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Administering nebulised medication

Introduction

  • Wash hands; Introduce self; Patient’s name, DOB and wrist band; Explain procedure and obtain consent
  • Allergy check: check for allergies with patient and on drug chart
  • Prescription check: check the prescription drug and dose, and confirm the name and DOB are correct (check with patient and their wristband)

Preparation 

  • Wash hands 
  • Gather equipment (think through what you need in order)

Equipment list

  • Mouthpiece or facemask 
  • Nebuliser 
  • Tubing
  • Drug nebule – CHECK DATE, DOSE, PRESCRIPTION AND ALLERGIES
  • Nebuliser compressor machine or compressed air/oxygen supply

  • Assemble the nebuliser and tubing
  • Attach mouthpiece
  • Wash hands
  • Put on gloves
  • Open the nebuliser drug chamber (just below the mouthpiece)
  • Squeeze the drug nebule to pour it into the chamber  
  • Close the nebuliser drug chamber
  • Discard waste; then discard gloves; wash hands
  • Walk to patient

Procedure

  • Wash hands 
  • Give the mouthpiece or facemask to the patient
    • Mouthpiece: lips should create a seal around it
    • Facemask: should fit well around patient’s face
  • Connect the nebuliser tubing to the compressor machine or compressed air/oxygen supply (flow 6-8L/minute)              
  • Ask the patient to breathe in and out normally
  • When nebule has fully nebulised, turn off compressor or compressed air/oxygen supply and remove mouthpiece or facemask from patient

To complete

  • Thank patient
  • Discard waste; then discard gloves; wash hands
  • Sign on the drug chart that the drug has been administered

Try some questions

How are nebulisers best administered?

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Which medications are commonly used via nebuliser for asthma/COPD and what are the doses and maximum frequencies of use?

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