Clinical Indications:

 

• Patients experiencing bronchospasm.

 

Procedure:

 

1. Gather the necessary equipment.
2. Assemble the nebulizer kit.
3. Instill the premixed drug (such as Albuterol (Ventolin) or other approved drug) into the reservoir well of the nebulizer.
4. Connect the nebulizer device to Oxygen at 4 to 6 liters per minute or adequate flow to produce a steady, visible mist.
5. Instruct the patient to inhale normally through the mouthpiece of the nebulizer. The patient needs to have a good lip seal around the mouthpiece.
   1. Consider using aerosol mask as needed
   2. Consider using CPAP to assist in administration in severe respiratory distress patient's.
6. The treatment should last until the solution is depleted. Tapping the reservoir well near the end of the treatment will assist in utilizing all of the solution.
7. Monitor the patient for medication effects. This should include the patient’s assessment of his/her response to the treatment and reassessment of vital signs, EKG, and breath sounds.
8. Document the treatment, dose, and route on/with the patient care report (PCR).

 

Certification Requirements:

 

• Maintain knowledge of the indications, contraindications technique, and possible complications of the procedure.  Assessment of this knowledge may be accomplished via quality assurance mechanisms, classroom demonstrations, skills stations or other mechanisms as deemed appropriate by medical control.