Nebulization

Definition:
-a process of adding mixture to inspired air by mixing particles of varying sizes w/ the air.
-a production of fog/mist used
-used often w/ bronchodilator drugs

Bronchodilator drugs – are agent that dilates the bronchioles of the lungs.

Effects of Bronchodilators
1. Tachycardia
2. Dyspnea
3. Palpitation
4. Nausea & Vomiting
5. Dizziness

Purposes of Nebulization
-To deliver medication in droplet form & to soothe irritated, inflamed & congested mucous membrane
-To loosen secretion in the respiratory

Equipment
1. Nebulizer machine
2. Nebulizer kit – cup, dome, tubing, t-piece, mouthpiece & mask
3. Drug ordered

Things to Remember Before the procedure
1. Check the doctors order
2. Make sure that the medication has a ticket
3. Identify the patient & explain the procedure
4. Always do handwashing & observe appropriate infection control measures

Procedure
1. Assemble all the equipment needed
2. Place ordered medication on the nebulizer bottle
3. Attach tubing to connector
4. Assess the patient to a Fowlers position
5. Instruct the patient on the following:
A. Mouthpiece
- Keep lips closed tightly around the mouthpiece
- Breath only through the mouth
-Observe the expansion of the chest
-Tell the patient to take a deep breath from the mouthpiece

6. Instruct the patient to breath slowly & deeply until all the medication is consumed.

7. On completion of medication
-Encourage patient to cough after deep breaths/do chest tapping

8. After the medication; remove the nebulizer kit to the nebulizer machine & make the client comfortable

9. Disassemble, clean the nebulizer machine kit after each use.
10. Do handwashing
12. Documentation/Record the assessment, observation during the procedure.