What is your approach to scheduling and then weaning nebulizers in patients admitted with acutely exacerbated asthma or COPD?

In hospitalized patients with acute asthma or COPD exacerbations, my approach to nebulizers is front-loaded and reassessment-driven.

I start by gauging the severity and the patient’s ability to use an inhaler. pMDI with a spacer is preferred for most patients, but nebulizers are reasonable early on ...