Group 1 - Nebulizations PDF

GUAYAQUIL UNIVERSITY
FACULTY OF MEDICAL SCIENCES

NURSERY CAREER
CHAIR:
ADULT CLINICAL NURSING
GROUP N ° 1
ISSUE:
NURSING CARE PROCESS IN DYSFUNCTIONS
RESPIRATORY: NEBULIZATIONS
STUDENTS:
ARTEAGA LLUGUAY MICHELLE
CHUNGATA MONTENEGRO JOSÉ
PARRALES REMACHE ADRIANA
VELÁSQUEZ ARTEAGA HEIDY
ZAMORA MUÑOZ LISBETH
TEACHER:
LCDA. ROSA MORAN ASCENCIO
PERIOD:
2020-2021 IC
01
CONTENT
Objectives
02 Definition
03 Objectives of nebulization
04 Indications
05 Advantages
06 Precautions
07 Materials
08 Procedure for application
09 Ways to nebulize
10 Drugs for nebulization
11 Clinical case
12 PAE
13 Nursing Care
OBOIVCS
Explain the advantages, recommendations, precautions and techniques of
Geneal nebulization in patients with acquired pneumonia through a simulated
case.
sass
Indicate the nebulization materials and procedures and the different ways
to nebulize.
Apply the nursing care process according to the data presented in the case.
Identify the care that nursing must exercise when medicating the patient
with nebulizations.
Nehulzociove§ r- Q /
The substance
is
It is a procedure manage with a It is a device
therapeutic that liquid medium,
frequently a
that converts a
Consists of the
administration of a Saline solution. Then liquid in drops
drug through with the help of a gas suitable spray
vaporization, through which is generally for inhalation
of the respiratory tract. oxygen creates a vapor
that will be inhaled by
a patient.
him
patient .
o bjelivo§ of the
vehicle
Fluidize the
secretions
dry bronchial
difficult to
Favor the expectorate
bronchodilation
Decrease the
Improve the obstruction of
mobilization and the
evacuation of the airway
secretions
respiratory Improve
the
exchange
gaseous
Facilitate the
expectoration
voicociove§
Disease
Insufficiency Pulmonary
respiratory Obstructive
acute Chronicle
(COPD)
Patients in
acute asthma shock
or anaphylactic
severe (crisis (complement
asthmatic) of tto)
Paintings
re
sp
ir
at
or
y
with
big
quantities of
secretions,
difficult to
expectorate
Vevlajal
is transmitted
medicine
is by
breathing
normal
They are not
needed
techniques of
breathing
special for
use a
nebulizer
The way that

Pvecovnciove§
Verify the
Control the
correct
appearance of
operation of the
overhydration
devices
Observe the
patient during
the administration
of the treatment,
as well as his
reaction to
same
Voteviole
• Micronebulizer
• Oxygen tank, or oxygen
intake with flowmeter
• Medication (fenoterol,
adrenaline, atropine, etc.)
Gloves
0.9% physiological saline or 2ml
disposable syringe
• Check and verify the medical indication, that it is the correct patient, the dose and the appropriate time.
• Prepare the equipment and the drug, as well as the serum to mix with it if necessary.
• We wash our hands.
• Inform the patient of what we are going to administer, as well as the importance and purpose of
the treatment, so that they collaborate as much as possible.
• Place the patient in Fowler's position whenever possible.
• Check the good condition of the nebulizer and that it is connected to the gas or electricity outlet
and introduce the drug. If necessary, we add saline solution.
• Open the gas intake if applicable and turn on the appliance. Make sure that a mist comes out of
the mask. Next we regulate the flow.
• Place the mask on the patient and leave the nebulization on for as long as necessary or as long
as the patient can tolerate it.
• When finished, we remove the mask and turn off the device. In the
event that the patient needs oxygen, we put it back on. We leave it in
the most comfortable position possible and carry out the relevant
hygiene.
Types of Nebulizers
They are classified depending on the type of compressor they
use to convert the liquid medication into an aerosol, with three
main types of nebulizer:
Nebulizer with compressor or Jet Ultrasonic Nebulizer mesh nebulizer

type Yo Yo
Yo
✓A nebulizer ultrasonic ✓ It uses a mesh that vibrates at
✓ Use compressed air, uses very high frequency vibrations (ultrasonic) to high frequency to convert the liquid
generated by a compressor convert liquid into aerosol. In addition, they allow into an aerosol. This mechanism
electric or of gas, to create the large quantities of liquids to be nebulized. allows this type of nebulizer to be
aerosol. very compact and silent.
✓ Is very efficient, ✓ However, they are less used and their use is not✓ It is the fastest and most
effective model.
serving recommended to administer medications, since the
for nebulize heat generated in the vibration can alter the ✓ Another aspect in its favor is that
bronchodilators, anti- medication. it can operate on a battery, so it
Nebulization Drugs
Cluster Name of drugs Dose
▪ Salbutamol B2 Agonist 0.15-0.2 mg/kg. Every 6 hours
▪ Terbutaline 2-5 mg in 5 mL every 6 hours. Children.
Bronchodilators ▪ Formoterol fumarate 1-2 doses 2 × d (max. 54 µg/d)
▪ Ipratropium bromide 500µg/2 mL, 2mL vial
▪ Budesonide 200-400 mcg/24h or 100-400 mcg/12h

▪ Flunisolide 250 mcg/ nebulization
inhaled corticosteroids ▪ Fluticasone 220 mcg/ inhaled
▪ Beclomethasone 42 mcg/nebulization
▪ Iloprost 30-200 ug/day (6 to 9 nebulizations)

Prostanoids ▪ Treprostinil 18 mcg 4 times a day
▪ Amphotericin B 25 mg(5ml) three times a week

Antifungals ▪ Itraconazole nanosuspension 200 mg once a day
The container where the content to be nebulized is poured into the mask must be sterile and clean.
The person should take deep breaths as

much as possible to get the most out of
Observe the heart rate both before starting the the treatment.
process and after, in order to control any possible
complications.
If the patient requires it,

perform prior cleaning of the
oral cavity.
Cniqadoy from Evfewmevo
✓ Monitor before and during therapy.
✓ Placing the patient in the Semi-Fowler position is tolerated by Fowlers.
✓ Nebulize the patient according to medical prescription.
✓ Perform respiratory physiotherapy after nebulization: postural changes, postural drainage as

tolerated, and respiratory exercise.
✓ Evaluate the characteristics of the secretions: quantity, color, consistency and odor.
✓ Evaluate the effectiveness of both: ability to expectorate.
✓ Auscultate and percuss the lungs.
✓ Be attentive to the appearance of adverse signs: tachycardia, irritability, vomiting, tremors,

seizures.
✓ Bronchodilators must be diluted in water or saline solution.
✓ The nebulizer works on the Venturi principle when air enters the nebulizer, it converts
medications into microscopic droplet aerosols (between 1 to 7 microns) that are easily inhaled.
✓ The preparation and administration of the nebulizations will be carried out respecting the correct
10.
✓ Nebulizations should be performed before aspiration of secretions and before feeding.
✓ Use air or oxygen as appropriate
✓ The material used must be disposable except the nebulization equipment

Covichiovv
The development of topical nebulization made it possible to identify
the medications that are used, the types and forms in which they can
be nebulized, knowing now that it is a very useful medical device to
easily and comfortably administer inhaled medications in the
treatment of respiratory diseases such as bronchiectasis or
bronchiolitis. The nursing staff will be in charge of developing a care
plan according to the need that the patient presents with respect to the
pathology and application of the nebulization technique, thus
generating the ability to integrate the patient into their social
environment and daily life. It will be carried out through the Nursing
Care Process, in order to complete the work of his recovery and action
of our care role, starting from surveillance to tolerance in any activity
of lesser or greater effort on his part.
✓ Defamation. (2015). Nebulizations. Recovered from https://www.difarmasrl.com/novedad/nebulizaciones
✓ Olveira. C., Muñóz, A. and Domenech, A. (2015). Nebulized therapy. SEPAR year. Vol.50 No. 12.
Recovered of https://www.archbronconeumol.org/es-nebulized-therapy-ano-separ-articulo-
S0300289614001963
✓ OMRON. (2020). Types of nebulized. Retrieved from https://www.omron-healthcare.es/es/salud-y-estilo-de-

vida/salud-respiratoria/terapia-de-nebulizacion/tipos-de-nebulizador-nebulizadores-con-boquilla-de- mesh-and-
ultrasonics.html#:~:text=The%20nebulizers%20can%20divide, compressor%20that%20generates
%20compressed air%20.
✓ Astudillo, C., Villaroel, G., Paúl, D., Trincado, B., Barañao, P., & Méndez, M. (2016). Nebulizations with 5%
hypertonic saline solution reduce respiratory exacerbations in pediatric tracheostomized patients. Magazine
chilean of diseases respiratory , 32(3), 149
154. https://dx.doi.org/10.4067/S0717-73482016000300002

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GUAYAQUIL UNIVERSITY

FACULTY OF MEDICAL SCIENCES

The way that

Nebulizer with compressor or Jet Ultrasonic Nebulizer mesh nebulizer

▪ Budesonide 200-400 mcg/24h or 100-400 mcg/12h

▪ Iloprost 30-200 ug/day (6 to 9 nebulizations)

▪ Amphotericin B 25 mg(5ml) three times a week

The person should take deep breaths as

If the patient requires it,

✓ Perform respiratory physiotherapy after nebulization: postural changes, postural drainage as

✓ Be attentive to the appearance of adverse signs: tachycardia, irritability, vomiting, tremors,

✓ The material used must be disposable except the nebulization equipment

✓ OMRON. (2020). Types of nebulized. Retrieved from https://www.omron-healthcare.es/es/salud-y-estilo-de-

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