How to Work a Nebulizer: Setup, Use, and Cleaning

A nebulizer is a medical device designed to transform liquid medication into a fine mist. This mist can then be easily inhaled directly into the lungs through a mouthpiece or a face mask. Administering medication in this manner allows it to reach the respiratory system efficiently, providing targeted relief for various breathing conditions. This approach is frequently used for managing conditions such as asthma, chronic obstructive pulmonary disease (COPD), and cystic fibrosis.

Understanding the Parts

A nebulizer system includes several components that deliver aerosolized medication. The compressor serves as the power source, generating compressed air that flows through the system. Tubing connects the compressor to the medication cup, carrying the pressurized air. The medication cup is the container where liquid medication is placed. Patients inhale the mist through a mouthpiece or a face mask. A filter purifies the air drawn into the compressor, ensuring clean air for aerosolization.

Preparing for Use

Prepare the device and medication carefully before a nebulizer treatment. Wash your hands thoroughly with soap and water to prevent contamination. Gather all supplies, including the prescribed liquid medication, nebulizer cup, tubing, and a mouthpiece or mask. Ensure the nebulizer cup is clean and dry from its previous use.

Connect one end of the tubing to the air outlet on the compressor. Open the medication cup and measure the prescribed dose of liquid medication, pouring it into the cup. After adding the medication, securely close the top of the medication cup to prevent spills during the treatment. Attach the other end of the tubing to the bottom of the medication cup, and connect the mouthpiece or mask to the top.

Using the Device

Once the nebulizer is assembled and filled, position yourself correctly for optimal medication delivery. Sit upright in a comfortable chair, as this posture helps maximize lung capacity and allows the medication to reach deeper into the lungs. If using a mouthpiece, place it between your teeth and seal your lips firmly. If using a mask, fit it snugly over your nose and mouth.

Turn on the compressor, and a fine mist should begin to appear from the mouthpiece or mask. Breathe in slowly and deeply through your mouth, taking normal, regular breaths. You may take four normal breaths followed by one slow, deep breath, holding it for two to three seconds before exhaling, to allow more medication to settle in the lungs. Continue breathing normally until the medication cup is empty and the mist stops, which takes between 5 to 20 minutes depending on the device and medication. Occasionally, tapping the side of the medication cup can help ensure all the liquid is nebulized.

Care and Maintenance

Care and maintenance of your nebulizer ensure hygiene and device longevity. After each treatment, disassemble the medication cup, mouthpiece or mask, and tubing. Wash the medication cup and mouthpiece or mask with warm water and a mild dish soap to remove any medication residue. Rinse these parts thoroughly with clean water, then shake off any excess water and allow them to air dry completely on a clean paper towel. The tubing should not be washed; instead, it can be left connected to the compressor and run for about 20 seconds to dry out any moisture.

Regular disinfection of reusable nebulizer parts is recommended once a day or after the last daily treatment. Methods can include soaking the washed parts (excluding tubing) in a solution of one part distilled white vinegar to three parts hot water for 30 minutes, or boiling them for 5 to 10 minutes. Always rinse thoroughly after disinfection and air dry completely before reassembling and storing the components in a clean, dry place, such as a sealed plastic bag. Filters should be checked monthly and replaced when they appear dirty or discolored, while the medication cup, tubing, and mask or mouthpiece may need replacement every 3 to 6 months or as recommended by the manufacturer.