|Reviewed by Dr Simon Rowley, Dr Innes Asher, Dorothy Cooper|
- Use a prepackaged ventilator nebuliser kit.
- Attach into patient Y piece at unused temperature port (for Infant Star ventilators replace the nondisposable patient Y with a disposable patient Y).
- Use a flow of 6 litres oxygen/air per minute through nebuliser and reduce ventilator gas flow to make a combined flow equal to that which baby is currently receiving (i.e. this will normally be 4 litres/minute to make a total flow 10 litres/minute).
- Nebulise until dry and spluttering: maximum 10 minutes. Tap nebuliser occasionally to release solution into the reservoir.
- Use a mask with large side holes, not small ones, to ensure no CO2 buildup.
- Nebulise using a flow of 8 litres oxygen/air per minute.
- Nebulise until dry or spluttering: maximum 10 minutes. Tap the bowl occasionally to release solution into the reservoir.
- Cover eyes during administration with swimming goggles.
- Ensure mask closely fits the baby's face.
|1||Prescribing information (product disclosure) Astra (Sweden).|
|2||Heel R, Stanaway L (eds) New Ethicals Compendium. Detailed prescribing information. Auckland Adis Press 1988; p982-983.|
|3||Hughes B. Pharmacist GL/NWH. Letter April 1994.|
|4||Asher I. Guidelines for use of budesonide nebulising solution. Starship Children's Health. April 1994.|
|5||Goth's Medical Pharmacology. Clark WG, Brater DC, Johnson AR. The Mosby Company 12th Ed 1988; p791.|