LESSON PLAN

ON
NEBULIZATION
NAME OF THE TEACHER : .............
NAME OF THE SUBJECT : FUNDAMENTALS OF NURSING
NAME OF THE PROCEDURE : Nebulization
DURATION : 1 Hour
DATE :
TIME :
VENUE : Lecturer hall 1
METHOD OF TEACHING : Lecture cum discussion & demonstration
AV AIDS : Black- board and mannequin
PREVIOUS KNOWLEDGE OF THE STUDENT : Student have some knowledge regarding the
procedure of nebulization.
GENERAL OBJECTIVE

At the end of the class, the students will able to understand the procedure of nebulization & its application in the
clinical field.

SPECIFIC OBJECTIVE:
At the end of the class, students will be able to tell about-

 Definition of nebulization.

 Purpose

 Contraindication

 Equipment used

 Procedure of nebulization.
S.No. TIME SPECIFIC CONTENT METHOD OF LEARNER’S A-V EVALUATION
OBJECTIVE TEACHING ACTIVITY AIDS
1. 2 To introduce the INTRODUCTION: Nebulization is a procedure of Lecture cum Listening Black What do you
minutes topic administration of medicines to the respiratory system. discussion board mean by
The drug given is absorbed by the mucous membrane of nebulization?
the respiratory system. The medications used are of
various types as bronchodilators, mucolytic etc.

2. 3 To define According to Siemens.com “reduction of a medicinal Lecture cum Listening Chart Define
minutes nebulization. solution to a fine spray” discussion nebulization?

According to Annamma Jacob,” Process of dispersing

liquid medication into microscopic particles (aerosol)
and delivering into lungs as patient inhales”.

3. 5 To tell the purpose of The purpose of nebulization are: Lecture cum Listening LCD What are the
minutes nebulization. 1. To administer medications directly into respiratory discussion purposes of
tract f or sputum expectoration. nebulization?
2. To reduce difficulty in bringing out thick tenacious
respiratory secretions.
3. To increase vital capacity.
4. To relieve dyspnoea.

4. 2 To tell the equipment
minutes used for nebulization
The equipment used for nebulization are : Lecture cum Listening OHP What are the
discussion articles used in
1. Air compressor. nebulization?
2. connecting tube
3. Nebulizer
4. Medication and saline solution.
5. Sterile water.
6. Cotton balls.
7. Face mask
8. Sputum cup with disinfectant.
9. Disposable tissues.
10. Kidney tray.
6. 20 To demonstrate the Lecture cum Observing Demon Demonstrate the
minutes procedure of PROCEDURE RATIONALE discussion, - procedure
nebulization. 1. Identify patient and Ensures that right demonstration stration
check physician’s procedure is done on right on
instructions and nursing patient. dummy
care plan.

2. monitor heart rate Bronchodilators may

before and after the cause tachycardia
treatment for patients palpitation, dizziness,
using bronchodilator nausea or nervousness.
drugs.

3. Explain the procedure Proper explanation of the

to the patient. This therapy procedure helps to ensure
depends on patient’s patient’s cooperation and
effort. effectiveness of the
treatment.

4. Place the patient in a Diaphragmatic excursion

comfortable sitting or a
semi Fowler’s position.
5. Add the prescribed
amount of medicine and
saline to the nebulizer.
Connect the tubing to the
compressor. A fine mist is
visible.
and lung compliance are
greater in this position.
Aerosol particles enable
deep penetration into
tracheobronchial tree.

6. Place mask on the This encourages optimal

patient’s face to cover his dispersion of the
mouth and nose and medication.
instruct him to inhale
deeply and slowly through
nose, hold breath and
exhale several times.
7. Observe expansion of This will ensure that
chest to ascertain that medication is deposited
patient is taking deep below the level of
breaths oropharynx.
8. Instruct the patient to Medication will usually be
breath slowly and deeply nebulized within 15
until all the medication is minutes.
nebulized.
9. On completion of the The medication may dilate
treatment encourage the airways facilitating
patient to cough after expectoration of
several deep breaths. secretions.

10. Observe the patient for Patient may develop

any adverse reaction to the bronchospasms due to
treatment. inhalation of aerosol. The
fluid may also cause dried
and retained secretion in
airways, leading to
narrowing of airways.

11. Record medication

used and description of
secretions expectorated.

12. Disassemble and clear Proper cleaning,

nebuliser after each use. sterilization and storage of
The tubing is changed in equipment prevents
every 24 hours organisms from entering
the lungs.
13. Wash hands.
BIBLIOGRAPHY :
1. Clement I. “Clinical nursing procedure”2nd edition, Elsevier publisher,Pg.-121.

2. Jacob Annamma “Clinical nursing procedure”,1st edition,Jaypee publisher,Pg-239

3. Sr.Nancy “Stephanies Principles and practice of Nursing”,N.R.Brother publication,Pg.-134.

4. Suddharth And Brunner, “A Textbook Of Medical And Surgical Nursing”, 10th Edition, Lippincott And
Wilkins Publisher, Pp - 778-780, 1425-1430
5. Black M. Joyce et all “Text Book Of Medical Surgical Nursing” vol 17th edition; Lippincott Williams And
Willkins Publications Pp 62-63
6. Luckman’s “Medical Surgical Nursing” vol 6, 7th edition; Elseviers publication, pp 77
7. http://www.google.com

8. http://www.wikipedia.com