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Introduction • a nebulizer is a small device that can convert a drug from a solution into an aerosol form by means of a compressor/compressed gas source. • Nebulization creates a mist of drug particles that can be inhaled via a face mask or mouthpiece soothing • Bronchodilators are the most common nebulized drugs but many others can be nebulized. Types of Nebulizers • Jet. This uses compressed gas to make an aerosol (tiny particles of medication in the air). • Ultrasonic. This makes an aerosol through high-frequency vibrations. The particles are larger than with a jet nebulizer. • Mesh. Liquid passes through a very fine mesh to form the aerosol. This kind of nebulizer puts out the smallest particles. It’s also the most expensive. Advantage of ultrasonic nebulizer over jet nebulizer • It produce higher output than jet nebulizer • It operate quietly • Delivering high humidity to patients with tenacious sputum to aid expectoration Medications administered via nebulizer • bronchodilators • Beta 2 agonist (e.g salbutamol) • anticholinergics (e.g ipratropium bromide), • corticosteroids (e.g Budesonide) • normal saline • Mucolytic(Acetylcysteine) • Antibiotics (Tobramycin) • Antifungal (Pentamidine)

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