NEBULIZATION

THERAPY

Purpose of Nebulizers
Nebulizers are inhaler devices used to treat
asthma and allergies. The inhaler aerosolizes
medication prescribed by a doctor to help
reduce inflammation and dilate air passages.
The treatments are used as a preventative
measure against acute allergic reactions or as a
treatment during asthma attacks. Some
nebulizers are available over the counter, but
most require a prescription from a doctor.

Point of Nebulizers
A nebulizer has a liquid medicine in a machine
or hand held bottle with an attached pump.
Using the machine or compressing the hand
held pump converts the liquid medication into a
mist. The mist is inhaled into the trachea of
patient. The inhalant medication travels to the
lungs and reverses the symptoms of asthma and
allergies. Wheezing, coughing, or difficulties in
breathing are alleviated almost immediately
when the medication is delivered.

INDICATION
Nebulization therapy is used to deliver medications along the
respiratory tract and is indicated to various respiratory
problems and disease such as:

Bronchospasms
Chest tightness
Excessive and thick mucus secretions
Respiratory congestions
Pneumonia
Atelectasis
Asthma

Parts of Nebulizer
Mouthpiece
Nebulizer cup
Tubing
Compressor

Equipment needed:
Nebulizer and nebulizer connecting tubes
Compressor oxygen tank
Mouthpiece/mask
Respiratory Medication to be administered
Normal Saline solution

Procedure
Position the patient appropriately, allowing optimal
ventilation.

Assess and record breath sounds, respiratory status,

pulse rate and other significant respiratory functions.

Teach patient the proper way of inhalation:

- slow inhalation through the mouth via mouthpiece
- short pause after the inspiration
- slow and complete exhalation
- some resting breaths before another deep inhalation

 Prepare equipments at hand

Check the doctors orders for the medication,
prepare thereafter

Place the medication in the nebulizer while

adding the amount of saline solution ordered.

Attach the nebulizer to the compressed gas

source

Attach the connecting tubes and mouthpiece to

the nebulizer

Turn the machine on (notice the mist produced

by the nebulizer)

 Offer the nebulizer to the patient, offer assistance

until he is able to perform proper inhalation ( if
unable to hold the nebulizer, replace the
mouthpiece with mask

Continue until medication is consumed

Reassess patient status from breath sounds,
respiratory status, pulse rate and other significant
functions needed. Compare and record significant
changes and improvement. Refer if necessary.

Attend to possible side effects and inhalation

reactions

Complications
Possible effects and reactions after nebulization
therapy are as follows:

Palpitations
Tremors
Tachycardia
Headache
Nausea
Bronchospasm (too much ventilation may result of
exacerbate bronchospasm)

Teachings
As nurses, it is important that we teach the
patients the proper way of doing the therapy to
facilitate effective results and prevent
complications ( demonstration is very useful).
Emphasize compliance to therapy and to report
untoward symptoms immediately for opposite
intervention.

Question # 1
It is the process of medication administration via
inhalation. It utilizes a nebulizer which
transports medications to the lungs by means of
mist inhalation.

2-5
Name the four parts of nebulizer

6-8
Give 3 respiratory dse. that nebulization therapy
is used.

Question # 8
What is the first step of the procedure.
A. Position the client
B. Assess the clients breath sound
C. Assemble the equipments
D. Attach the nebulizer to the mouthpiece and the
connecting tube

9-10
Give two equipment that is used in nebulizing.