🌫️ Nebulizer Therapy Manual

🌫️ Nebulizer Therapy

Bleaching the right medicine = real lung medicine = patient is better sensitive

1️⃣ Nebulizer? Why is it important?

NB spraying is to turn water medicine into "dust," sending the drug directly into the lungs.

Outstanding Advantage

• ⚡ Fast acting (Resuscitation in recurrent asthma)

• 🎯 drugs on the spot, reduce losses.

• 🛡️ Less side effects to the body than eating / injecting

👉 not just "spray it all the time," but actually spray it to the lungs.

2️⃣ Heart of spraying = particle size

• Particles 1-5 micron 👉 Best Deep Tracheal Down Medicine

• Excessive wind / Breathe too fast 👉 The drug will stick to the throat, not to the lungs.

Proper Flow 🔑: 6-8 L / min

3️⃣ Choose the ideal sprayer.

Category Highlights Caution

Jet tolerates good use in the hospital, loud, very stale.

Ultrasonic Quiet Thick Aerosol Drug-Breaking Heat (Not Fits Budesonide)

Mesh Quiet Carry Regular Aerosol High Price

📌 Plastic / Mask / Filter Equipment Replacement Every 3 Months

4️⃣ know the "spray" to be grouped.

• 💨 bronchodilator (Reliver)

Salbutamol, Ipratropium → Fast acting 5-15 minutes

• 🔄 Mixed medicine (Berodual) → better bronchodilation than single medicine

• 🔥 Anti-Inflammatory Medicine (Controller)

Budesonide → Not an emergency medicine.

• 🚨 Emergency medicine

Adrenaline → Used in Croup / Anaphylaxis only

⚠️ Be careful in patients, heart, pressure, diabetes.

5️⃣ spraying technique = outcome judge

✔️ Sitting upright.

✔️ Take a slow breath, deep through the mouth.

✔️ Hold your breath for 5-10 seconds.

✔️ Mouthpiece Better Than Mask (If Cooperable)

🚑 No NB → Use MDI + Spacer Immediately Instead

6️⃣ What to watch after spraying.

• ❤️ Palpitations, fast pulse

• ✋ hands shaking, restless.

• ⚡ Low Potassium Risk (high dose spraying)

🦷. After spraying, Budesonide has to gargle every time.

Little children → Wipe tongue and buccal

7️⃣ Clear device = prevent infection

🦠 Moist device = source of infection

• 🧼 Daily: Wash warm water + dishwashing liquid → drying

• 🧪 once a week:

Vinegar 1: 3 (30-60 min) or 70% Alcohol

• 🚫 Do not wash the line (Tubing) with water

8️⃣ Key Message

🌬️ Nebulizer is not just spraying, it's the science of delivering drugs to the lungs.

✔️. Technically right.

✔️ Suitable machine

✔️ Medicine, yes.

✔️. Clean equipment.

✔️ Change by 3 months.

= The patient is actually breathing better. 💙

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