S.

NO TIME SPECIFIC CONTENT TEACHING LEARNING AV EVALAUTION

OBJECTIVE ACTIVITY ACTIVITY AIDS
1. 1min To introduce INTRODUCTION
the topic Nebulization is the process of medication
administration via inhalation. It utilizes a Lecture Listening LCD What is
nebulizer which transports medications to nebulization?
the lungs by means of mist inhalation.

2. 1min To define the DEFINITION

term ACCORDING TO MERRIEM
WEBSTER
A method of administering a drug by
spraying it into the respiratory passages of
the patient. The medication may be given Discussion Listening LCD What is the
with or without oxygen to help carry it into definition of
the lungs. nebulization
therapy?
ACCORDING TO MEDICAL
DICTIONARY
Nebulization is the process of medication
administration via inhalation. It utilizes a
nebulizer which transports medications to
the lungs by means of mist inhalation.
S.NO TIME SPECIFIC CONTENT TEACHING LEARNING AV EVALUATION
OBJECTIVE ACTIVITY ACTIVITY AIDS
3. 2min To PURPOSE OF NEBULIZATION THERAPY Lecture Listening LCD What is the
enumerate The main purpose of nebulization therapy are: purpose of
the purpose nebulization
of  Used to treat asthma and allergies therapy?
nebulization  Preventative measure against acute allergic
therapy reactions or as a treatment during asthma attacks
 Wheezing, coughing, or difficulties in breathing
are alleviated almost immediately when the
medication is delivered.
S.NO TIME SPECIFIC CONTENT TEACHING LEARNING AV EVALUATION
OBJECTIVE ACTIVITY ACTIVITY AIDS
4. 2min To enumerate INDICATIONS Lecture Listening LCD What are the
the indications indications of
Nebulization therapy is used to deliver nebulization
medications along the respiratory tract and is therapy?
indicated to various respiratory problems and
diseases such as:

 Bronchospasms
 Chest tightness
 Excessive and thick mucus secretions
 Respiratory congestions
 Pneumonia
 Atelectasis
 Asthma

5. 3min To describe the CONTRAINDICATIONS Lecture Listening LCD What are the
contraindication In some cases, nebulization is restricted or contraindications?
avoided due to possible untoward results or
rather decreased effectiveness such as:

 Patients with unstable and increased

blood pressure
 Individuals with cardiac irritability
(may result to dysrhythmias)
 Persons with increased pulses
 Unconscious patients (inhalation may
be done via mask but the therapeutic
effect may be significantly low)
6. 3min To deal about EQUIPMENTS Discussion Asking LCD What are the
the equipments question equipments used
Various equipments are used in nebulization in nebulization
they are: therapy?

 Nebulizer and nebulizer connecting

tubes
 Compressor oxygen tank
 Mouthpiece/mask
 Respiratory medication to be
administered
 Normal saline solution
 Syringe
 Gauze pieces

7. 5min To explain the PROCEDURE Lecture Listening LCD What are the
procedure procedure of
1. Position the patient appropriately, nebulization
allowing optimal ventilation. therapy?
2. Assess and record breath sounds,
respiratory status, pulse rate and
other significant respiratory
functions.
3. Teach patient the proper way of
inhalation:
 Slow inhalation through the mouth
via the mouthpiece
 Short pause after the inspiration
 Slow and complete exhalation
 Some resting breaths before another
 deep inhalation
 Prepare equipments at hand
 Check doctor’s orders for the
medication, prepare thereafter
 Place the medication in the nebulizer
while adding the amount of saline
solution ordered.
 Attach the nebulizer to
the compressed gas source
 Attach the connecting tubes and
mouthpiece to the nebulizer
 Turn the machine on (notice the mist
produced by the nebulizer)
 Offer the nebulizer to the patient,
offer assistance until he is able to
perform proper inhalation (if unable
to hold the nebulizer
[pediatric/geriatric/special cases],
replace the mouthpiece with mask
 Continue until medication is
consumed
 Reassess patient status from breath
sounds, respiratory status, pulse rate
and other significant respiratory
functions needed. Compare and
record significant changes and
improvement. Refer if necessary
 Attend to possible side effects and
inhalation reactions
S.NO TIME SPECIFIC CONTENT TEACHING LEARNING AV EVALUATION
OBJECTIVE ACTIVITY ACTIVITY AIDS
8. 2min To explain the MEDICATIONS USED IN Lecture Listening LCD What are the
medicines used NEBULIZATION THERAPY: medicines used in
in nebulization nebulization
therapy  1. Albuterol and Levalbuterol. therapy?
 2. Albuterol (AccuNeb) and levalbuterol
(Xopenex) are closely related medications
used for quick relief of asthma symptoms
 3. Ipratropium Bromide
 4. Budesonide.

9. 2min To describe the ADVANTAGES OF NEBULIZATION Lecture Listening LCD What are the
advantages THERAPY advantages of
nebulization
 Invaluable for small children who just therapy?
cannot use any other inhalation device.
 Useful for old people who cannot coordinate
inhalers.
 Useful in an acute attack situation for home
self use.
 Having a nebulizer at home is a
psychological support to the patient that
effective help is at hand.
 Some very severe asthmatics get more relief
with nebulized medicines as compared to the
usual inhaler devices.
 What are the
10. 1min To describe the DISADVANTAGES OF NEBULIZATION Lecture Listening LCD disadvantage of
disadvantage THERAPY nebulization
therapy?
 The cost of treatment goes up considerably.
If the same usual asthma medication by inhaler
is about 6 rupees a day, by nebulizer it would
cost 60 to 80 rupees a day. For a few day’s
treatment that would not matter much. But for
long term treatment it would be a concern for
most.
 There are chances of carrying the infection
from unsterile chambers or tubings into the
lungs, especially with long term use.
 A lot of drug is wasted – that vapour which
is coming out from the side

11. 1min To describe the COMPLICATIONS

complications Possible effects and reactions after What are the
nebulization therapy are as follows: Lecture Listening LCD complication?
 Palpitations
 Tremors
 Tachycardia
 Headache
 Nausea
 Bronchospasm (too much ventilation may
result or exacerbate Bronchospasm)