View source for Medication Administration Nebulizer

==Procedure Guidelines==
===9.21 MEDICATION ADMINISTRATION - NEBULIZER===


====INDICATIONS:====
* [[Acute Asthma or COPD with Wheezing|Acute asthma / COPD With Wheezing]] – PRACTICE PARAMETER 3.01
* [[Infectious Upper Airway Obstruction - Croup or Epiglottitis|Croup / Epliglottitis]] – PRACTICE PARAMETER 3.04
* [[Acute Cardiogenic Pulmonary Edema Pneumonia|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

[[Category:Procedure Guidelines]]