VELEZ COLLEGE 
COLLEGE OF NURSING 
F. Ramos Street, CEBU CITY 
 
COLLEGE VISION:   “A globally recognized institution of academic excellence anchored on a strong
culture of integrity, service and research.” 
COLLEGE MISSION:   “To develop competent and productive professionals who are ethically and socially
responsible citizens of the world, with a passion for service and lifelong learning.” 
 
GROUP OUTPUT (Procedure Study) 
 
Name of the Students:  Year Level & Section / Group Number: BSN – 2A / Group 1 
1. Cala, Marnjan Antonette A. 
2. Esparaguera, Ma. Elliana D.   
3. Pocoy, Trixie Gwen     
4. Pugosa, Emil Joshua L. 
5. Taraya, Frank P. 
Name of Clinical Instructor: Dotillos, Emma Mae, RN  
Dates of Duty: January 25- February 20, 2021 Rotation: 1st  
Focus System: Respiratory disorders of pediatric clients  
Assigned Procedure: Nebulization 
 
Nebulization 
 
I. INDICATIONS OF THE PROCEDURE: 
In most cases, the drug is administered via a nebulizer in coughing, common cold, and other respiratory
diseases. The Nebulization Therapy is used to deliver medications along the respiratory tract and is
indicated to various respiratory problems and diseases such as:  
 Bronchial asthma 
 Chest tightness 
 Excessive and thick mucus secretions 
 Infectious lesions of the lower respiratory tract 
 Chronic Obstructive Pulmonary disease in adults 
 Pneumonia 
 Atelectasis 
 Tuberculosis and other diseases. 
 
II. MATERIALS/EQUIPMENTS/DEVICES NEEDED: (Include  here the different types of devices
indicated for pediatric clients if applicable) 
Different parts of a nebulizer: 
1. Nebulizer compressor – It is used to pump air into the medication cup to form a
breathable mist; it also serves as the base of the system 
2. Nebulizer cup - acts as the reservoir where measured liquid medication goes 
3. Mouthpiece - this is the opening through which the mist is inhaled. 
4. Tubing - transports air from the compressor to the medication cup 
5. Tubing connectors – connects the tubing to the compressor and nebulizer cup 
There are two (2) different power options exist for nebulizers: 
o a jet or compressor nebulizer 
o an ultrasonic unit  
A. Compressor nebulizer has a piston-style motor that uses compressed air to create the
mist. This compressor type can be loud as it works to create the mist. It often has
adjustable particle sizes and can vary in terms of treatment time. 
B. Ultrasonic nebulizer generates ultrasonic vibrations that transform water into a mist for
delivering the medication. This method means the nebulizer is very quiet compared to a jet
compressor. It typically delivers a treatment in about six minutes. However, not all
medications can be delivered with an ultrasonic nebulizer. It heats the medicine, which
may affect the quality of some medications. 
C. Large-volume nebulizer - turn liquid into a mist so that it can be inhaled. A large volume
nebulizer may be used for patients who have a tracheostomy or otherwise need to deliver
a mist that moisturizes their airway. In the home, a 50-psi air compressor usually powers
the large volume nebulizer. 
D. Small-volume nebulizer- The SVN is an aerosol generator used to deliver
liquid medications to the mid-to-lower airways. High velocity pressurized airflow is used to
convert drug solutions into fine mists with particles that can then be inhaled using a
facemask or mouthpiece. 
E. In-line nebulizer - is indicated in patients whom inadequate ventilation is suspected and
who present with bronchospasm. 
A mask is preferred for infants, because they often breathe through the nose instead
of the mouth.  
As a child gets older (usually age 6 or older), they may use a handheld
mouthpiece instead of a mask. This allows more of the medication to enter the lungs
instead of escaping around the mask. 
Type of Medications used: 
A. Inhaled antibiotics – an example is TOBI – which is used to treat certain
bacterial infection 
B. Inhaled beta-agonist – common example is Albuterol – used to promote relaxation of
the airways to make breathing easier 
C. Inhaled corticosteroids – used to treat asthma 
D. Dornase alfa (Pulmozyme) - helps loosen the thick mucus in the airways; used to treats
cystic fibrosis 
 III. PROCEDURE GUIDELINES 
PROCEDURE  RATIONALE 
1. Wash your hands properly.  1. To prevent contamination of
2. Greet the client, introduce yourself microorganisms  and  prevents
and explain the procedure.  infection  towards  the client. 
3. Make the patient sit in an upright 2. To make the patient informed  about the
position.  procedure  and who will assist in the  procedure. 
4. Provide client’s privacy.  3. To  provide  comfort to the patient. 
5. Wear your Personal Protective 4. Privacy and confidentiality are a legal matter for
Equipment  the patient. 
6. Auscultate for lung sounds 5. To obtain baseline data of the client and to check if
and monitor Vital Signs.  the client is deemed fit to undergo the procedure. 
7. Explain the breathing process to the 6. To obtain significant information that would help
patient during the therapy.  assess the situation of the client and  to monitor
8. Then connect the hose of the its  vital statistics. 
nebulizer to an air compressor.  7. To attain maximum benefits of the medication
9. Then fill the medicine cup with the being used during the procedure. This promotes
required medication and appropriate client cooperation to the procedure. 
saline solution as prescribed by a 8. To enable the nebulizer to function at its
doctor.  designated and ideal usage. 
10. Connect the hose and mouthpiece 9. To provide the medication needed for the nebulizer
or breathing mask to the medicine cup.  to be effective to the client  with an  exact amount
11. Now place the mouthpiece firmly in of dosage being prescribed by the doctor. 
between your lips, if using a breathing 10. To enable the medication to be administered to
mask attach the mask properly.  the patient with the use of the nebulizer. 
12. Then inhale the mist being sprayed 11. To  prevent the mist from escaping  and to make
on with the slow deep breaths.  sure that the medication  administered properly to
13. After the procedure, discard the the client. 
used breathing mask in the proper trash 12. To  make sure that the mist will be able to
bin following hospital protocol.  reach  the lungs of the client that would help
14. Perform Asepsis technique.  alleviate the symptoms that they experienced. 
15. Document the procedure and the 13. Maintaining proper aftercare of the soiled
medication that was administered to breathing mask prevents cross-contamination to
the patient.  the  patient, significant  others,  and the  nurse. 
16. Tell the client to report any adverse 14. To prevent cross-contamination  and infections
effects after the procedure being caused by microorganisms. 
performed.  15. Documentation serves as a legal document and to
17. Report any adverse effects prove that the procedure/medication was
manifested by your patient to administered to the client. 
the physician.  16. Patient teaching about the adverse effects helps
  prevents  complications. 
  17. To  inform  the physician about the unwanted
  effects that the client has manifested and helps
  to  provide  necessary actions in case of emergency
  situations. 
 
   
 
IV. NURSING INTERVENTIONS/HEALTH TEACHINGS TO BE GIVEN TO THE PATIENT OR SIGNIFICANT
OTHERS 
Nursing Interventions 
1. The efficacy of aerosol therapy, what type of fluids to use, the types of drugs that can be
delivered, and the effectiveness of therapy, haven’t been established.  
2. Monitor for overhydration, especially in the patient with a delicate fluid balance.  
3. Carefully monitor for adequate flow if oxygen is being delivered at the same time.  
4. Encourage the patient to take slow, even breaths to derive maximum benefit. 
Health Teachings 
 If Nebulization will be made at home, Instruct the parents or guardians to be with their child to
avoid burn. 
 If nebulization will be given to infants at home, Instruct the parents to take extra care and hold
the baby and the breathing mask firmly in place. 
 Instruct the parents that the materials and equipment’s to be used should be clean. 
 Instruct the parents that if an allergic reaction to a nebulized medication will occur, immediately
stop the nebulization process and bring the patient to the clinic or hospital as soon as possible. 
References 
Inhalations with  nebulizer. (2017, May 13). Retrieved February 2, 2021,
from Ulaizer: https://ulaizer.com.ua/en/news/ingalyatsii-s-nebulajzerom/ 
Nursing for Nebulization. (2019). Retrieved February 2, 2021,
from Portea: https://www.portea.com/nursing/nebulization 
Nall, R. (2018, September 26). Nebulizers for Babies: How They Help Treat Respiratory
Issues.  From Healthline:  https://www.healthline.com/health/nebulizer-for-baby 
Tips & advice center: General nebulizer information. (n.d.). from Just
Nebulizers: https://justnebulizers.com/pages/general-nebulizer-information 
 
 
General format: 
 Paper size: 8.5” by 11” (short-sized) 
 Margin: left is 1” the remaining sides are 1” 
 Line spacing: single 
 Font: Calibri 
 Font size: 11 
 
Grading Criteria  
 Output – 30% 
 Procedure Study – 60% 
 Guide questions – 30% 
Total – 100%