Medication Administration Nebulizer

Procedure Guidelines

9.21 MEDICATION ADMINISTRATION - NEBULIZER

INDICATIONS:

• Acute asthma / COPD With Wheezing – PRACTICE PARAMETER 3.01
• Croup / Epliglottitis – PRACTICE PARAMETER 3.04
• Acute Pulmonary Edema - PRACTICE PARAMETER 4.11

EQUIPMENT:

• 1 oxygen supply tubing.
• 1 nebulizing chamber.
• 1 T piece.
• 1 mouth piece or aerosol mask.
• Non-humidified oxygen with a flow meter.
• Medication to be given.

Aerosol mask doesn’t require patient’s help and may deliver a higher O2 percentage.

PROCEDURE:

• Assemble oxygen supply tubing to the nebulizer.
• Add the medication to the nebulizing chamber.
• Connect the top of the nebulizing chamber.
• Connect the T piece to the top of the nebulizing chamber.
• Connect the mouth piece to the T piece.
• Connect the oxygen supply tubing to the oxygen flow meter.
• Set the flow meter to 6 - 8 liters / minute and watch for the medication to mist.
• Give the nebulizer to the patient and have them breathe the medication.
• If the patient is unable to hold the nebulizer, remove the mouth piece from the T piece and apply T piece to an aerosol mask.
• Auscultate breath sounds.

MONITOR:

• Blood pressure
• Heart rate
• Respiratory status