Nebulization

1.-Definition:
It is the therapeutic administration of fine water particles.
the medication to the oxygen or air pressure in the form of
vapor through the airways.

2.- OBJECTIVE:
Establish a systematic methodology to introduce into
the respiratory system, through rapid inhalation
aerosol substances for therapeutic purposes.

Humidify the air

3.-INDICATIONS:
. In patients with difficulty expelling secretions
respiratory, with ineffective deep breaths and cough or
unsuccessful attempts with simpler methods.
. Asthma in its acute or severe form.

4.-CONTRAINDICATIONS:
Patients with heart failure.
Uncontrollable trembling of a part of her
body
Headache
Vomiting
-Tos
Throat irritation
 5.- RESOURCES
a. RESPONSIBLE HUMAN RESOURCES
Nurse
nursing technique
b. EQUIPMENT AND MATERIALS:
Nebulization mask
Nebulizer
The oxygen tank or oxygen balloon with flowmeter
Saline solution
Indicated drug
Disposable syringe 5cc or more

6.- Nursing Diagnosis

. Deterioration of breathing related to inflammatory or infectious process
m/p decrease in the energy reserve that causes incapacity
of the child.

7.- procedure
intervention foundations
1. Explain to the patient about the 1. Reduces anxiety and promotes
procedimiento a realizar. collaboration of the procedure.
[Link] time and facilitate speed of the
2. Have the team ready and check the procedure
operation of the oxygen equipment.
[Link] the transmission of microorganisms.
3. Wash your hands 4. detects alteration of gas exchange
4. What about the oxygen saturation and pulmonary.
initial flowmetry. The nebulizer helps to deliver a
5. Place the nebulizer and administer the medication that is inhaled and dispersed in
oxygen at a pressure of 5 to 6 liters per minute. everything in the respiratory system, oxygen
it promotes evaporation so that it can be inhaled
6. Place the patient in position for the patient.
semi-sitting. It promotes the expansion of the lungs.
 7. Repeat the procedure if necessary 7. facilitates the mobilization of secretions and their
with a 20-minute interval and start the
respiratory physiotherapy. pulmonary removed.
8. It liquefies the secretions allowing their
8. Bring warm water for the patient to drink. elimination
in the specified interval.
[Link] the oxygen saturation
9. Wait 20 minutes for your evaluation highlighting the effectiveness of nebulization.
after the nebulization, I finally took [Link] the health team informed.
oxygen saturation and flowmetry.

10. Record the procedure on the sheet

of nursing in the Clinical History.

8.-special considerations
. Monitor before and during therapy.
. Be alert for the appearance of adverse signs: tachycardia,
irritability, vomiting, tremors, seizures.
. The preparation and administration of the nebulization will be carried out
respecting the 5 moments

9.- vocabularies
Tachycardia: Tachycardia is an irregular or accelerated heart rhythm.
.
generally more than 100 beats per minute, which can reach up to 400.
this elevated rhythm, the heart cannot pump oxygenated blood to your body
efficiently.
. Flowmetry: it is a study of bladder emptying. It is indicated for patients
who undergo a prostate check-up or who have urinary problems such as
as difficulty for it, urgency, etc. The exam measures the flow
of urine: speed and volume.

10.- Bibliography
. [Link]
HELL
2014/TECHNICAL PROCEDURES MANUAL DEPT E
NF%[Link]
 . [Link]
. [Link]
content/uploads/2017/11/[Link]

11.-ANNEXES
NURSING PROCEDURES GUIDE ON INTUBATION
ENDOTRACHEAL

1. Definition: It is the introduction or insertion of a tube through the mouth or

nasal cavities to the trachea, with the purpose of facilitating ventilation and
oxygenation of the patient.

2. Objective:

3. Indications:
. Protect the airway. Includes patients with altered consciousness.
in coma with a Glasgow score of less than 8 points or that require
general anesthesia.
. Permeabilizar la vía aérea. Incluye eliminación de obstrucción
mechanics and facilitate the handling of secretions.

. Require controlled ventilatory assistance, either to decrease the

respiratory work in hemodynamically unstable patients, due to
respiratory failure or to control at the level of the pressure of
oxygen (PCO2) in patients with intracranial hypertension.

4. CONTRAINDICATIONS:

- Severe airway trauma or obstruction that prevents passage

sure of a gold tracheal tube. In these cases it is indicated
emergency cricothyrotomy.

[Link]:
[Link] RESPONSABLE:
Intensive Care Physician.
Bachelor's Degree in Nursing.
Nursing Technique.

b. EQUIPMENT AND MATERIAL:

Laryngoscope with curved blade of different sizes.

Endotracheal tubes of the appropriate size. In a normal adult, it is size 8, 8.5.
 Pharyngeal gold tube.

Fixer or guide.

Water-soluble lubricant.

Sterile gloves.

Mask.

Rigid probe for pharyngeal aspiration.

10cc or 20cc syringe

Angled forceps (Magill).

Suction probes.

Adhesive tape.

- Estetoscopio.

Oxygen sources.

Manual resuscitator.

Breakdown car.

6. Nursing Diagnosis
7. Procedure

Team Preparation: Greater accessibility of the different

tube calibers in case it is necessary.
1. Select the number of the Oro-Tracheal Tube
The laryngoscope must have light.
according to the patient's characteristics, to have
powerful for visualizing the upper airways
tube of larger and smaller gauge.
and facilitate the procedure.

2. Check the light of the laryngoscope bulb. 3. Ensure the good placement of the tube.

3. Check the integrity of the tube's CAFF 4. Reduce the transmission of infections.
by means of inflation.
5. Reduces anxiety.
Patient preparation:
6. The alignment of the anatomical axes of the
upper respiratory tract, facilitates intubation.
4. Hand washing.

5. Explain the procedure to the patient.

6. Place the patient in a supine position, without

pillow and with the head in hyperextension.