Confirm patient ID using two patient identifiers (e.g., name and date of birth).Checklist 51: Medication by Small-Volume Nebulizer Disclaimer: Always review and follow your hospital policy regarding this specific skill. Figure 6.4 Example of a small-volume nebulizerĬhecklist 51 outlines the steps for delivering medication through a small-volume nebulizer. The air droplets are finer than those created by metered dose inhalers, and delivery of the nebulized medication is by face mask or a mouthpiece held between the patient’s teeth. Nebulization is a process by which medications are added to inspired air and converted into a mist that is then inhaled by the patient into their respiratory system (Lilley et al., 2011 Perry et al., 2014.) (see Figure 6.4). A variety of inhalers are available, and specific manufacturers’ instructions should always be checked and followed to ensure appropriate dosing. Most patients taking medication by inhaler have asthma or chronic respiratory disease and should learn how to administer these medications themselves. Although the primary effect of inhaled medications is respiratory, there are likely to be systemic effects as well. Medications administered through inhalation are dispersed via an aerosol spray, mist, or powder that patients inhale into their airways.
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