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 Application instructions & Self-help

Application instructions & Self-help 

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Application instructions & Self-help

6.1.  Application of different inhalation solutions

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Caution

Basically, inhalation therapy is always carried out in consultation with the attending veterinarian. He carries out 

the anamnesis, makes the diagnosis and initiates a therapy. All inhalation solutions are to be used only after  

release by a veterinary surgeon in such a way, as this recommends it! Please always follow his instructions!

There are now numerous inhalation solutions for a wide range of applications. Which inhalation solutions are 

used in case of illness or for prophylaxis, how they are composed and concentrated and how to use them, we 

have summarized for you in this chapter. Please note that this chapter refers exclusively to inhalation solutions 

used in Germany. Inhalation solutions used abroad may differ.

FREELY AVAILABLE INHALATION SOLUTIONS

Natrium chloride (NaCl) / isotonic saline solution

Ingredients:   Natrium chloride

Concentration:   0.9 %, isotonic concentration

Properties:  

moisturizing, nourishing and slightly expectorant

Side effects:  

none known

Brine and other salt solutions

Ingredients:   Natrium chloride and possibly other salts and minerals (e.g. Dead Sea brine, Emser salt, etc.)

Concentration:   over 1 %, hypertonic concentration

Properties:  

strongly expectorant, anti-inflammatory and decongestant

Side effects:  

may be irritating and drying

Inhalation solutions with physical mode of action

Ingredients:  

ectoin, tacholiquin, etc.

Mode of action:   Reduction of viscosity and reduction of surface tension, e.g. for mucus solution, moistening and care.

Side effects:  

none known

Tip

Isotonic“, „hypertonic“ or „hypotonic“ refer to different concentration ratios. While in isotonic solutions the mineral 

concentration is the same as in human cells, in hypertonic solutions the mineral concentration is higher and in 

hypotonic solutions it is lower than in cells. This causes isotonic inhalation solutions (such as NaCl 0.9%) to have 

a nurturing and moisturizing effect on the cells due to the even exchange of fluids, while hypertonic inhalation 

solutions (such as Dead Sea Brine 2.5%) remove moisture from the cells. Hypotonic solutions (such as distilled 

water) cause too much water to enter the cells and cause them to burst by swelling. Therefore, hypotonic solutions 

should never be used for inhalation!

This means that the same active ingredient can have a different mode of action due to a different concentration 

ratio. An example of this is sodium chloride. Sodium chloride is often mistakenly equated with isotonic saline so-

lution. In fact, sodium chloride can be isotonic or hypertonic. Only a concentration of 0.9% is considered isotonic. 

Anything above this, i.e. already above 1 %, is referred to as a hypertonic mixing ratio. This means that sodium 

chloride can be used on the one hand (isotonic) for humidification, but on the other hand (hypertonic) to withdraw 

fluid from the respiratory tract.

PRESCRPTION MEDICATIONS

Antiallergics

Active ingredients: cromoglicic acid, etc.

Use: To reduce the symptoms of allergic diseases

Antibiotics

Active ingredients: gentamicin, etc.

Use: For infectious diseases caused by bacteria, not for viral diseases

Anticholinergics (bronchodilators)

Active ingredients: Ipratropium bromide, etc.

Use: For the treatment of diseases with spasmodic constriction of the larger bronchial tubes.

Glucocorticoids (bronchodilators)

Active ingredients: budesonide, dexamethasone, salbutamol, etc.

Use: cortisone with anti-inflammatory, antispasmodic and decongestant effect on the small bronchi and bronchioles

Expectorants / sectretolytics

Active ingredients: acetylcysteine, ambroxol, etc.

Use: cough and mucus expectorant

Summary of Contents for SaHoMa-II HM-2000-1

Page 1: ...set for horses Website Facebook Instagram Youtube Download center Manufacturer s information Manufacturer NEBU TEC International med Produkte Eike Kern GmbH Kreuzfeldring 17 63820 Elsenfeld Germany Ph...

Page 2: ...ector 1 2 3 4 Notes 1 4 2 3 6 5 8 9 11 12 1 2 1 2 4 3 SaHoMa II housing HM 211 1 1 pc SaHoMa II protection cover HM 211 2 1 pc SaHoMa II filter basket HM 212 1 pc SaHoMa II filter membranes HM 214 6 p...

Page 3: ...the following signs Note Information marked as Note should be given special attention Caution Information marked as Caution prevents damage to the product Warning Information marked with Warning is f...

Page 4: ...e inhalation process 24 3 5 Putting down the SaHoMa II inhalation set for horses 25 3 6 Performing an inhalation process at cold temperatures 26 TABLE OF CONTENTS 4 Cleaning and storing the SaHoMa II...

Page 5: ...veterinarian immediately Getting started with the SaHoMa II inhalation set for horses 2 Getting started with the SaHoMa II inhalation set for horses Read the instructions for use carefully before init...

Page 6: ...ut a cut out and cut it completely individually After use put the SaHoMa II sealing ring in the outer compartment of the SaHoMa II carrying box for faster drying Getting started with the SaHoMa II inh...

Page 7: ...t time it is recommended to adjust directly on the horse s head After initial adjustment there is no need to adjust again the next time the halter is put on Only minimal readjust ment may be required...

Page 8: ...would result in too much aerosol escaping which may have a negative impact on the effectiveness of the inhalation therapy and thus the health of the horse 1 2 2 6 Using the SaHoMa II mesh nebulization...

Page 9: ...lid fixes in different colors You can purchase this separately Art no 202 000 12 Getting started with the SaHoMa II inhalation set for horses 2 2 7 Filling the SaHoMa II mesh nebulization unit Cautio...

Page 10: ...r draw it up completely in a syringe and fill it in from there Please note that the maximum filling quantity of the SaHoMa II mesh nebulization unit is 17 ml Now place the lid on the SaHoMa II mesh ne...

Page 11: ...sockets of the SaHoMa II control unit 2 9 Sliding on the SaHoMa II protection cover Finally slide the SaHoMa II protection cover along the slide rails of the SaHoMa II housing over the SaHo Ma II mesh...

Page 12: ...er the set time has elapsed An automatic switch off when the medication is used up does not occur in program 2 In chapter 3 2 Switching on the SaHoMa II control unit in program 1 and chapter 3 3 Switc...

Page 13: ...wise the SaHoMa II control unit will display an error image For more information on error images please refer to chapter 6 3 Self help Troubleshooting Caution To activate the automatic switch off the...

Page 14: ...the inhalation process by two light bars running synchronously from the center to the right and left After some time the SaHoMa II control unit switches off automatically The SaHoMa II control unit c...

Page 15: ...inhalation You can also stop the inhalation process in Program 1 and Program 2 by manually switching off the SaHoMa II control unit To do this shortly press the button until the multifunction light o...

Page 16: ...mperature to avoid rapid discharge and to ensure constant performance To avoid problems during nebulization we also recommend storing the SaHoMa II mesh nebuliza tion unit and the inhalation solution...

Page 17: ...the SaHoMa II control unit and start it in program 1 by pressing the button Now wait until the filled sterile water has been completely nebulized Then switch off the SaHoMa II control unit 5 Remove th...

Page 18: ...into the medication chamber of the SaHoMa II mesh nebulization unit and nebulize it as described in step 2 7 Remove the SaHoMa II mesh nebulization unit from the SaHoMa II control unit and allow the...

Page 19: ...in the washing machine if it is very dirty Place the SaHoMa II halter strap in a padded laundry net and use the delicate cycle with a temperature of 30 C Use a mild detergent and avoid fabric softener...

Page 20: ...n process It is recommended also for reasons of space to store in the SaHoMa II carrying box only those components that are regularly required for inhalation Additional consumables should be stored el...

Page 21: ...be sufficient for a complete inhalation process In addition the battery capacity may also affect the quality of the inhalation process To charge the SaHoMa II control unit connect it to the SaHoMa II...

Page 22: ...attery but not via the SaHoMa II power cord and the 230 VAC power supply socket When the lithium polymer battery is fully charged charging stops automatically to prevent the battery from overcharging...

Page 23: ...sotonic solutions the mineral concentration is the same as in human cells in hypertonic solutions the mineral concentration is higher and in hypotonic solutions it is lower than in cells This causes i...

Page 24: ...cleaning of the SaHoMa II mesh nebulization units Use one SaHoMa II mesh nebulization unit per inhalation solution and horse to avoid interactions or cross contamination For this purpose label the SaH...

Page 25: ...t is already functional with the SaHoMa II mesh nebulization units changeover from February 2014 can have software updates installed on their SaHoMa II control unit and thus keep the SaHoMa II control...

Page 26: ...ion of foaming medications according to the list of medications nebulization in program 2 under constant obser vation with manually switching off the SaHoMa II control unit Connect a SaHoMa II mesh ne...

Page 27: ...he aerosol spectrum using a laser diffractometer HELOS VARIO KF The average particle size is 5 14 m MMD with a GSD of 1 91 48 28 of the particles are 5 m Technical data 7 1 Technical data of the SaHoM...

Page 28: ...20 C optionally Relative air humidity 25 to 75 Air pressure 450 hPa to 1100 hPa The components must be stored and transported away from direct sunlight Do not store the components in damp rooms or tr...

Page 29: ...g the SaHoMa II filter membrane just like a handkerchief depending on the degree of soiling and frequency of use The SaHoMa II filter membranes are not designed for cleaning If the end of the lifespan...

Page 30: ...working hours The guarantee period starts from the date of purchase When purchasing our products from one of our distribu tors a receipt showing the date of purchase must be presented as proof of pur...

Page 31: ...erefore cannot be removed from the old device 11 Options for returning old devices for consumers You can return or collect old devices free of charge within the framework of the possibilities for retu...

Page 32: ...se needs how often and in what quantity The entry of the date gives you a history of all medications used You can use the last column for your own notes on the respective medication Date Medication Am...

Page 33: ...Notes 60 Space for your notes...

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