NEBULIZATION THERAPY CHECKLIST
PERFORMANCE CRITERIA 5 4 3 2 1 REMARKS
I - ASSESSMENT
1. DETERMINE CURRENT VITAL SIGNS, LEVEL OF CONSCIOUSNESS
2. ASSESS BREATH SOUNDS AND SIGN AND SYMPTOMS OF
RESPIRATORY DISTRESS
3. CHECK DOCTOR’S ORDER.
II- PLANNING
4. WASH HANDS
5. ASSEMBLE EQUIPMENT. CHECK EQUIPTMENT IF FUNCTIONAL
III- IMPLEMENTATION
1. PLACE THE COMPRESSOR ON A STURDY SURFACE THAT WILL
SUPPORT ITS WEIGHT, SUCH AS A TABLE OR DESK. PLUG THE
COMPRESSOR ' S CORD INTO A PROPERLY,ROUNDED (THREE-
PRONGED) OUTLET.
2. WASH YOUR HANDS WITH SOAP AND WATER AND DRY
COMPLETELY WITH A CLEAN TOWEL.
3. PLACE YOUR MEDICATION IN THE NEBULIZER CUP.
4. ATTACH THE TOP PORTION OF THE NEBULIZER CUP, AND CONNECT
THE MOUTHPIECE OR FACE MASK TO THE CUP.
5. CONNECT THE TUBING TO THE NEBULIZER AND COMPRESSOR.
6. TURN ON THE COMPRESSOR WITH THE ON/OFF SWITCH. ONCE YOU
TURN ON THE COMPRESSOR, YOU SHOULD SEE A LIGHT MIST
7. SIT UP STRAIGHT ON A COMFORTABLE CHAIR. USING A
MOUTHPIECE IS PREFERRED. WHEN USING A MOUTHPIECE, PLACE
THE MOUTHPIECE BETWEEN YOUR TEETH AND SEAL YOUR LIPS
AROUND IT.
8. IF YOU ARE USING A MASK, POSITION IT
COMFORTABLY AND SECURELY ON YOUR FACE.
9. BREATHE NORMALLY THROUGH YOUR MOUTH. IF
POSSIBLE, EVERY FIFTH BREATH, TAKE A SLOW DEEP BREATH AND
HOLD THIS BREATH FOR 2 TO 3 SECONDS BEFORE BREATHING OUT.
THIS ALLOWS THE MEDICATION TO SETTLE INTO THE AIRWAYS.
10. CONTINUE THE TREATMENT UNTIL THE
MEDICATION IS GONE (ABOUT 5 TO 15 MINUTES). USE ALL OF THE
MEDICINE UNLESS YOU ARE DIRECTED OTHERWISE BY YOUR
DOCTOR.
IV- EVALUATION
16. EVALUATE CLIENT’S IMMEDIATE RESPONSE TO NEBULIZATION
17. EVALUATE CLIENT’S COMFORT WITH NEBULIZATION USE
18. ASSESS CLIENT’S VITAL SIGNS.
DOCUMENTATION
19. RECORD DATE AND TIME OF NEBULIZATION AND METHOD OF
DELIVERY.
20. RECORD MEDICINE USED
21. RECORD IMMEDIATE RESPONSE OF NEBULIZATION THERAPY,
SUBJECTIVE AND OBJECTIVE OBSERVATION OF CLIENT.
22. RECORD CLIENT’S COMFORT WITH NEBULIZATION USE USE.
Nebulization
A nebulizer is a small machine that turns liquid into the mist.Take a deep breath for 10-15 min.
• It is usually prescribed for severe cases of nasal and chest congestion.
• Administered in pt. with asthma, COPD, unable to take inhalers.
PROCEDURE
1. Place the compressor into the sturdy surface.
2. Plug the cord into the outlet.
3. Hand wash
4. Become familiar with the nebulizer parts.
5. Place the meds. In the nebulizer cup.
6. Attach the top portion of the nebulizer cup, and connect the mouthpiece or face mask to the cup.
7. Connect the tubing to nebulizer and compressor
8. Turn on compressor, and see for a light mist.
9. Sit up straight and put the mouthpiece/face mask
10. Breath normally through mouth. Slow deep breath for 2 to 3 sec. before breathing out. This allows the meds to
settle into the airways.
11. Continue the treatment till the meds is gone (5-10 min)
IF YOU BECOME DIZZY, SLOW BREATHING OR REST BRIEFLY. SOME MEDS MAY MAKE YOU FEEL “JITTERY” OR
SHAKY.”
SIDE EFFECTS (rare)
Vomiting
Tremors
Headache
Tachycardia
Bronco-spasms
TURN OFF THE COMPRESSOR, HAND WASH, DRY THEM WITH A CLEAN TOWEL.