UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
CLINICAL POLICY AND PROCEDURE
TITLE: MICRO MIST NEBULIZER
Effective Date: August, 2004 Approval: See Authorization
Supersedes Protocol: None Contact: Clinical Staff Education
Reviewed March, 2005 November 2007 May 2010 July 2011
PURPOSE: To provide guidelines for the assembly and use of a Micro Mist Nebulizer at
POLICY: The clinical staff will utilize the following guidelines to assemble and use a
Micro Mist Nebulizer for a UWMF patient.
DEFINITION: A nebulizer is a devise used to break up liquid medication in to a fine
spray or vapor to allow medication to be inhaled into deeper parts of the respiratory tract
and is used for persons who are having difficulty breathing due to asthma, wheezing or
other pulmonary problems.
SUPPLIES: Micro Mist Nebulizer (pre-packaged), Provider’s order, Patient’s record,
Prescribed medication (Albuterol - 2.5 mg/3ml or per provider’s order)
1. Check the name and dose of medication against the provider’s order. Clarify any
2. Wash hands and assemble equipment.
3. Prepare medication, adhering to the five rights of drug administration.
Right – drug, dose, time, route, patient
Check the expiration date of the medication
4. Introduce yourself and identify the patient, to include DOB.
5. Provide good light and provide privacy by closing curtains or door.
6. Provide Patient Education:
a. Explain the need for the nebulizer to the patient, and verify allergies.
b. Duration of procedure – approximately 10 minutes
c. How to perform – breathe normally without taking deep breaths so as not to
d. Common side effects – headache, dizziness, tachycardia, ‘pounding’ heart –
reassure patient that these symptoms will resolve following treatment.
e. Encourage patient to report any discomfort, side effects, or changes in
a. vital signs
b. lung sounds
c. oxygen saturation
8. Prepare Nebulizer Treatment:
a. Open the pre-package nebulizer kit.
b. Place prescribed medication into the nebulizer jar.
c. Attach cap to nebulizer jar with a clockwise rotation.
d. Insert cap of nebulizer jar into tee. (See diagram).
e. Connect mouthpiece to the tee.
1) If using mask, attach to top of cap.
f. Connect reservoir to the tee (if using mouthpiece)
g. Attach supply tubing between the nebulizer and the compressed air unit or
1) If using oxygen, set flow to 8 LPM (liters per minute) or as prescribed.
h. Check nebulizer jar and reservoir for aerosol mist.
9. During treatment, periodically tap nebulizer jar to minimize residual volume.
10. After treatment:
a. Make the patient comfortable.
b. Assess vital signs
c. Assess oxygen saturation
a. Use HealthLink smart phrases –
.medinclinic (for documenting medication)
b. Vital signs
c. Patient education
REVISED BY: LaVay Morrison, RN, BSN, Clinical Staff Educator
REVIEWED BY: Carol Decker, RN, MSN, Clinical Staff Educator
WRITTEN BY: Ronnie Peterson, R.N., M.S., Manager of Clinical Support
1. Lippincott’s Nursing Procedures, 5
Ed. Lippincott, Williams, & Wilkins, 2009,
2. Clinical Nursing Skills & Techniques, 5
Ed. Perry & Potter, 2002, Mosby, St. Louis.
Medical Director Date