TIME SPECIFIC CONTENT TEACHIN AV AIDS EVALUATION

OBJECTIVE G
LEARNING
ACTIVITY
30 The students  INTRODUCTION: The teacher Lecture
secs will be able to: introduces
Nebulization can be an important the topic.
adjunct to the management of
respiratory disease. Nebulization
involves using compressed air
through a ‘nebulizer’ to convert
liquid medications into a mist that
can then be breathed in by the
patient. Different nebulizers
produce mists with differing
particle sizes. The particle size
produced is very important,
because the larger the particles,
the sooner they drop out of
suspension in the mist and
therefore the less far into the
respiratory tract they are able to
1 min Define penetrate. The teacher Lecture What is
Nebulization. defines the nebulization?
 DEFINITION: procedure as
- Nebulization is the process of the students
medication administration via listen.
inhalation. It utilizes a
nebulizer which transports
medications to the lungs by
means of mist inhalation.

- It is a respiratory device which

turns aqueous solution of drug
into a mist of fine particles for The Lecture What is the aim
gives
30 State the aim of inhalation of nebulization?
lecture and
secs nebulization students
procedure.  AIM: listen.

- The main of nebulizer therapy

is to deliver a therapeutic dose
of desired drug within a short
delivery time (approximately
10 mins).

1 min Explain the - The commonly used drugs are Lecture What is the
beta agonists, anticholinergics, The gives and purpose of
purpose of lecture and discussion nebulization?
nebulization corticosteroids and antibiotics.
students
procedure. listen.
 PURPOSE:
1. To improve the clearance of
pulmonary secretions.

2. To relax airway smooth

muscles and allow easier
 breathing.
TIME SPECIFIC CONTENT TEACHIN AV AIDS EVALUATION
OBJECTIVE G
LEARNING
ACTIVITY
3. To administer drugs like
bronchodilators and
mucolytic agents.

 INDICATION:
1 min List down the The teacher Lecture What are the
indications of Nebulization therapy is used to and student and indications of
nebulization deliver medications along the discuss the discussion nebulization?
procedure. respiratory tract and is indicated to indications
various respiratory problems and of
diseases such as: nebulization.
a. Bronchospasms
b. Chest tightness
c. Excessive & thick mucus
secretions
d. Respiratory congestions
e. Pneumonia
f. Atelectasis
g. Asthma
1 min Discuss the The gives Lecture What are the
contraindication  CONTRAINDICATIONS: lecture and contraindications
s nebulization students of nebulization?
procedure. In some cases, nebulization is listen.
restricted or avoided due to
possible untoward results or rather
decreased effectiveness such as:

- Patients with unstable and

increased blood pressure.
- Patients with cardiac
irritability (may result to
dysrhythmias).
- Patients with tachycardia.
- Unconscious patients
(inhalation may be done via
1 min mask but the therapeutic effect
List down the Lecture What are the
may be significantly low). The gives
types of lecture and types of
nebulizers.  TYPES OF NEBULIZERS: students nebulizers?
listen.
There are 3 types of nebulizers.
Each system produces medicated
aerosol in a slightly different way
to deliver these particles deeply
into the lungs. Other differences
between these types of nebulizers
is their efficiency and the amount
of medication they deliver to the
lungs. The types are:
TIME SPECIFIC CONTENT TEACHIN AV AIDS EVALUATION
OBJECTIVE G
LEARNING
ACTIVITY
a) Jet nebulizers use compressed
gas to make medicated mist. It
breaks down the solution into
small droplets, measuring 1 to 5
micrometers, which a patient can
easily inhale.

b) Ultrasonic nebulizers use

ultrasonic sound waves to create
a vibration that breaks down the
liquid into tiny particles. The
particles delivered by ultrasonic
nebulizers are larger, but more
uniform in size compared to
those delivered by jet nebulizers.

c) Vibrating Mesh or Membrane

Nebulizers: As the liquid passes
through multiple holes in the
mesh, the vibrating action
generates medicated aerosol.
Mesh nebulizers produce
consistent aerosol particles that
reach deep into the lungs.
Patients may prefer mesh
nebulizers because these devices
are fast, quiet, portable, and easy
to use.
2 Demonstrate The teacher Demons What are the
mins the demon- -tration articles needed
preparation of strates the for the
articles.  PREPERATION OF preparations procedure?
ARTICLES: of articles.

A tray containing:
1. Hand rub
2. 0.9% Normal Saline
3. Alcohol swabs
4. Wet gauze piece
5. Dry gauze piece
6. Nebulization mask with
tubing (appropriate size)
7. Prescribed drug
8. 5 cc syringe
9. Kidney tray
10. Paper bag
There should be connection with air
compressor / oxygen source.
TIME SPECIFIC CONTENT TEACHIN AV AIDS EVALUATION
OBJECTIVE G
LEARNING
ACTIVITY
10 Demonstrate  STEPS OF THE The teacher Demons How will you
mins the procedure PROCEDURE: demon- -tration carry out the
of strates the procedure of
nebulization. 1. Identify right patient. preparations nebulization?
2. Explain the procedure to the of articles.
patient or mother.
3. Wash hands.
4. Cross-check medication card and
drug.
5. Provide semi-fowler’s position
to the patient or in mother’s lap.
6. Monitor the heart rate before the
procedure as bronchodilators
cause tachycardia & palpitation.
7. Clean the mask with wet swab
with normal saline, followed by
dry swab.
8. Clean the connecting tube with
alcohol swab.
9. Add prescribed amount of
medicine and normal saline in
the chamber.
10. Connect the tubing to the
compressor, set the prescribed
flow (6-8 L/min), check for the
mist formation.
11. Position the mask to the patient’s
face, ask the patient to take deep
breaths, hold the breath briefly
and then exhale for optimum
dispersion of medication, if the
child can comprehend.
12. Provide diversional therapy to
keep the child calm.
13. Monitor the condition of the
patient, check for finishing of the
medication which generally
takes about 10-15 mins.
14. After completion of the
medication, remove the mask
and give comfortable position to
the patient and wipe face with
dry swab.
15. If possible, encourage the child
to cough. Expectorant to be
disposed properly.
16. Monitor vitals of the child and
record it. Record the procedure
and description of secretion.
TIME SPECIFIC CONTENT TEACHIN AV AIDS EVALUATION
OBJECTIVE G
LEARNING
ACTIVITY
17. All articles are replaced and
disposed as appropriate; soiled
swabs in yellow plastic,
medication plastic ampoules in
blue plastic. The nebulizer
chamber is to be rinsed and dried
thoroughly.
18. Mask is generally reused for
same patient. It is wiped in the
inner side with saline water and
outsides and tubing with spirit
cotton. It is then wrapped in a
clean gauze piece and stored in
dry covered place.

 COMPLICATIONS:
1 min List down the The gives Lecture a What are the
possible Possible effects and reactions after lecture and & complications of
complications nebulization therapy are as follows: students Discussion nebulization
of the a) Palpitations listen. procedure?
nebulization b) Tremors
procedure. c) Tachycardia
d) Headache
e) Nausea
f) Bronchospasms (too much
ventilation may result or
exacerbate bronchospasms)
30  SUMMERIZATION:
secs
Nebulization is the process of
medication administration via
inhalation. Nebulization therapy is
used to deliver medications along the
respiratory tract and is indicated to
various respiratory diseases like
Bronchospasm, excessive & thick
mucus secretions, pneumonia, etc. In
this procedure, medication is diluted
and the aerosol delivered to the lungs
by inhalation through mask.
30
secs  CONCLUSION:

Nebulization takes place as a result

of the disruption of the liquid by the
expanding vapour that is formed
upon evaporation of part of the
liquid in the tube. Through
nebulization particles of 1–5 microns
 (μm) penetrate into the narrow
branches of the lower airways
making the medication deeply
penetrable and effective in a
comparative short span of time.

 BIBLIOGRAPHY:

1. Potter AP, Perry GA. Fundamentals of Nursing, 6th edition. Mosby Publication, St. Louis, 2006,
Page: 402-409.
2. Jacob A. Clinical Nursing Procedures. The art of Nursing practice. Jaypee Brothers Medical
Publishers Pvt. Ltd., New Delhi;2006. Page no: 92-96.
3. Lewis SM, Heitkemper MM, Dirksen SR. Medical Surgcal Nursing, 6th edition. Missouri:
Mosby;2004.Page no: 702-704.
4. https://nebology.com/blogs/education/what-are-the-different-types-of-nebulizers
5. https://www.sciencedirect.com/topics/immunology-and-microbiology/nebulization
 Subject - Child Health Nursing
 Topic - Nebulization
 Group - 1st Year M.Sc. Nursing students
 Number of Students - 02
 Date –
 Time –
 Duration – 20 mins
 Methods of Teaching - Lecture & Demonstration.
 AV Aids – Live demonstration.
 Language - English.
 Name of the Student Teacher – Mrs. Rittika Das Neogi.
 Name of the Evaluation - Mrs. Debasmita Mahanti, Assistant Professor.
 Previous Knowledge of the group - The group has some knowledge about the
various teaching methods.
 General Objectives - By the end of the class, students will be able to –
a. Administer Nebulization effectively and efficiently.