Aerosolized drug delivery to lower airways via jet or mesh nebulizer.
Indications
- • Acute bronchospasm
- • Croup (adrenaline)
- • Mucolysis
Contraindications
- ⚠ Uncontrolled tachyarrhythmia (β2 caution)
Equipment
- • Nebulizer chamber
- • Mouthpiece/mask
- • O2 6–8 L/min or compressed air
- • Drug (e.g. salbutamol 2.5–5 mg + ipratropium 500 µg)
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/5)
Tap to complete
Draw dose into chamber with 3–5 mL saline.
Immediate complications
- ⚠ Tachycardia
- ⚠ Tremor
- ⚠ Paradoxical bronchospasm
Delayed complications
- • Hypokalemia (repeated β2)
Recognition
- • Heart rate ↑
- • Symptoms worsening
Initial management
- • Stop; supportive
Prevention
- • Correct dose
- • Monitor HR
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Drugs used in this procedure
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
