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Nebulization is a procedure that uses a nebulizer to deliver medication in mist form into the lungs. It aims to relieve respiratory issues through humidification and liquefying secretions. The procedure involves preparing the nebulizer with medication and saline, placing a mask on the patient, and instructing them to breathe deeply until treatment is complete. Proper technique and cleaning of equipment is important for safety and effectiveness.

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6K views8 pages

Nebulization PR

Nebulization is a procedure that uses a nebulizer to deliver medication in mist form into the lungs. It aims to relieve respiratory issues through humidification and liquefying secretions. The procedure involves preparing the nebulizer with medication and saline, placing a mask on the patient, and instructing them to breathe deeply until treatment is complete. Proper technique and cleaning of equipment is important for safety and effectiveness.

Uploaded by

Amy Lalringhluani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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NEBULIZATION PROCEDURE

INTRODUCTION:-

Nebulization therapy aims to deliver a therapeutic dosage of a drug by inhalation of the drug-
aerosol, which is generated with a drug solution or suspension by a nebulizer, through the mouth,
nose or artificial airway (including endotracheal and tracheotomy tubes) and into airways and
lungs. When the thin layer of fluid that supports the mucus layer over the cilia it is allowed to dry
the cilia are damaged and cannot clear the airway. Humidification through nebulization imposes
clearance of pulmonary secretions. It is often used for administration of bronchial dilatations and
mucolytic agents. When the thin layer of fluid that is allowed to dry, the cilia are damaged and
cannot adequately clear the airway/humidification through nebulization enhances mucocillary
clearance the body’s natural mechanism to remove mucus and cellular debris from the
respiratory tract.

DEFINITION:-

Nebulizer is a drug delivery device used to administer medication in the form of a moist inhaled
into the lungs.

PURPOSES:-

1. To relieve respiratory insufficiency due to broncho spasm.


2. To reduce inflammatory and allergic response of the upper respiratory tract.
3. To increase vital capacity.
4. To correct the underlying respiratory disorders responsible for bronchospasm.
5. To liquefy and remove retained thick secretion from the lower respiratory
tract.
6. When a child or young person has an acute asthma attack
7. When a child or young person is in respiratory distress
8. If child or young person is unable to use an inhaler.
FUNCTION:
A nebulizer is a device that uses small compressors to convert liquid medication into tiny
droplets of mist that can be inhaled directly into the lungs.
Since the medication goes straight to the lungs, onset of the medication’s action often
takes place rapidly.
This promotes quick symptom relief in the case of illnesses such as asthma, where fast
relief is desirable.
Also, it minimizes the risk of side effects of the medication, preventing the medication
from being metabolized into a less effective form by the body.
ARTICLES:-

 Air compressor
 Connecting tube
 Nebulizer
 Medication and saline solution
 Sterile water
 Cotton balls
 Face musk
 Sputum cup with disinfectant
 Disposable tissue
 Kidney tray

PROCEDURE:-

1. Preparatory phase

2. Performance phase

3. Follow-up phase

SNO PROCEDURE RATIONALE

1 Identify patient and check physician’s Ensure that the right procedure has been
instructions. done for the patient.
2 Monitor the heart rate before and after the Drugs may cause tachycardia,
treatment for patients using bronchodilator palpitations, dizziness, nausea, or
drugs. nervousness
3 Explain the procedure to the patient. This Proper explanation of the procedure
therapy depends on patient effort. helps to ensure the patient’s cooperation
and effectiveness of the treatment.

4 Place the patient in a comfortable sitting or Diaphragmatic excursion and lung


a semi-Fower’s position. compliance are greater in this position.

5 . Add the prescribed amount of medication A fine mist from the device should be
and saline to the nebulizer. Connect the visible.
tubing to the compressor and set the flow at
6-8L/minute.

6 Place the mask on patient’s face to cover This encourages optimal dispersion of
his mouth and nose and instruct him to the medication.
inhale deeply and slowly through mouth,
hold breath and then exhale several times.
7 Observe expansion of chest to ascertain This will ensure that medication is
that patient is taking deep breaths. deposited below the level of the
oropharynx.

8 Instruct the patient to breath slowly and Medication will usually be nebulized
deeply until all the medication is nebulized within 15 minutes at a flow of 6-
8L/minute.

9 On completion of the treatment, encourage The medication may dilate airways,


the patient to cough after several deep facilitating expectoration of secretions
breaths
Follow
– up
phase Record medication used and description of Each patient has own breathing circuit
1. secretions (nebulizer, tubing, and mouthpiece).

Disassemble and clean nebulizer after each Through proper cleaning, sterilization,
2. use. Keep this equipment in the patient’s and storage of equipment, organisms can
room. The equipment is changed according be prevented from the lungs.
to facility policy.
PATIENT EDUCATION GUIDELINES

HOW TO USE AN INHALER AND SPACER:

Using Inhaler:

1. Make sure that the medication consist is attached to the plastic inhaler and shake well or
if using a dry powder inhaler system (DPI), load the medication according to the
manufacturer’s instructions.
2. If recommended, attach a spacer to your metered dose inhaler ( MDI).
3. In using close mouth method-place the mouthpiece of the inhaler in your mouth and close
lips tightly around it.
4. While starting to inhale, use your index finger to press down firmly on the top of the
canister.
5. Continue to inhale for 3-5 seconds to obtain a full breath, then hold your breath for 5 to
10 seconds.
6. Remove the in inhaler from your mouth before you exhale and breathe normally.
7. Replace the mouthpiece cap after each use.
8. Clean the inhaler according to the manufacturer’s instructions.

Using a Spacer:
Unless you use your inhaler correctly, much of the medications can end up in your tongue, on the
back of your throat, or in the air. If you experience this problem, your health care provider may
recommend using a spacer. Also called a holding chamber.

1. Shake well
2. Press the canister on the inhaler, which will put one puff of medicine into the holding
chamber
3. Place the mouthpiece of the spacer into your mouth and inhale slowly
4. Hold your breath a few seconds the exhale

SIDE EFFECTS

Dry or irritated throat, temporary or occasional cough


Sneezing, stuffy or itchy nose, watery eyes.
Burning or bleeding of your nose
Nausea, heartburn, stomach pain.
Dizziness, drowsiness, headache.
Unusual or unpleasant taste in your mouth.
Urinating more or less than usual.

REFERENCE:
1. Cicilia Correia, Pediatric Nursing Procedure, Principles and Practice. First Edition:
2017.Chapater 48 page 238 to 240.
2. Sister Cecy Correia, Principles & Practice of Nursing, Senior Nursing
Procedures VOL.2. Chapter 3 pages 15 to 22.
3. Annamma Jacob, Cinical Nursing Procedures:The Art of Nursing Practice.
Second Edition. Chapter 10, pages 240 to 241.

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