This is a demonstration of how to assemble the hand-held and mask nebulizer to administer aerosolized medications. This video is intended for EMTs, paramedics, and nurses.
Okay so what we’re going to talk about now is our nebulizer so this is something at a national level you’re taught as a bls skill but this is a lot of places where um it will be kind of agency dependent whether or not your medical director um will allow you to do this so we’ll show you how to do it assemble it it’s easy to use and this is again we’ll talk more
When we do our pharmacology so when we’re looking at a nebulizer um you know at a bls level we’re looking at albuterol so we’re looking at a bronchodilator so somebody who has asthma chronic bronchitis copd now when they’re having that bronchospasm we’re looking to give them this medication and it’s going to work on the smooth muscle so it’s the beta2 receptors
On the bronchials and now what it does is it relaxes that smooth muscle that now is constricted and that is narrowing these airway passages so now what we’re doing is we’re trying to get this medication and by giving it through a nebulizer what we’re going to do is we’re going to use our oxygen to help aerosolize so when we look at this there’s two different
Ways that we can administer a nebulizer we have a handheld device which i’ll show you how to assemble and then we have a mask so if the patient’s able to hold it and put it in and out there they’re probably fine to use the handheld device if we have someone who’s kind of tiring um or is is also kind of approaching now kind of more of that respiratory you know
Distress um we’re looking at you know maybe putting them on the mask so now they’re they’re not having to focus on holding it okay so what we have here is this is our chamber so i’ve already put in a little bit of saline so this is just so for demonstration so we can see how it aerosolizes and mist so this is where now the albuterol will come in a little bullet
And we’ll go over that in our pharmacology and this is where now this comes in it fills up our chamber and we attach this okay this end here is where our oxygen is going to attach and the other end attaches to our oxygen tank just like everything else that we’ve talked about all right so when we’re looking at a handheld device so what we want is a piece of our
Corrugated tubing we have a mouthpiece and then we have what we call a t piece because it looks like a tea okay corrugated tubing tea peas so this slides right into here this is where now the mouthpiece comes in this is the part that’s going to go in the mouth and now this is where we attach our chamber so this now sits and this is how this device looks okay so
When we attach this to our oxygen tank so now what we’re looking for is when we turn this on we’re going to set our nebulizer between six and eight liters per minute so six seven eight any of those would be appropriate any higher the problem is we’re not going to be able to create that air slice and the pressure is gonna kind of kick the o2 tubing off and if
It’s too low we’re not going to get the aerosol the air slides that we want with the medication so when we have our device turn the tank on set it up we attach it to our chamber and now we can start to see this is going to be where the patient is going to put to their mouth and they’re going to breathe this in and we can see that now is causing the aerosols
So the oxygen goes through the liquid it makes it into this mist that now they’re able to breathe in okay so this is is one of the ways that we can assemble it so the other way that we can deliver this this nebulizer when we look at our albuterol so we have a simple mask and we see this one doesn’t have the reservoir bag so this is now for our chamber so
That goes in o2 tubing comes here so now when we set this up turn our tank set it to our preferred meters and now as we assemble so the same so now what we can see is it’s aerosolizing the patient’s now able to breathe the thing one of the benefits of this is it allows the patient more exposure to the medication so one of the benefits with the nebulizer is it
Allows the patient more exposure to that medication when we assist them with their metered dose inhaler we now have somebody who’s struggling to breathe who’s having that bronchospasm and now what we’re asking them to do is to take a deep breath take in that puff of of albuterol and now we’re asking them to hold their breath for as long as possible the problem
Is when somebody’s struggling to breathe they’re not going to be able to hold their breath that long so the nebulizer does a nice job of allowing them to get that medication that same dose over a longer period of time so now they actually get more exposure to the medication we start to see better relief the other benefit with the nebulizer is they also get some
Supplemental oxygen one of the things we can do if we’re not using this for albuterol is we can use you know kind of like i did for the demonstration when we didn’t use the medication but now if we put saline we use some of our normal saline or sterile water now what we can do in that chamber is we can make a humidified oxygen so humidified oxygen now it’s not
As abrasive as the cold you know dry medical grade oxygen so certainly for children elderly patients any of our patients who are suffering from hypothermia um and you know anyone who’s on oxygen kind of all the time giving them humidified oxygen is going to be a little bit more tolerable there’s a lot of benefits to the nebulized medication so it’s better for
The patient to get it over an extended period of time some supplemental oxygen we’re able to give them some humidified oxygen which is going to be more tolerable you know a little bit you know better patient care you
Transcribed from video
Assembly Of The Nebulizer Demo By Diesel Therapy Academy
