  Anthony Bray, MD replied 2 months ago.

Probably about 10 minutes ...plus or minus ...

Customer: replied 2 months ago.
Oh ok so u can stay with me till they show just to keep me relaxed wish there was a way u could hear me to see how I'm doing but it probably wouldn't have helped can't talk much
Expert:  Anthony Bray, MD replied 2 months ago.

Yes I'm here ! I will wait along with you !!

Customer: replied 2 months ago.
Thanks just scary being alone I know I'm
37 shouldn't be
Expert:  Anthony Bray, MD replied 2 months ago.

I suspect that you are having hard time talking in complete sentences ...

Get out of breath very easily , right ??

Customer: replied 2 months ago.
Customer: replied 2 months ago.
I can't stop clearing my throat which normally doesn't happen
Expert:  Anthony Bray, MD replied 2 months ago.

Should be very soon and you will have company there !

Customer: replied 2 months ago.
I don't want so much company u think like 4 ppl
Customer: replied 2 months ago.
I just called how long u think
Expert:  Anthony Bray, MD replied 2 months ago.

Commonly from my experience -- yes

It may be different in your area

Just called ...probably about 10 minutes and maybe sooner

Customer: replied 2 months ago.
Ok thanks for being on here with me
Customer: replied 2 months ago.
I'm so exhausted from the damn breathing and so shaky
Expert:  Anthony Bray, MD replied 2 months ago.

You're very welcome !!

Customer: replied 2 months ago.
I'm so scared hopefully I won't need them to do an Iv hate needles am scared
Expert:  Anthony Bray, MD replied 2 months ago.

I understand that ...I know that it is exhausting ...

Customer: replied 2 months ago.
I'm so tired trying to keep myself up till they get here it's taking so much energy to breath good
Expert:  Anthony Bray, MD replied 2 months ago.

Yeah needles are not popular ....

Customer: replied 2 months ago.
U think they will neeed to do Iv
Customer: replied 2 months ago.
My chest hurts hope it's soon
Expert:  Anthony Bray, MD replied 2 months ago.

Yeah I'm afraid that is likely to be part of it ...

They probably want IV access in case of need to give emergent drugs per IV ...

a magnesium solution may be given IV as a possible aspect of treating your asthma ...

Likely you may get IV solumedrol ...

They will asses if you need an antibiotic so if so that might be started as an IV ...

Customer: replied 2 months ago.
I'm so scared but it should be any min in a few I hope
Expert:  Anthony Bray, MD replied 2 months ago.

Yes they should be getting there any minute ...

Customer: replied 2 months ago.
I'm scared
Expert:  Anthony Bray, MD replied 2 months ago.

You'll be ok ....

They will take good care of you ....

Expert:  Anthony Bray, MD replied 2 months ago.

You will probably meet some very nice folks along the way ..

Customer: replied 2 months ago.
I told them that u were on here with me till
They got here so that is why they
probaly didn't keep me on the phone... Do u think they will know I'm scared
Expert:  Anthony Bray, MD replied 2 months ago.

Yes that is very normal....

Customer: replied 2 months ago.
Oh so all this is normal I'm 37 shouldn't be scared should I do another neb till they show I'm so tight
Expert:  Anthony Bray, MD replied 2 months ago.

Not now I think ...they should be there any minute ..

You will need to tell them about yourself ..

They may set you up for another treatment when they arrive

Customer: replied 2 months ago.
I'm totally worn from the breathing hope I don't fall asleep trying hard its wearing me
Down
Customer: replied 2 months ago.
Ok
Customer: replied 2 months ago.
What will they ask
Customer: replied 2 months ago.
I am aware
Expert:  Anthony Bray, MD replied 2 months ago.

They will ask you the basics ..what's going on...so you have asthma ..when did you start getting short of breath ..does your chest hurt ..any cough..any fever .know old are you... What medicines do you take ..are you allergic to anything ..mstuff like that

Customer: replied 2 months ago.
Oh ok
Customer: replied 2 months ago.
Should I call them back to see the status
Expert:  Anthony Bray, MD replied 2 months ago.

Straight forward questions about you ...

Nothing bad really ...

Expert:  Anthony Bray, MD replied 2 months ago.

Sure ...it has been a bit > 15 minutes ...call and confirm your location ...

Customer: replied 2 months ago.
Ok what if I can't answer it's hard for me to talk
Customer: replied 2 months ago.
I'm so tired from this damn breathing
Expert:  Anthony Bray, MD replied 2 months ago.

They will work to help you even if you could not speak...they read the situation ....

Customer: replied 2 months ago.
Oh ok should I call back to them or wait a
Few more mins
Expert:  Anthony Bray, MD replied 2 months ago.

Call back 911 to confirm and go ahead and start another neb treatment after that ... They are taking seems like long time here...

Customer: replied 2 months ago.
Will u stay while I take the neb once I call them back
Customer: replied 2 months ago.
It seems like awhile
Expert:  Anthony Bray, MD replied 2 months ago.

Yes I'll be right here !!

Customer: replied 2 months ago.
I'm so shaky and struggling this stinks
Customer: replied 2 months ago.
I here still
Expert:  Anthony Bray, MD replied 2 months ago.

Yes the medicine makes you shaky >> hang in there >>

Customer: replied 2 months ago.
My chest hurts am really struggling I called them back should be soon sometimes it's hard to find places in my complex
Customer: replied 2 months ago.
Is it ok that I'm in my bedroom
Expert:  Anthony Bray, MD replied 2 months ago.

Anyone show up yet ?

Customer: replied 2 months ago.
No
Customer: replied 2 months ago.
I just started another neb will that be ok with them
Expert:  Anthony Bray, MD replied 2 months ago.

Yes , that is fine .. what you need I agree ...

Where do you live ??

Customer: replied 2 months ago.
New York about 45mins outside of NYC
Expert:  Anthony Bray, MD replied 2 months ago.

Oh OK ....busy place then it sounds like

Expert:  Anthony Bray, MD replied 2 months ago.

So many people .... always a lot going on ...

Customer: replied 2 months ago.
Yup I'm just tiring out now
Customer: replied 2 months ago.
It scares me
Expert:  Anthony Bray, MD replied 2 months ago.

I know it does ...

Customer: replied 2 months ago.
Asthma stinks
Expert:  Anthony Bray, MD replied 2 months ago.

Yes I agree...

Customer: replied 2 months ago.
I'm so tired from the breathing
Expert:  Anthony Bray, MD replied 2 months ago.

I hope that the ambulance arrives any minute ... they are taking longer than I would have expected...

Customer: replied 2 months ago.
Ok should be here soon
Customer: replied 2 months ago.
I'm hoping
Customer: replied 2 months ago.
Let's see
Expert:  Anthony Bray, MD replied 2 months ago.

Hello,

Yes I hope so too.. I would not have thought that it would have taken this long ... any minute I'm thinking...

Customer: replied 2 months ago.
Yup I hope they aren't lost
Expert:  Anthony Bray, MD replied 2 months ago.

Yes that is where GPS comes in !

Customer: replied 2 months ago.
I'm so tired
Expert:  Anthony Bray, MD replied 2 months ago.

I know >> surely they will be there soon...

Customer: replied 2 months ago.
I'm still waiting
Expert:  Anthony Bray, MD replied 2 months ago.

Go ahead and call a taxi as a back up ( if ambulance ride gets there then it is just a back up.. that may be mad if you are not there but that just happens sometimes )

Call back 911 as well >> see if there is some reason for the delay

Customer: replied 2 months ago.
There here
Expert:  Anthony Bray, MD replied 2 months ago.

Good !!! Finally !!

Expert:  Anthony Bray, MD replied 2 months ago.

If you may have time please remember to hit positive feedback for me to get credit (lowest priority for you now though ...) Take care !!

Customer: replied 2 months ago.
I'm kept overnight just to give u a heads up they did exactly what u said magnesium in Iv solumendrol Iv and about 4nebs in er and three in another place they brought me before they admitted me and don't know if I'm out tomorrow
Expert:  Anthony Bray, MD replied 2 months ago.

Hello again!

Thank you for the update ! I hope that this turns around for you soon and you feel back to normal. I was worried that they took so long to get to you last night !

I'm glad that you are in safe place and getting care now ...

Hopefully you will be well and go back home soon !

Further updates on your progress would be welcome !

Best wishes to you and a quick recovery !!

Anthony Bray MD

Customer: replied 2 months ago.
You were absolutely correct about me going and I really didn't wanna go as u knew God knows what the outcome would have been if I didn't go
Expert:  Anthony Bray, MD replied 2 months ago.

Hello again,

Yes I could tell from what you were saying that you were too sick to stay at home..

You did the right thing to do as you did and call 911

I think that deep down you knew it as well but you needed the validation that this was the case

I'm glad that you did the right thing and called and that you are getting the treatment that you need !!

My best to you as you recover !!

Take care !

Anthony Bray MD

Related Medical Questions