B.B.
Hi,
My daughter started taking neb's when she was 9months old.
It turned out that she was diagnosed with asthma at two.
The treatment was the same. She was having asthma problems before they diagnosed her and were treating her for the problem all along. The saline is a canister that you buy over the counter. It is two or three squirts into the neb applicator instead of the premix. It just helps with congestion not the wheezing or cough. You give it the same way you give the albuterol. The difference is that there is no medicine. If your child is wheezing or coughing (worse when she lays down), you need to talk to her doctor. Never ignore a wheeze. The albuterol will make her shake, and feel like running around and suppress her desire for food. Feed her before the treatment. If possible change around her schedule to plan for meals and expect some activity after the treatment.
Ask the doctor for advice to help you determine if waking your daughter for the night time treatment is necessary.
They will want you to call them for any new episodes of wheezing so they can chart the activity and make judgments about her care. Hope this helps, B.