Giving medication through a nebulizerGGiving medication through a nebulizerGiving medication through a nebulizerEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatment;Drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z

 

 

Giving medication through a nebulizer2953.00000000000Giving medication through a nebulizerGiving medication through a nebulizerGEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatment;Drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z<h2>How do I use a nebulizer to give medication to my child with a tracheostomy tube?</h2><ol><li>Gather your equipment and supplies:</li><ul><li>a compressor (nebulizer machine)</li><li>a power source<br></li><li>medication</li><li>a nebulizer cup</li><li>oxygen tubing</li><li>a tracheostomy mask.​​</li></ul> <figure class="asset-c-100"> <img src="https://assets.aboutkidshealth.ca/akhassets/trach_nebulizer_labelled_EN_72.jpg" alt="A tabletop nebulizer with oxygen tubing, nebulizer cup and tracheostomy mask attached" /> <figcaption class="asset-image-caption">A tabletop nebulizer with oxygen tubing, nebulizer cup and tracheostomy mask attached</figcaption> </figure> <li>Put the dose of medication prescribed by your healthcare team into the nebulizer cup. (Your healthcare team may also instruct you to add normal saline to the nebulizer cup.) The cup requires at least 3 mL of liquid to work properly.</li><li>Place the cap on the nebulizer cup.</li><li>Attach the tracheostomy mask.</li><li>Attach the oxygen tubing to the underside of the nebulizer cup.</li><li>Attach the tubing to the nebulizer machine.</li><li>Turn the nebulizer machine on.</li><li>The medication in the nebulizer cup will begin to turn into a fine mist. Your child will breathe in the mist.</li><li>Watch the nebulizer cup to see when the mist is gone. When the mist is gone, the treatment is finished.</li><li>Turn the nebulizer machine off.</li><li>Remove the nebulizer cup from the tracheostomy tube.</li><li>Suction your child's tracheostomy tube.</li></ol><div class="caution"><h3>​​Precaution</h3><p>​Remove the speaking valve when giving medication through the nebulizer machine.</p></div><h2>How do I use a nebulizer to give a medication to my child with a tracheostomy tube connected to a ventilator? </h2> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/trach_nebulizer_cup_EN.jpg" alt="A nebulizer cup" /> <figcaption class="asset-image-caption">A nebulizer cup</figcaption> </figure> <ol><li>Gather your equipment and supplies:</li><ul><li>a compressor (nebulizer machine)</li><li>a power source</li><li>medication</li><li>a T-connector</li><li>oxygen tubing</li><li>a nebulizer cup </li><li>the ventilator and ventilator circuit.</li></ul><li>Put the dose of medication prescribed by your healthcare team into the nebulizer cup. (Your healthcare team may also instruct you to add normal saline to the nebulizer cup.) The cup requires at least three millilitres of liquid to work properly.</li><li>Place the cap on the nebulizer cup.</li><li> Attach the T-connector to the lid.</li><li>Attach the oxygen tubing to the nebulizer machine.</li><li>Attach the other end of the oxygen tubing to the port under the nebulizer cup. Put the medicine cup into the ventilator circuit next to the exhalation valve, on the side away from the tracheostomy tube. The nebulizer cup goes between the exhalation valve and the tubing that goes to the ventilator. Do not put it between the exhalation valve and tubing that goes to your child.</li><li>Turn on the nebulizer machine.</li> <figure><img src="https://assets.aboutkidshealth.ca/akhassets/trach_nebulizer_trachmask_EN.jpg" alt="A tracheostomy mask attached to a nebulizer" /><figcaption class="asset-image-caption">A tracheostomy mask attached to a nebulizer</figcaption> </figure> <li>The medicine in the nebulizer cup will begin to turn into a fine mist. Your child will breathe in the mist as the ventilator delivers the usual breaths.<br></li><li>Watch the nebulizer cup to see when the mist is gone. When the mist is gone, the treatment is finished.</li><li>Turn the nebulizer machine off. (Do not turn the ventilator off.)</li><li>Remove the nebulizer cup and T connector.</li><li>Re-attach the ventilator tubing.</li><li>Suction your child's tracheostomy tube.</li></ol><h2>How do I clean the nebulizer equipment?</h2><p>Cleaning and disinfecting your nebulizer equipment is very important for preventing infection. Follow the simple steps below.</p><h3>After each treatment</h3><ol><li>Rinse the nebulizer cup thoroughly with warm water.</li><li>Shake off excess water. </li><li>Allow nebulizer cup to air dry. </li></ol><h3>At the end of each day</h3><ol><li>Wash the nebulizer cup in warm soapy water using a mild detergent.</li><li>Rinse the nebulizer cup thoroughly.</li><li>Allow the nebulizer cup to air dry. </li></ol> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/trach_nebulizer_cup_open_EN.jpg" alt="An open nebulizer cup showing where the medicine goes" /> <figcaption class="asset-image-caption">Medicine is placed inside the nebulizer cup.</figcaption> </figure> <h3>Every third day</h3><p>After washing your equipment, disinfect it. You will need to use a pail with a solution of one part vinegar to three parts water.</p><ol><li>Soak the nebulizer cup in the pail for 20 minutes.</li><li>Pour the solution out of the pail.</li><li>Rinse the nebulizer cup well under a steady stream of water.</li><li>Shake off excess water. </li><li>Allow the nebulizer cup to air dry on a paper towel.</li></ol><p>Always allow the equipment to dry completely before storing it in a clean bag or storage container. You do not need to clean the compressor tubing.<br></p><p></p> <a class="btn btn-primary" href="https://www.aboutkidshealth.ca/trachvent">Return to trach-vent learning hub</a><br>Giving medication through a nebulizerTruehttps://www.aboutkidshealth.ca/Article?contentid=2954&language=Englishhttps://www.aboutkidshealth.ca/Article?contentid=2952&language=English

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