Making the aerosol to a child
To do so we must correct an aerosol:
wash your hands before handling the unit
introduce the nell'ampolla or drugs, according to the amount prescribed by a doctor, possibly cut with a sterile syringe
nell'ampolla dilute the drug in about 2-3 ml of saline, according to the doctor
apply the tube to the compressor and put the mouthpiece in your mouth or have them join the mask on the face (in children under 2-3 years of life that are unable to use the mouthpiece)
aerosol run until the solution nell'ampolla.
At the end of each aerosol is recommended:
wash the face of the child, especially when spraying is performed with the mask, to remove residual traces of the drug, which could irritate the skin of the face
to rinse the mouth with water and baking soda or a mouthwash if you have used cortisone, in the case of non-cooperative children may be used to cleanse the mouth, a sweet to be done slowly dissolve in the mouth
rinse the ampoule, the tube and the mouthpiece (or mask) with warm running water. The ideal would be to keep these items in one of the disinfectant solutions that usually are used to store the bottle.
Careful not to commit these mistakes!
Preferable not to make the aerosol when the child is sleeping or lying position: drugs that will not be absorbed properly.
Do not place the mouthpiece between the lips in front of the teeth, or aerosol particles remain in the mouth and do not reach the lungs.
If you use the template does not keep away from the face, should adhere as closely as possible.
Do not cover the eyes of the child with the mask.
Every 5-6 sittings be verified the effectiveness of the nebulizer, the outlet hole of the compressed air is subject to a simple obstruction, marked by a lengthening of time of spraying. For the disostruzione this forum you should never use pins or sharp instruments as it might change the size of the hole and consequently the characteristics of the particles released is better instead repeatedly ampulla rinse with warm water and, if no consensus can be reached expected result, change the ampulla itself.
Are very important Implementing Rules of aerosols to achieve a good therapeutic response. We must remember that breathing in infants and young children, retired, takes place predominantly through the nose: the nose, however, acts as a filter and retains much of aerosols (up to 75%), consequently preventing drug content nell'ampolla to reach the bronchial pathways.
Infants and young children also inhale the aerosol without changing the frequency and depth of their breathing, while an older child is able to breathe once they are trained adequately, the more slowly and deeply during aerosol facilitating the penetration of the drug into the lungs.
You must be careful when you take the mask, the breathing is done orally. It is not enough, however, that the mouth is open to the aerosol properly, but it should encourage small to breathe through your mouth.
It is important that the mask is kept upright and well adherent to the face throughout the session Aerosols: simply remove even one cm. the face mask because more than half of aerosols is not inhaled by the child, released into the environment. For this reason, the mask should be set at double the face with a rubber band, thereby ensuring the close contact with the face even if the little cry and shake. Recall that when the baby cries predominantly breathe through your mouth, thus facilitating the inhalation of aerosols.
Infant children need more control when spraying is performed with the mouthpiece instead of the mask, which does not exclude the small airways all'aerosol breathing with the nose instead of by mouth. The mouthpiece also be held between the lips (very tight) and not between the teeth, without inhibiting the flow with the language.