SINHGAD COLLEGE OF NURSING NARHE, PUNE.
CLINICAL TEACHING
ON
NEBULIZATION
SUBMITTED TO, SUBMITTED BY,
Mrs. Suhasini Sanas, Ms. Prajakta P.Maind
HOD of Pediatric Nursing, F.Y. M .sc. nursing,
SCON, PUNE. SCON, Pune.
SUBMITTED ON –
INTRODUCTION
▪ Name of the student : Ms. Prajakta Prakash Maind
▪ Name of the evaluator : Mrs. Suhasini Sanas
▪ Subject : Child Health Nursing (Specialty – 1)
▪ Topic : Nebulization
▪ Venue : Paediatric medicine ward
▪ Class : First year M.Sc. Nursing
▪ Date : 4/12/2024
▪ Size of group :
▪ Method of Teaching : Discussion cum Demonstration method
▪ Previous Knowledge Of Group : The group have some knowledge regarding nebulization
GENERAL OBJECTIVES:
At the end of the class students will be able to gain in depth knowledge about nebulization and will be able to apply the same in their
clinical practice.
SPECIFIC OBJECTIVES:
At the end of class students will be able to;
1. Define the nebulization
2. Enlist the purposes of nebulization
3. Discuss indication and contraindication of nebulization
4. List down the articles and drugs used for nebulization
5. Demonstrate the procedure of nebulization
6. Explain the medicines used in nebulization therapy
7. Describe the advantages of nebulization
SR SPECIFIC TIME CONTENT TEACHIN AV AID EVALUATION
G
NO OBJECTIVE
LEARNIN
S G
ACTIVITY
1.
5 Min
Introduction Teaching Discussi
INTRODUCTION :
ofnebulization Activity on
• Aerosol drug administration also known as inhalation Student
Teacher understood
therapy or nebulized drug therapy, is method by which drugs introduce th
are dispersed into the lungs. Nebulization is the process of the eintroduction
nebulization of
medication administration via inhalation. It utilizes a
nebulization.
nebulizer which transports medications to the lungs by
means of mist inhalation.
Learning
Activity
Student
understand
the
introductio
nof
nebulizatio
n
2. Definition of DEFINITION : Teaching
Activity
nebulization Student
2 min It is a therapy which is used to treat the respiratory problem or a
method of treatment for patient with respiratory infection by a Student understood the
electronic device known as nebulizer which is used for spraying teacher tell definition of
the medications into the deeper part of respiratory tract in the the nebulization
form of cloudy like fine particles or fine mist (vapor). definition of
nebulization
Nebulization is the process of medication administration via
inhalation. It utilizes a nebulizer which transports medications to
the lungs by means of mist inhalation.
Learning
Activity
Students able
to understand
definition of
nebulization.
discussion
3. Enlist the PURPOSES : Teaching Student
2 min Activity understood the
purposes of purposes of
➢ Used to treat asthma and allergies Teacher tell
nebulization.
nebulization the purposes
➢ Preventative measure against acute allergic reactions or of
as a treatment during asthma attacks. nebulization
➢ Wheezing, coughing, or difficulties in breathing are
alleviated almost immediately when the medication is
delivered.
➢ treat the condition of respiratory tract by adding air
borne water particles. Learning
Activity
➢ To thin the secretion.
Students
know the
➢ Induce a productive cough.
purposes of
nebulization
Teaching
Activity
4. List down INDICATION : Students
2min Teacher tell understood the
➢ Bronchospasms
indication the indication indications and
➢ Chest tightness and contraindication
and
➢ Excessive and thick mucus secretions contraindicat of nebulization.
contraindicat ion of
➢ Respiratory congestions
nebulization
ion of ➢ Pneumonia.
nebulization ➢ Atelectasis
➢ Asthma
Learning discussion
Activity
CONTRAINDICATION : Students
in some cases, nebulization is restricted or avoided due to possible understand
untoward results or rather decreased effectiveness such as the
indications
➢ Patients with unstable and increased blood pressure
and
➢ Individuals with cardiac irritability (may result to contraindicat
dysrhythmias) ion of
➢ Persons with increased pulses nebulization
➢ Unconscious patients (inhalation may be done via mask but
the therapeutic effect may be significantly low
5. ARTICLES :
List down the
A clean tray containing
Teaching
equipments
Activity
Student
5min ➢ Nebulizer and nebulizer connecting tubes Teacher. understood the
➢ Face mask/mouth piece article required .
➢ Nebulizing solution (drug and normal saline for dilution)
➢ Sputum mug
➢ 2 ml and 5 ml syringes
➢ Stethoscope
Learning
➢ Face towel-for wiping the face
Activity
➢ A bowl containing spirit swabs
➢ A bowl containing normal saline swabs Student able
➢ A bowl containing dry cotton swabs. to understand
➢ Kidney tray and paper bag. article
➢ Gauze piece required
➢ Watch -to note time duration for nebulization therapy.
6.
Describe Teaching Students
advantages and MEDICATIONS USED IN NEBULIZATION
activity understood
disadvantages THERAPY: discussion
about
of nebulization Teacher tell
advatanges and
1. Albuterol and Levalbuterol about the
disadvantages
advantages
of nebulization.
2. Albuterol (AccuNeb) and levalbuterol (Xopenex) are closely and
related medications used for quick relief of asthma symptoms disadvantag
e
3. Ipratropium Bromide
4. Budesonide.
5. Asthalin Learning
activity
Students
ADVANTAGES OF NEBULIZATION will able to
understand
THERAPY
avantages
➢ Invaluable for small children who just cannot use any and
other inhalation device. disadvantag
e of
➢ Useful for old people who cannot coordinate inhalers nebulization
➢ Useful in an acute attack situation for home self use.
➢ Having a nebulizer at home is a psychological support
to the patient that effective help is at hand.
➢ Some very severe asthmatics get more relief with
nebulized medicines as compared to the usual inhaler
devices
DISADVANTAGES OF NEBULIZATION
➢ The cost of treatment goes up considerably.If the same
usual asthma medication by inhaler is about 6 rupees a
day, by nebulizer it would cost 160 to 80 rupees a day.
For a few day's treatment that would not matter much.
But for long term treatment it would be a concern for
most.
➢ There are chances of carrying the infection from
unsterile chambers of tubings into the lungs, especially
with long teren use.
➢ A lot of d of drug is wasted that vapour which is
coming out from the side
Students able to
redemonstrate the
Teaching
Explain the 20 min ➢ PROCEDURE : procedure of
Activity nebulization .
procedure of
7. nebulization ➢ Wash the hands before doing procedure and explain the Teacher
procedure to parent's child. demonstrate
the
➢ Select a suitable place to administer nebulization therapy procedureof
nebulization
➢ Cleaning and wiping of nebulizer and its and check the
nebulizers working condition.
➢ Check and assemble all the articles at the articles at the
bed side of the child
➢ Pour prescribed medicine in correct dilution in nebulizer Learning
cup Activity
➢ Provide a fowlers position to the child and auscultate the Student able
to do
child for breath sound.
procedure.
➢ Place the face mask which covers nose and mouth and
instruct child to take deep breath.
➢ During the procedure:
➢ Switch on the nebulizer and observe patency of tube
which is connected to nebulizer.
➢ Administer nebulization therapy for 10 to 5 minutes and
observe the child for any side effects and note the time of
starting the therapy.
➢ Turn off the nebulizer when the patients treatment is over
or while child feels coughing.
➢ Asthalin respirator solution : used medicine or drugs of list
out the listening choice to treat the respiratory disorders
➢ which contain names of salbutamol.
After the procedure:-
➢ Provide the child a comfortable position and encourage to
cough out.
➢ Check the breath sound of the child by auscultation (post-
observation) If perspiration is present wipe the Childs face
with clean soft face towel.
➢ Wash and replace all the articles and keep them ready for
the next use. Record the procedure and vital signs in
nurse's notes and report to the staff nurse incharge.
How to clean:
After each use the device must be cleaned.
Dis-assemble the mouth piece, nose piece or face mask
from cap, open nebulizer cup and remove baffle
Wash all the items, except tubing in a hot water/detergent
solution, rinse under the hot tap waler remove detergent
residue. Allow to air dry on clean paper.
Keep the outer surface of the tubbing dust free by wiping
regularly with the clean dry cotton swat once in a day.
Nebulizer tubbing does not have to be washed because
only filtered a passes though it.
Use a dry clean cloth to clean the outer part of the
nebulizer
Compressor cleaning:
With power switch in the "off" position, unplug power
cord from wall out-let Wipe outside of the compressor
cabinet with clean damp cloth dry cotton to keep dust-free
Important safe guards:
* The nebulizer must not be touched with wet or soaked
hands.
No smoking, no sparks around the electrical equipment.
Do not pour medication solution more than 10ml into the
jet nebulizer/medication cup.
Complication:
1.Palpitations
2. Tachycardia
3.Headache
4.Nausea
SUMMARY :
At the end of clinical teaching we
summarize our topic. We discuss about the meaning of
nebulization, indication and contra indications, advantages and
disadvantages, procedure of nebulization.
CONCLUSION :
Nebulization therapy is the most preferred and effective method
in the treatment of children with respiratory problems, because it
sends medications directly into the deep parts of the respiratory
tract The cleaning of instrument, dose of medicine and steps of
the procedure should be care full followed Follow the
instructions given by the physician/pediatrician. So far we have
learned about the definition of the nebulization therapy,
nebulizer and its parts, purpose, indication, contra-indications,
complications, drugs used, procedure, cleaning the equipments
and important safe guards about nebulization therapy.
BIBLIOGRAPHY:
1. Mayoor K Chheda , Practical Aspects Of Pediatrics, 8th
edition, Page no. 112-113.
2. PV Clinical Nursing Pediatric Procedure Mannual, page
no.110-112
3. Pediatric Nursing Procedure Book , Page No.53-55.
4. https://www.scribd.com.
5. Htttps://www.slideshare.net.
