Nebulization therapy is used to deliver medications along the respiratory tract and is indicated to various respiratory problems and diseases such as:
- Chest tightness
- Excessive and thick mucus secretions
- Respiratory congestions
In some cases, nebulization is restricted or avoided due to possible untoward results or rather decreased effectiveness such as:
- Patients with unstable and increased blood pressure
- Individuals with cardiac irritability (may result to dysrhythmias)
- Persons with increased pulses
- Unconscious patients (inhalation may be done via mask but the therapeutic effect may be significantly low)
- Nebulizer and nebulizer connecting tubes
- Compressor oxygen tank
- Respiratory medication to be administered
- Normal saline solution
- Position the patient appropriately, allowing optimal ventilation.
- Assess and record breath sounds, respiratory status, pulse rate and other significant respiratory functions.
- Teach patient the proper way of inhalation:
- Slow inhalation through the mouth via the mouthpiece
- Short pause after the inspiration
- Slow and complete exhalation
- Some resting breaths before another deep inhalation
Possible effects and reactions after nebulisation therapy are as follows:
- Bronchospasms (too much ventilation may result or exacerbate bronchospasms)
As nurses, it is important that we teach the patients the proper way of doing the therapy to facilitate effective results and prevent complications (demonstration is very useful). Emphasize compliance to therapy and to report untoward symptoms immediately for apposite intervention.