Скачать или смотреть HOW TO NEBULIZE A PATIENT ON Bipap

Step-by-Step Procedure

1️⃣ Patient preparation

Explain the procedure to the patient

Position: Semi-Fowler (30–45°)

Check baseline SpO₂, RR, HR, BP
2️⃣ Assemble the nebulizer

Add prescribed medication to nebulizer chamber

Use mesh nebulizer if available (best drug delivery, no added flow)
3️⃣ Correct placement (VERY IMPORTANT)

📍 Place nebulizer:

Between the BiPAP mask and exhalation port

As close to the patient side as possible
4️⃣ BiPAP settings during nebulization

IPAP / EPAP: keep same as prescribed

FiO₂: increase if SpO₂ drops

Avoid unnecessary pressure changes
👉 If using jet nebulizer:
Use 6–8 L/min flow
Watch for pressure/volume disturbance
5️⃣ Start nebulization

Ensure mask seal (no air leak)
Observe mist formation
Ask patient to breathe slow & deep
Duration: 8–10 minutes
6️⃣ Monitoring during therapy

SpO₂, RR, HR
Patient comfort & synchrony
Watch for:Increased work of breathing
Air leaks
Drop in tidal volume
#Nebulization
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