Equipment 8-612 - Nebulizer

CMH EMS & MIH Protocols

Scope of Practice:

• Advanced Emergency Medical Technician
• Registered Nurse
• Paramedic

Indications:

• Protocol 2-066 - Allergic Reaction.
• Protocol 2-726 - Pulmonary Edema.
• Protocol 2-770 - Respiratory Distress.
• Medication 7-055 - Albuterol (Proventil, Ventolin).
• Medication 7-296 - Duoneb (Ipratropium and Albuterol, Combivent).
• Medication 7-340 - Epinephrine Racemic (Micronefrin).
• Medication 7-965 - Xopenex (Levalbuterol).

Contraindications:

• None.

Precautions:

• None.

Procedure:

• Select correct medication.
• Confirm orders, dosage, and expiration.
• Check patient allergies.
• Add medication to reservoir of Nebulized. Add Saline if necessary to equal 3 ml total volume.
• Connect Oxygen tubing and set flow rate to 6-8 lpm.
• Have patient take deep breaths, holding for a second, and exhale through tube.
• If patient is unable to hold nebulizer, attach to mask.
• Medication is delivered in 5-10 min.
• Observe patient for effects.

CMH Pre-Hospital Services Mission: "Provide safe, exceptional, and compassionate care to our communities with an emphasis on highly trained and empowered staff."

CMH Mobile Integrated Healthcare Mission: "Provide exceptional, compassionate, and patient-centered care by a mobile collaborative team to improve patient experience, improve quality outcomes, and reduce healthcare costs."

Polk, Hickory, Cedar, & St Clair County EMS Protocols is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.