Metered Dose Inhalers and Nebulizers

By Adem Lewis / in , , , , , , /

As an EMT you may be able to administer albuterol
or any other bronchial dilator, to do so you might use a Metered Dose Inhaler or a Nebulizer and I’ll show you how to set it up. First a Metered Dose Inhaler, before using this
you must first make sure this is for the right patient, the right dose at the right time
and the right route. And before measuring it you should shake it vigorously for at least
30-60 seconds. Ask the patient to exhale and as they breathe in depress the canister in
order to deliver the medication. For using a Nebulizer we can use it with a mouth piece or the face mask. To do this we take the medication chamber open up our albuterol and place our dose into the medication chamber. Typically the dose will be 2.5mg or .5mL mixed in 3mL
of normal saline This is already pre mixed. Next a T adaptor, attach it to the top of
the medication port, mouthpiece and reservoir chamber. The oxygen is connected to the bottom and at a flow rate of between 6-8 liters per minute we will nebulize the medication. This
device is used for a patient that is conscious and able to hold the mask effectively. If
the patient is not able to hold this device to their face we may use an aerosolized mask
in place of the T adapter. Remove the T adapter place the face mask on and again a flow rate between 6-8 liters per minute. This is how you use a nebulizer.

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