# Nebulisation

## Overview

This module describes how to use a nebuliser mask to deliver medications directly to the lungs of patients with respiratory conditions.

## Indications

Nebulised medication is usually delivered to:

## Contraindications

## Patient information and consent

### How do I explain this procedure?

“I need to give you some medication directly into your lungs. I will put a mask on your face that is connected to oxygen and will allow you to breathe in the medication in the form of a mist.”

### What can my patient expect?

“The mask can sometimes make you feel a bit claustrophobic, and you may smell the medication, but you will be able to breathe freely.”

### What is my patient’s role?

“Let me know if you have any allergies. Sit upright and take deep breaths. Do not remove the mask from your face until the medication has stopped making mist.”

## Preparation

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### Documentation

### Equipment

## Site & Positioning

Ask the patient to sit upright or recline slightly.

## Procedure

Follow medical asepsis without gloves.

## Troubleshooting

I'm unsure how to prepare salbutamol and ipratropium bromide for nebulisation.

Use 5 mg of salbutamol (1 ml of 5 mg/ml solution) for adults or 0.3 mg/kg to a max of 5 mg for children. If you’re adding ipratropium bromide, add 0.5 mg for adults or 0.25 mg for children (0.5-1 ml of 0.25 mg/ml solution). Dilute with normal saline up to a final volume of 4-5 ml for adults or 2-3 ml in children.

## Risks

## References