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Introduction
Deep breathing of warm & moist air (vapor) into the lungs for local effect on the air passage or
for a systemic effect.
Purposes
1. To relieve the inflammation & congestion of the mucus membranes of the respiratory
tract & paranasal sinuses thus to produce symptomatic relief in cute & chronic sinusitis.
2. To soften thick tenacious mucus, this helps in its expulsion from the respiratory tract.
3. To aid in absorption of oxygen
4. To relieve spastic conditions of the larynx & bronchi
5. To provide antiseptic action on the respiratory tract (e.g.) by using menthol, eucalyptus
& tincture benzoin.
6. To provide moisture & heat & to prevent dryness of the mucous membranes of the lungs
& upper respiratory passages following operation such as tracheostomy.
Contraindications
Towel
Nelsons inhaler in a bowl
Sputum cup with antiseptic solution
Inhaler mouthpiece
Gauze piece
Cotton balls
Ounce glass
Face towel
Kidney tray
Cardiac table
Pillows
Medication like tincture benzoin if ordered
Boiling water (160F)
Make the patient to understand that he has to remain in the bed one to two hours more
after the inhalation
Ask the patient to empty the bladder &bowel if necessary
Place the patient in fowlers position with a cardiac table in front.
Close the doors & windows &put off the fn to prevent draught
Place the sputum cup in convenient place within the easy reach of the patient
Provide a face towel to the patient to wipe the sweating from the face during inhalation.
Procedure
S.No
Nursing action
1
Check the physicians order & nursing care
plan
2.
Explain the procedure to patient & ensure
that patient hs emptied his bowel & bladder
3.
Warm the inhaler by pouring a little hot
water into the inhaler & emptying it after one
minute
4.
Pour the required amount of inhalant into the
inhaler & fill to a level below the spout with
the boiling water. The water should remain
just below the spout
5.
6.
7.
8.
9.
10
11
12
Rationale
13
14
15
16
17
18
through nose.
Continue the treatment for 15- 20 minutes as
long as patient gets the vapors. Observe the
patient during procedure.
Remove inhaler from the patient after the
stated time, wipe off perspiration from the
patients face.
Give chest physiotherapy & encourage
patient to bring out sputum by coughing
Instruct the patient to remain in the bed for
1-2 hours
Take articles to the utility room, empty the
inhaler, and clean the inside with alcohol to
remove Tr. Benzoin. Wash it with warm soapy
water & then rinse with clean water. Clean
the ounce glass with alcohol swab followed by
soapy water. Remove the gauze covering the
mouth piece & wash the mouthpiece with
soap & water & send for autoclaving. Dry the
articles & replace them. Wash hands.
Record the procedure in nurses record with
date, time, purpose & patients response to
the procedure.
Complications
Severe scalds
Burn injury