Types of nebulizers:
1. Non Portable Nebulizer
A large sized nebulizer for use in the home. These units are excellent for individuals who can use this at home and uses inhalers on the go and for small children who are still not capable of using a metered dose inhaler. Although they can be carrier when traveling, these units are not the best choice since they are bulky and needs a power source that require A/C exclusively.
2. Portable Nebulizer
These units are small and handy, ideal for the individual who is always on the go, preferring to use a nebulizer than an inhaler. Battery operated, they can be used conveniently anywhere, anytime.
3. Standard Jet Nebulizer
These units are the common type of nebulizer. Air pressure is used to turn medication into mist that can be inhaled through a mouthpiece or a mask.
4. Ultrasonic nebulizer
Similar to the standard jet nebulizer, produces more particles that are of the same size compared to compressor nebulizers. If particles are uniform in size, it allows better aerosol penetration into the lungs.
5. Spacers For Metered Dose Inhalers
This type increases the space between the mouth and the metered dose inhaler. Spacers aid in the inhalation of more medication into the lungs, avoiding depositing of medications on the back of the user's throat. Spacers are recommended for all users of Metered dose inhalers and specially to individuals having coordination problems when breathing while at the same time depressing the inhaler gradually. If respiratory medication needs to be transported to the lungs directly, this can be done through the use of a nebulizer if prescribed by your doctor. Signs for this treatment include:
- Tightness in chest
- Increased or thick secretions
- Pneumonia (congestion)
6. Avoid Treatment If:
- Autonomic hyperreflexia, or an increase in the individual's blood pressure
- Increased pulse
- When the individual has a history of harmful reactions when taking medications.
7. How to use a nebulizer?
- Place the unit in a sturdy table.
- Wash your hands well with soap and water.
- Take off the cup portion of the nebulizer
- Draw up the amount that is prescribed of the mediation in a syringe or an eye dropper.
- Put the medication inside the medicine cup with normal saline of 3cc.
- Close the cup to the nebulizer.
- The oxygen tubing is to be attached on the nipple on the nebulizer and fasten the other end unto the oxygen tank or compressor.
- Make sure that the patient is well seated and comfortable on a chair.
- Turn the compressor or tank on, until the mist is seen that is coming out of the nebulizer's mouthpiece.
- Check the pulse
- Placing the mouthpiece in the patient's mouth (place it between the teeth, sealing it with the lips), slow deep breaths should be taken. Hold your breath for two seconds then breathe out. This permits that the medication is settled to the airways.
- Continue the breathing process until such time that there is no more mist coming out of the mouthpiece or mask.
- Turn the machine off, take off the tube and mouthpiece.
- Clean tube and mouthpiece with warm soapy water water after each use.
8. Nebulizer Care:
- Rinse the tube and the mouthpiece of the nebulizer after each treatment, with warm soapy water then rinse with warm water. Shake off excess water and place it on a clean towel to dry.
- Disinfect the equipment every three days with the use of vinegar and water solution or any disinfecting spray that the supplier suggests.
9. Care of Compressor:
- When not in use, the compressor should be covered with a clean cloth. To keep it clean, wipe it with a damp and clean cloth as needed.
- The air compressor should never be put on the floor for whatever purpose. Be it for treatment or for storage.
- Frequent examination of the air compressor's filter is needed. Replace very dirty filters or clean it following the instruction manual.
- Always keep an extra nebulizer cup, mask and mouthpiece handy.
- Medicines must be stored in a cool, dry place. Check on them often. Throw away any medication that has changed in color.