Nebulization

Nebulization
basic foundation nursing procedure includes definition, indication, brief history, working principle, types, steps, articles, procedure, side effect

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1. NEBULIZATION VIPIN PATIDAR Tutor/Clinical Instructor College of Nursing, AIIMS Deoghar www.vipinpatidar.wordpress.com

2. Definition Process of dispersing liquid medication into microparticles and deliver into the lungs as patient inhales. www.vipinpatidar.wordpress.com

3. Purposes To Administer medication. To soften the thick secretions. To increase vital capacity. To relieve dyspnea. www.vipinpatidar.wordpress.com

4. Indication if a person has stridor. respiratory congestion. pneumonia asthma COPD RTI Atelectesis www.vipinpatidar.wordpress.com

5. history The first powered or pressurized inhaler was invented in 1858 by sales in france. It used pressure to atomize the liquid medication. The first steam driven nebulizer was invented in 1864, Germany (siegle’s steam spray inhaler) The first electrical nebulizer was invented in 1930s called as pneumostat. www.vipinpatidar.wordpress.com

6. Working Principle It works on “bernoulli’s Principle”. 19th century the search for atomization or nebulizing. Daniel bernoulli observed that when water hits a rock it creates a mist that can be inhaled. later he published a book where he describe similar effect . www.vipinpatidar.wordpress.com

7. Types Inhaler (MDI, DPI) Jet nebulizer Ultrasonic nebulizer www.vipinpatidar.wordpress.com

8. Inhaler (MDI, DPI) A liquid propellant. A metering valve that dispenses a constant volume of solution. no Propellant in DPI the drug is formulated in a filler and contained in a capsule, that is place in the dvice and puncture to release the powder. www.vipinpatidar.wordpress.com

9. Ultrasonic nebulizer aerosol can be created with high frequency sound wave (1-2 MHz) it causes ultrasonic vibration, which travel through liquid and produce aerosol. higher output than jet nebulizer. www.vipinpatidar.wordpress.com

10. Jet nebulizer Gas is forced through narrow orifice. negative pressure created it allow small particle for inhalation www.vipinpatidar.wordpress.com

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12. Preliminary assessment Check : The doctor’s order for any specific instruction General condition & diagnosis of patient Self care ability to follow instruction. Type, duration & medication of inhalation Articles available in unit . www.vipinpatidar.wordpress.com

13. Preparation of patient & environment Explain the procedure to the patient. monitor the heart rate before and after use of bronchodilator drug. Provide fowler’s position with back rest , cardiac table. Close windows, door & put off the fans to prevent draught. www.vipinpatidar.wordpress.com

14. Provide sputum mug with in the reach of patient Provide a face towel to remove sweat from face during inhalation Arrange the articles at bed side. Preparation of patient & environment (Conti...) www.vipinpatidar.wordpress.com

15. Preparation of article A tray containing : Air compressor nebulization mask connecting tubes. medication/saline. Gauze Piece Sputum cup with antiseptic solution. face towel. kidney tray. www.vipinpatidar.wordpress.com

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18. Steps of procedure Wash hands add priscribe amount of medication/saline to the nebulize. connect the tubings to the compressor. place the mask on patient face (cover mouth and nose). instruct the patient to inhale deeply and slowly through mouth, hold breath and exhale. (for several time) observe the expansion of chest. www.vipinpatidar.wordpress.com

19. Steps of procedure Instruct the patient to breath slowly and deeply until all medication is nebulized. encourage the patient to cough after completion of procedure. observe for any side effects. Document the findings. Clean all articles & replace properly wash hands. www.vipinpatidar.wordpress.com

20. Points to remember If indicated provide nebulization using Oxygen source. time should not be exceed 10-15 min. used diluents as normal saline, if prescribed. www.vipinpatidar.wordpress.com

21. Side effects Dry or irritated throat, sneezing itchy nose watery eyes. burning or bleeding nose. nausea unplesant taste in mouth www.vipinpatidar.wordpress.com

22. Thank you…  www.vipinpatidar.wordpress.com