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Using a Nebulizer

Introduction:
Nebulizers are electric mist-making machines that change liquid medication into a mist that a person with asthma can breathe. These instructions describe jet nebulizers -- the most common. A jet nebulizer consists of an air compressor that pumps air in toa nebulizer bowl, where the mist is made from the air going in to the nebulizer bowl and mixing with the liquid in the bowl. Not all nebulizer bowls work the same way. For example, some create a continuous flow of mist once plugged in and turned on. Others only start to work when the nebulizer bowl senses the child has begun to breathe. These instructions will be helpful for most types of nebulizers.

1. Preparing the medication:


a. Make sure the liquid medication is not out-of-date. Make sure it was properly stored (in the right temperature and sealed container). Be sure your nebulizer machine is working properly. b. Place the liquid medication in the nebulizer bowl. Be sure to measure the right amount. c. Remember, the more liquid put into the bowl, the longer you need to breathe it all in. d. Dont worry if you are always left with a small amount of liquid in the bowl after nebulization. It is normal for a small amount to be left there, no matter how long you keep the nebulizer on. You will find that the same amount is left in the bowl, no matter how much started off in there.

2. Best ways to breathe the mist (or nebulized) medication:


a. The child should be in a relaxed position. Offer the child something quiet to do (like reading, for example) so he/she will stay quiet while breathing in the medication. b. Allow older children to hold the nebulizer while breathing in the mist. For young children, a parent may need to be there all the time, holding the nebulizer bowl and keeping them calm. c. It is best for a child to breathe the medicated mist through a mouthpiece, and to insert the mouthpiece into the mouth. Because infants and toddlers often dont like this, use the second best technique for them: use a mask that is placed securely around the childs mouth and nose. If a child refuses the mouthpiece and the mask, then just hold the tube with the mist blowing close to the his/her mouth and nose (this is called the blow-by technique). Only use this blow-by technique if the other ways are refused. d. Older children who understand should take slow and deep breaths. About every 30 seconds, the child can take a short rest from these slow and deep breaths, and breathe normally. e. Some children who are using the mouthpiece for nebulization, need to have their nose plugged (a nose clip, or just plugging the nose with their fingers). By blocking the nose, you are sure that the child isnt breathing in regular air from the nose, instead of medicated mist through the mouth.

f. Breathing all the medication can take from 5 to 15 minutes. The time depends on your machine, the childs breathing, and the amount of medication. When you hear sputtering, it is time to stop.

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