Skip to Main Content

+

  • • Administration of medication to the lungs.

++

Absolute

+

  • • Allergic reaction to medication.

++

Relative

+

  • • Anatomic abnormalities that cause increasing symptoms with treatment.

+

  • • Nebulizer and compressor.

    • Metered-dose inhaler with spacer.

    • Dry powder inhaler (Figure 16–1).

++
++
Table Graphic Jump Location
Favorite Table | Download (.pdf) | Print
Risks are related to medication rather than delivery method.
+

  • • Bronchoconstriction secondary to preservative (most solutions are now preservative free).

    • Tachycardia.

    • Arrhythmia (supraventricular tachycardia).

    • Agitation.

    • Oral candidiasis.

+

  • • If used correctly, each method of delivery of inhalation medications is equally effective.

+

  • • When using a nebulizer, when mist starts sputtering, tapping on cup allows for aerosolization of remainder of medicine.

    • Effective administration involves transport of medication to the lower airways.

    • The medication must be aerosolized and inhaled to facilitate delivery.

    • Ineffective aerosolization as well as improper technique may result in disposition of medication onto the skin of the face or on the soft palate or posterior pharynx.

    • In some younger children, the use of a spacer with a mask may allow more effective delivery than a spacer with a mouthpiece.

+

  • • Most children who require inhalation medication for wheezing will be stable.

    • Children with severe bronchospasm or hypoxia should be placed on a cardiac monitor and pulse oximeter. They should be allowed to sit in a position of comfort, preferably upright.

+

  • • Sitting upright is preferred.

    • Young children should be held by their caregivers.

+

  • • Effective administration involves transport of medication to the lower airways.

    • The medication must be aerosolized and inhaled to facilitate delivery.

    • Ineffective aerosolization as well as improper technique may result in disposition of medication onto the skin of the face, or on the soft palate or posterior pharynx.

++

Nebulizer

+

  • • Provide power to the compressor of the nebulizer machine (electric or battery).

    • Attach oxygen tubing to the compressor and attach the nebulizer cup to the free end of the oxygen tubing.

    • Open the top of the nebulizer cup by twisting and lifting the cap, pour medication into the cup, and reattach the top.

    • Have patient put mouthpiece in mouth with seal made by lips, or if using mask, place it on patient’s face (Figure 16–2).

    • Turn the machine on.

    • Instruct the patient to take slow deep breaths until the mist stops.

++
++

Metered-Dose Inhaler and Spacer Device

+

  • • Shake the inhaler.

    • Remove the cap and attach it to the spacer ...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessPediatrics Full Site: One-Year Subscription

Connect to the full suite of AccessPediatrics content and resources including 20+ textbooks such as Rudolph’s Pediatrics and The Pediatric Practice series, high-quality procedural videos, images, and animations, interactive board review, an integrated pediatric drug database, and more.

$595 USD
Buy Now

Pay Per View: Timed Access to all of AccessPediatrics

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.