Delivery of aerosolized medication via nebulizer.
Indications
- • Acute asthma
- • COPD exacerbation
- • Bronchiolitis
- • Croup
Contraindications
- ⚠ Severe agitation preventing mask
Equipment
- • Nebulizer chamber
- • Mouthpiece/mask
- • O2 or air 6–8 L/min
- • Drug + saline
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
Correct dose + diluent.
Immediate complications
- ⚠ Tachycardia
- ⚠ Tremor
- ⚠ Hypokalemia
Delayed complications
- • Paradoxical bronchospasm
Recognition
- • Worsening wheeze
Initial management
- • Stop; reassess
Prevention
- • Correct diluent
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
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
