UNCONTROLLED WHEN PRINTED
Indications
  • To provide medication via nebulisation.
Contraindications
Contraindications
Patient Factors & Considerations
  • Calm and reassure the patient.
  • Claustrophobia.
COVID-19 / Febrile Respiratory Illness
  • Nebulisation is an aerosol-generating procedure (AGP). 
  • A Metered-dose Inhaler (MDI) + Spacer is very effective in most situations. Avoid nebulisers in all patients unless deemed clinically necessary. Agree treatment plan with your partner and wear full PPE if proceeding (PPE requirements)
  • Apply maximal distancing between patient and staff when nebuliser is running ensuring you can still adequately monitor the patient 
  • Do not use nebulisers inside the ambulance unless absolutely necessary
    • If used en-route, nebulisers must be ceased prior to arrival at ED (before ambulance doors are opened).
  • Nebulised adrenaline can continue to be used for severe croup as per the current CPG.
Procedure
  • All relevant infection control methods to be utilised.
  • Prepare equipment required:
    • Nebuliser mask
    • Nebuliser pot
    • Oxygen
    • Oxygen tubing
  • Select the appropriate mask (adult / paediatric).
  • Assemble complete mask.
  • Explain the procedure to the patient and instruct to breathe normally.
  • Decant medication into nebuliser chamber

  • Attach to oxygen supply 6 to 8 litres per minute and visualise fine mist formation.
  • Apply mask to face of patient.
  • Monitor patient response.
  • On termination of use:
    • Remove mask from face of patient.
    • Shut off oxygen supply.
nebuliser mask
Success
Success
Discontinue
Discontinue
Additional Information
Additional information

References
References

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Document Control


Directorate
Clinical Services

Responsible Manager
Head of Clinical Services

Published Date

Review Date

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