gives the best instructions I have ever had on using a nebulizer...an explanation of parts and assembling and using a nebulizer. Extremely beneficial for patients to watch! Thankyou. Every RT needs to explain things in this way to a patient.... complete in detail.
My granddaughter has asthma. ...recent diagnosis. And we were having trouble explaining to her how to do this ! A very very big thank you to your video sir!!! She now does them as you showed ..perfectly!!! 🎉🎉😊
I have pneumonia and collapsed lung, and my PCP, after not seeing me for a month! prescribed a nebulizer, but I had no idea how to use it. They showed me how to put it together at the medical supply store, but not how to USE it! I was using it as an inhaler, and turning it off after every breath! So I am most grateful for Jimmy's instruction!! THANK YOU SO MUCH!! and #MedicareForAll because our current health care system sucks!!
Thank you! I just started with a nebulizer at home and you instructions were excellent. I deeply appreciated the help you gave me. You deserve an award.
You did a great job in explaining everything and how each one works. I have used a nebulizer off and on for a while now, and still learned from you. Thank you for a very informative video.
Thank you so much!! I was trying to help my mother wit her treatment. I had no idea what I was doing until I viewed your video. She was not using it properly. Now she is!! I can't than you enough. God Bless you!
Thanks for making the video! I was never taught to use my nebulizer properly and had questions. I was informed and now I will be getting the best out of my treatments. ♥️
Had a respiratory infection after some really bad allergies and was told to take Albuterol treatments at home. Thank you for this informative video. My machine wasn’t working and watching the video helped me troubleshoot it. Also, I’ve given plenty of these to my daughter in the past, but seeing your tip on how to know if someone is breathing in from nose or mouth was good to see. Now I’ll be able to tell if my daughter with Down syndrome is taking her medication correctly the next time we have to pull out the home nebulizer. :)
I don't usually comment on videos but I'm in RT school and your videos have helped me so much with learning clinical skills and being more confident before I go in on rotations. Thank you sm!
Thank you so much for sharing this video. My Aeromist Nebulizer arrived in on my doorstep w/no instructions how to use it. I appreciate the time you took to teach us how. 😊
Thank you for this. I have been nebulizing for years and didn't know I could hook it up to my 02. I just usually leave the cannula on my nose. I also had switched from the one with the 'hose' on the end. I will go back to that. Be blessed.
Thank you. Very helpful. Really enjoyed how you demonstrated on how to use. Hospitals offer nebulizer treatment but never offer on how use properly. Enjoyed the show. Keep up the good work
Same with nasal sprays they just hand them to you and if you don’t have insurance nebulizers can run you from anywhere from $100-$200. They’re like $60 on Amazon talk about highway robbery.
Thank you so much for this informative video. This information was soooooo much more helpful than the limited information I had. Thank you for making this easy to understand.
Thank you for this video. I am an RN and we don't give breathing treatments to our patients....only the respiratory therapists do. With the increased demand of RT's needed in this Covid pandemic, I am now required to do breathing treatments. This video has taught me a lot! Thank You!
What? Nurses can't give neb treatments? I keep finding more and more things medics can do that nurses can't, yet you guys are paid 3x more than we are. Lol.
Thank you so much for providing these videos! This is great info to have in Family Medicine residency training to better work in allied health teams with RT’s and help patients! Also really appreciated the video on evaluating inhaler use in patients!
This is such a helpful video. I only needed an explanation of the left over medicine and why it's not being used but I ended up watching the whole video and learned a lot. My child had to receive a take-home nebulizer treatment and I needed to learn as much as possible for his health. Thank you for a thorough video!
, I just started a breathing treatment tonight, and I wasn't sure about everything ,but your info got me up and going, so I subscribe, and liked ,and I will watching your vids, to see what else you do ,and again thanks.
Been Nebulizing saline, h202, and a drop of iodine for the last 12 years to battle infections. The mixture was done by my Dr in a saline bag to take home. It’s done wonders for my breathing when I get a cold or congestion. Never used antibiotics since or abuterol.
How can you get the long narrow tubing cleaned well. The water does not evaporate well and dry from the tubing easily. 😢 Could you do a video on properly cleaning all the components and the tubing of the nebulizer.🙌🏽
I think he said he uses the saline to prime the nebulizer for its first use. He called it a dry neb. He puts the saline in and then dumps it out before adding the medication.
Agreed with @bicklehoff794. If the medication comes in a concentrated dose of 0.5mL, you'll need to add saline to total 3mL to allow the neb to run properly.
Thanks for all your videos! I’m a post-polio with less than 50% VC. I have several of the respiratory devices you demonstrated. Your information has been very good and appreciated. Thank you again. 👍🏼
Why do some jet nebulizer systems not have the corrugated tube but just a short mouthpeace? Does the corrugated mouthpeace improve distribution of medication?
Jet nebs concentrate the medication in the larger housing and therefore do not use a piece of corrugated tubing. If I was taking a nebulizer and wanted the maximal amount of medication per breath, I would add a really long piece of corrugated tubing with about 1000mL of space. This would compensate for a large deep breath in, but most of that would be stuck in anatomical dead space anyway.
Hi. I’ve just recently purchased one for my son. Can I ask, does the room getting when you use it? Trying to figure out if that’s normal or something wrong with machine.
Hi Jimmy - When one uses neb with mask, can breahing be taken in with nose? If yes, will it be equally effective? Coz a kid may forget to inhale through mouth and he may start inhaling with nose.
Yes. It is nearly equal as breathing through the mouth. Deposition of medication is highly dependent upon laminar (smooth) flow to carry the meds to the correct tissue deep in the airways. Oral inhalation would have less resistance than nasal, but laminar flow is the key.
I was trying to find a video on how nebulizers actually turn the liquid into a vapor because to my understanding is just said very weak air compressor hooked up to some parts that seemed really basic. Any link or advice on this works?
It is kind of a mysterious process. I've seen some videos on it somewhere but I can't remember where..maybe in RT school. Here's a schematic. www.researchgate.net/figure/Schematic-illustration-of-a-typical-A-jet-nebulizer-and-B-ultrasonic-nebulizer_fig1_44589136
Inhale deeply (I count to 5), exhale normally through the mouth. Every 5 inhales, I inhale very deeply like using an inhaler, flip off my compressor, and hold my breath for a count of 10. That's how I was taught to get the medication deep into the alveoli.
At Mount Sinai Hospital East in NYC we Nurses gave the Nebs! I always took the opportunity to learn from our Respiratory Dept. and I was always grateful to see you all arrive during a Resuscitation! I’ll take this opportunity to thank you all!😇
Great question. In an ideal world you would have dual flowmeters and continue nasal oxygen during the breathing treatment. If this isn't an option, the RT stays with the patient and monitors Spo2 during the treatment. The patient will receive a 50 or 60% from the oxygen running the nebulizer which will maintain their o2 saturation during the treatment.
Good video. Thank You. I have been doing it wrong for ten years! I use the Phillips Responds InnoSpire Essence model and it has a white plastic plug on the right side (while facing the control button) Is this for a filter? Mine is just a plug with a short plastic tube. Do you know if I am suppose to have a filter with this? Thank You.
A little bit more about cleaning after use. I rinse off the container, the tower and the baffle after each use. I hang the hose with container still attached over my towel rack to dry. I set the baffle and tower out to dry. Looks like I should just dump out remainder with baffle never coming out of container and throwing all parts into a plastic bag till next use?? Good to know about replacing tube every 30 days. I was rinsing this out, too. One more thing - can the green 'vents' be replaced? They seem to become not as efficient over time in allowing the exhalation to escape. Thank you.
Thanks for the great demonstration but I have a couple of questions. When using a nublizer mask setup that is hooked up to the wall oxygen source (as shown at 10:00) does that require humidification or not? Should I replace the christmas tree with a water cup or is it unnecessary? When the medication is over does the mask setup with o2 source (as shown at 10:00) work as an oxygen delivery device or the patient isn't getting any breathable oxygen from that mask? because I read somewhere that a nublizer mask without medication in the chamber could double as an oxygen delivery device but I don't think that's how it works, so what do you think about that?
I appreciate you I was actually suppose to give to my client and I just checked this out but the medication didnt come out and I was shocked but the family of thr client called me to say the machine was bad that the hospice have to change it but as you demonstrate this now I know something is wrong with the machine thanks you ma brother . George
I have the exact same model. Read instruction book several times front to back and not once did it say how to put medication in cup, lol, so came here. First thing, in book for this model it says to breathe in deeply..so deep that you can't breathe in anymore and hold your breath!!!!!!!! You said complete opposite. I respect your opinion cause I can tell you are very good and professional, but don't understand why the company that actually made the nebulizer made the instruction book that stated specifically to inhale deeply until you can't breathe in anymore and to hold your breathe for a few seconds! In other words, according to book instructions, the way you inhaled at the beginning and held your breathe is the correct way
Thanks for the info . I have been using a nebulizer for about a year but was never given any instruction on using . Your video has been helpful . What I would like to know is , how long can you use the kit as I call it , the cup and hose assembly before replacing , and what should I clean them with ? You said you rinse them with saline but I've been using alcohol .I soak the parts in it . And how about the hose ? How long can I use it or clean it ?
The "disposable" kits last 30 days, you can clean them with dish soap (like Dawn) then soak them in 1 part white vinegar, 3 parts water once a week to disinfect it. The "reusable" kits typically last 6 months. Can be cleaned the same way, but some can also be sterilized by boiling them for 10 minutes. The tubing doesn't need to be washed, and should be changed when you change the rest of the kit. If you ever get a breathing treatment at a doctor, ask to take the kit home. It's a disposable kit, good for 30 days. Helps to build a little stockpile in case a part gets damaged, they are pretty universal and work with the majority of compressors out there.
My moms having shortness of.Breath quite often lately and I’m very worried bc she’s almost 80. She keeps getting the asthma inhalers. I got a nebulizer after hearing about them. But I think I got wrong med. I got ASTHMANEFRIN. I read it can’t be used in nebulizer but it looks very similar to the med u used in video. I guess that’s the albuterol. Do u need a prescription for that? Will Drs normally give that to you? Or is there another med otc u can buy? If u have any other tips that can help her, pls let me know. Idk what I’ll do without her 😕
Great video, well explained. I’m just starting with my T Neb and I’d like to know how you administer N-acetylciesteine from a vial (mucomist?) I have to tear the metal protective cap off and unplug but when I turned it upside down it didn’t come out. I looked at the cup a little closer and earlier was instructed to take the inner mechanism out to clean and noticed the stem was approximately the same size as the vial opening. I inserted the vial upside down and it came pouring into the cylinder/cup. Is this ok or should I use a sterilized syringe ? Thanks
I wouldn't worry about a sterile syringe. Just keep it as aseptic as possible. The nebulizer won't be sterile so sterile medication will be contaminated as soon as you put it in the cup.
hi! I really enjoy your videos! Question though, at 14:30, you say you put some saline in the nebulizer and swoosh is around so its not "dry"... couldn't you also use water (if applicable) instead of wasting the Saline? Or is there a specific reason that you only used saline? Thank you!!!
A bit late, but GEE, THANKS! Came back in to sub. I've had copd for YEARS, and have the WORST SUPPORT in the country, I think(Okla). After all these years, it took HOSPITALIZATION to get to speak to a RT, who only explained things after i NAILED HIM TO THE WALL. It feels like you're giving a test that you don't have the answers for! And you're not sure what questions to ask, but when you do, you'd better be VERY SPECIFIC. Because they don't volunteer much at all. I'm only interested in proper utilization and getting the most out of my meds, but when i ask (stupid?) questions, my docs just look at me like I"M the stupid one, when they can't even come up with an answer, such as "What's the purpose of this "reservoir tube?" So, clearly THEY'RE not interested in proper techniques or meds. Or tell me it's not their field, but when I ask my doc a question, I EXPECT THEM TO FIND OUT IF THEY DON'T KNOW. I certainly never expected to be left twisting in the wind. Repeatedly. Or even harmed by meds because they can't read their charts! "That's why they call it a "practice." " Geeze, no sh!t? *skeered* *of doctors* Thanks for your invaluable videos, SERIOUSLY! I'm only alive for sheer spite, lmao.
Thank you so much for doing this video. I have pneumonia due to Covid and my doctor prescribed me to do nebulizer treatments but it didn’t come with instructions.
Same situation and I don’t even know what type of medicine to use? I hope you are feeling better I am three weeks into it and can’t seem to break a fever. Best wishes to you
Did the MD not write a prescription? I would be interested to see what they ordered... I'm guess inhaled corticosteroids which I would definitely recommend.
Valerie Summers: it’s a year after the fact, and I’m just getting over the same thing myself, although I still need to nebulize. I hope you and all your family and friends are well. I’m answering this in case there’s some poor soul out there who comes across this and is desperately seeking help. Probably the most important thing if you’ve got Covid and pneumonia from it, is to know that you want to stop cytokine storms. Before you do anything else other than possibly nebulize a little bit of saline, you need to take some vitamin C, vitamin D, and zinc. The vitamin C should be either a liposomal or a time release formula. Take that first and early on in this whole process. Early in the pandemic, a lot of people died because although the lungs were able to be treated and people thought they were making a comeback, but then the patients’ bodies started to do the cleanup operation to clean up after the infection, it mounted an immune response called a cytokine storm, which exacerbated the pneumonia and killed them. So you start with the vitamins at all costs. I can’t over stress that enough. And that’s what my doctor stressed for me as well. Then comes the nebulized formula. So my doctor prescribed .1% hydrogen peroxide in normal saline. I found that it was immensely helpful. The saline alone is enough to loosen up some of that concrete congestion in the lungs. But that .1% peroxide just seems to give it a little boost. Within a few minutes, I started to be able to move some of that pneumonia and breathe more easily. My 80-year-old aunt who has asthma went to see her cardiologist, and when he heard the pneumonia on her lungs, he tried to admit her to the hospital. But the hospital was too full. The staff at emerge gave her a steroid prescription and sent her home. Mom thought she was going to have to watch her aunt die. So she brought her home so the Parel sold have care and not have to be by herself when she died. My aunt was really weak, and hadn’t been able to sleep because she wasn’t able to breathe, so I waited till they got back home from the hospital, and then called Mom and my aunt up, and explain to her how to go prone on the bed and had mom firmly thump her back between her shoulder blades, and it had a near immediate effect. My aunt said that she was very comfortable in that position and finally able to breathe well, and agreed to stay put for a bit so that we could prepare a solution for her to nebulize. Mom did the preparation for the solution; she was able to do this with just instructions over the phone. Mom didn’t have a nebulizer, but I explained to her how to set up the ultrasonic essential oil diffuser that she had. She helped my aunt inhale the solution, and I recommended that our aunt go up and lie down on her belly again, to rest, and just have Mom thump her back again if she needed it. Two hours later, I called my mother to see how her aunt was doing, and they were out running errands. Mom was trying to catch up with her aunt. The difference was pretty much immediate. My aunt was able to keep going just fine with the nebulizing and the steroids until she could see an actual pulmonary specialist, who would see to her lungs. Sometimes all you need is to survive long enough to see a doctor when you can’t get admitted to the hospital. She said she felt the best she had in a very long time. Apparently she had pneumonia for a while, end it had been pretty bad. Because of Covid, and her age, people were trying to respectfully keep a distance so as not to make her sick, so we didn’t realize how ill she has become. But for her appointment with the cardiologist, she may have died. That’s just one example, but it was desperate. My mother was absolutely certain that she was gonna have to watch her favourite aunt die and not be able to do a blessed thing about it. It wasn’t what her doctor wanted for her. He wanted her in the hospital to be treated. But we were desperate. We did what we had to because help was most certainly not on the way, and there was no chance that my aunt could’ve lived another day or two. It was really that bad. Everyone else we’ve helped with that solution in that situation, has pulled through just fine, With the help and expertise of the doctor when they could finally see one. I hope and pray the same is true for you. ❤️
gives the best instructions I have ever had on using a nebulizer...an explanation of parts and assembling and using a nebulizer. Extremely beneficial for patients to watch! Thankyou. Every RT needs to explain things in this way to a patient.... complete in detail.
My granddaughter has asthma. ...recent diagnosis. And we were having trouble explaining to her how to do this ! A very very big thank you to your video sir!!! She now does them as you showed ..perfectly!!! 🎉🎉😊
How often in a day does she use it? If you don't mind me asking
I have pneumonia and collapsed lung, and my PCP, after not seeing me for a month! prescribed a nebulizer, but I had no idea how to use it. They showed me how to put it together at the medical supply store, but not how to USE it! I was using it as an inhaler, and turning it off after every breath! So I am most grateful for Jimmy's instruction!! THANK YOU SO MUCH!! and #MedicareForAll because our current health care system sucks!!
Unfortunately, Medicare for all isn't going to improve the quality of healthcare or of your providers.
I have a new nebulizer I went on line but they went so fast i couldn't keep up LoL
This video was published four years ago, but I'm glad I found it (it's 2024 now). Thanks for the tips! I need it.
Thank you! I just started with a nebulizer at home and you instructions were excellent. I deeply appreciated the help you gave me. You deserve an award.
THE BEST NEBULIZER INSTRUXTION I HAVE HEARD. THANK YOU FOR SHARING.♥
Omg that intro. Just got my first nebulizer from urgent care and thats how they told me how to do it!! 😳 So glad i found your vid!!
You did a great job in explaining everything and how each one works. I have used a nebulizer off and on for a while now, and still learned from you. Thank you for a very informative video.
Best instructional video on UA-cam ⭐️⭐️⭐️⭐️⭐️
You are very kind Mr.Harrison!
Thank you so much!! I was trying to help my mother wit her treatment. I had no idea what I was doing until I viewed your video. She was not using it properly. Now she is!! I can't than you enough. God Bless you!
Great video!!! Thank you so much for doing it. I am new to the nebulizer and this video answered all of my questions. Thank you again.
Thanks for making the video! I was never taught to use my nebulizer properly and had questions. I was informed and now I will be getting the best out of my treatments. ♥️
Thank you! Love how detail but simple your explanation is. Really appreciate it 🙏
Thanks!
Thank you for your time and expertise. I just started using a nebulizer and this helped a lot.
Had a respiratory infection after some really bad allergies and was told to take Albuterol treatments at home. Thank you for this informative video. My machine wasn’t working and watching the video helped me troubleshoot it. Also, I’ve given plenty of these to my daughter in the past, but seeing your tip on how to know if someone is breathing in from nose or mouth was good to see. Now I’ll be able to tell if my daughter with Down syndrome is taking her medication correctly the next time we have to pull out the home nebulizer. :)
Thanks so much for this comments Charlotte!! 🙂
I don't usually comment on videos but I'm in RT school and your videos have helped me so much with learning clinical skills and being more confident before I go in on rotations. Thank you sm!
@maryyam Thank you for commenting! Building confidence for students entering the field is one of the main goals of this channel.
Thank you very much! I learned a lot. My own doctors office did not tell me how to use this in such detail... I am grateful you made this video.
Thank you for this! I have to use one today and didn't know how. ❤ So helpful!
Thank you so much for sharing this video. My Aeromist Nebulizer arrived in on my doorstep w/no instructions how to use it. I appreciate the time you took to teach us how. 😊
Thank you for your open and honest presentation. No phony-bologna!!
Please make more videos for all things Respiratory Therapy. You are a God Send! Thank you!
Thank you for this. I have been nebulizing for years and didn't know I could hook it up to my 02. I just usually leave the cannula on my nose. I also had switched from the one with the 'hose' on the end. I will go back to that. Be blessed.
Nurse here...great video! Lots of good education and teaching!
Thank you 😊
Thank you. Very helpful. Really enjoyed how you demonstrated on how to use. Hospitals offer nebulizer treatment but never offer on how use properly. Enjoyed the show. Keep up the good work
Same with nasal sprays they just hand them to you and if you don’t have insurance nebulizers can run you from anywhere from $100-$200. They’re like $60 on Amazon talk about highway robbery.
Thank you so much for this informative video. This information was soooooo much more helpful than the limited information I had. Thank you for making this easy to understand.
You are very welcome 🙏
Thank you for this video. I am an RN and we don't give breathing treatments to our patients....only the respiratory therapists do. With the increased demand of RT's needed in this Covid pandemic, I am now required to do breathing treatments. This video has taught me a lot! Thank You!
Any other solucion u can used just to
Keep your lungs healthy?
I neb with saline and hydr perox ode.
@Pat Luxor yes, or you can make your own.
@Pat Luxor You can use distilled water with the food grade hydrogen peroxide.
What? Nurses can't give neb treatments? I keep finding more and more things medics can do that nurses can't, yet you guys are paid 3x more than we are. Lol.
Thank you so much for providing these videos! This is great info to have in Family Medicine residency training to better work in allied health teams with RT’s and help patients! Also really appreciated the video on evaluating inhaler use in patients!
How important to clean every time
Excellent video. Everything is explained and demonstrated.
Thank you so much for this information! I've been doing to so wrong. I literally would get light headed from doing it wrong.
Is a need to add water
@edwincuarteron9862 why would you add water to medicine lol
You would add saline to the med to reach a total volume of 3mL. This will help the nebulizer work properly.
Thank you Sir. I was missing the green cup and so I was doing it wrong. Then I looked around and I saw it. Now it works properly.
Thank you once again
This is such a helpful video. I only needed an explanation of the left over medicine and why it's not being used but I ended up watching the whole video and learned a lot. My child had to receive a take-home nebulizer treatment and I needed to learn as much as possible for his health. Thank you for a thorough video!
🙏Prayers for you child. ❤👍
Thank you for making this video. This was super helpful 😊
Thank you for this video it really showed me how to use it correctly. You're a very good teacher.
Thank you! 😊
@@rtclinic what peoplďeat
Amazing briefing on neutralizers!!
, I just started a breathing treatment tonight, and I wasn't sure about everything ,but your info got me up and going, so I subscribe, and liked ,and I will watching your vids, to see what else you do ,and again thanks.
Thanks Bill!
You are a fantastic educator! I love your videos; keep making them please. #futureRRT
Been Nebulizing saline, h202, and a drop of iodine for the last 12 years to battle infections. The mixture was done by my Dr in a saline bag to take home. It’s done wonders for my breathing when I get a cold or congestion. Never used antibiotics since or abuterol.
Do you take these treatments every day or just as needed?
@@rtclinic just as needed.
Great instructions, you explained everything in such detail, thank you!
Thanks so much for your illustrations. 🎉
Thank you so much. You gave me some info that I did not know about in using my nebulizer correctly, like about the value of the reservoir tube!
I love his enthusiasm. 👍
Just beginning my first neb treatments soon. Very good vid, thank you, will make things go a lot smoother. Again thank you. W. Charles
Sounds 👍
How can you get the long narrow tubing cleaned well. The water does not evaporate well and dry from the tubing easily. 😢 Could you do a video on properly cleaning all the components and the tubing of the nebulizer.🙌🏽
This video was great. No one instructed me on how to use this thing. You're explanation amd reasoning was superb. You're a G! 😊 Thanks!
OG RT 😎
Fantastic demonstration, as I will look for all of your videos now, so thanks. :)
Do you add the saline with a butyryl solution? I’m kind of confused on that. Could you give me a better understanding please
I think he said he uses the saline to prime the nebulizer for its first use. He called it a dry neb. He puts the saline in and then dumps it out before adding the medication.
Agreed with @bicklehoff794.
If the medication comes in a concentrated dose of 0.5mL, you'll need to add saline to total 3mL to allow the neb to run properly.
Thanks for your excellent teaching, my doctor doesn’t have time. You’ve gotten me over couple of really rough spots.
They get paid top dollar and don’t have time.😢
Great video. Very easy to follow. Thanks!
You helped out a lot this video should stay up for many more to come this one was so informative thx.
Thanks for this breathing treatment demo it's so useful using nebulizer now for my cough treatment
I am glad I watch all the way through your video!! 😊
Well explained. I am a Filipino but i understand it so clearly. Keep safe, Bro.
Thank you!
Very informative and important information!
Really, really helpful video on how to use a nebulizer. Thanks Jimmy for putting this together. -The Nebulizer Team @ Blue Echo Care.
Wow! How do you get on a 'nebulizer team'?! That sounds awesome!
Three different types:
Tee:
0:35
Mask: 9:22
Tower 15:28
Thank u very much for providing such a informative video and I really learn a lot that I did not know earlier thank u for ur work Sir
Very useful, my company is a provider of such mesh nebulizer ,I will check with my team and improve our product.
I just used mine. I did it correctly with the video. I thank God for UA-cam.😅
Thanks a lot for explaining the sputtering
Helping this guy prepare for finals and then on to clinicals. Thanks for all these videos my friend 🤟🏻
Any time!
Thank you so much. I'm so glad I can do these at home. 😃
Thanks for all your videos! I’m a post-polio with less than 50% VC. I have several of the respiratory devices you demonstrated. Your information has been very good and appreciated. Thank you again. 👍🏼
Grateful!! Videos always rich in content
Very informative, and good presentation. Thank You
Thank you so much for this video. Very informative❤
Why do some jet nebulizer systems not have the corrugated tube but just a short mouthpeace? Does the corrugated mouthpeace improve distribution of medication?
Jet nebs concentrate the medication in the larger housing and therefore do not use a piece of corrugated tubing. If I was taking a nebulizer and wanted the maximal amount of medication per breath, I would add a really long piece of corrugated tubing with about 1000mL of space. This would compensate for a large deep breath in, but most of that would be stuck in anatomical dead space anyway.
Thank you . Finally understand about my treatments. Learned alot
Thanks for the awesome video I have some issues With my Vios system. On my second unit.
I think I’m not breathing deep enough. How long is the treatment supposed to take? I am using Ipratropium Bromide.
Thanks for explaining how to use a nebulizer with and without a mask.
You explain things so well ! Thank you so much you!
Hi. I’ve just recently purchased one for my son. Can I ask, does the room getting when you use it? Trying to figure out if that’s normal or something wrong with machine.
Hi Jimmy - When one uses neb with mask, can breahing be taken in with nose? If yes, will it be equally effective? Coz a kid may forget to inhale through mouth and he may start inhaling with nose.
Yes. It is nearly equal as breathing through the mouth. Deposition of medication is highly dependent upon laminar (smooth) flow to carry the meds to the correct tissue deep in the airways. Oral inhalation would have less resistance than nasal, but laminar flow is the key.
Great instructions!!! Would you place add -how to clean it to your next video. Thanks again.
I was trying to find a video on how nebulizers actually turn the liquid into a vapor because to my understanding is just said very weak air compressor hooked up to some parts that seemed really basic. Any link or advice on this works?
It is kind of a mysterious process. I've seen some videos on it somewhere but I can't remember where..maybe in RT school. Here's a schematic. www.researchgate.net/figure/Schematic-illustration-of-a-typical-A-jet-nebulizer-and-B-ultrasonic-nebulizer_fig1_44589136
Is it usual to inail, hold the breath in so it gets absorbed into the lungs, or is it always a continuous inhail exhail, inhail exhail... etc.?
Inhale deeply (I count to 5), exhale normally through the mouth. Every 5 inhales, I inhale very deeply like using an inhaler, flip off my compressor, and hold my breath for a count of 10. That's how I was taught to get the medication deep into the alveoli.
Thank you so much
Your video was the most helpful of all the ones I checked
where can we purchase the "tower neb" used in this video?
www.shopnebulizer.com/p-salter-nebutech-hdn-reusable-nebulizer-with-mouthpiece.html?gclid=Cj0KCQiAuP-OBhDqARIsAD4XHpeVMHM15aS-o9mISq4HYSickCT0g-tQsnmfFRsFnPMHJqeFGMO91kIaAs9_EALw_wcB
This is a fair price for one of them.
I retired in 2016 after 30 years and didn’t get to used the tower piece! I like how it gives a stronger dose✅
They are cool devices... 😎
At Mount Sinai Hospital East in NYC we Nurses gave the Nebs! I always took the opportunity to learn from our Respiratory Dept. and I was always grateful to see you all arrive during a Resuscitation! I’ll take this opportunity to thank you all!😇
@@s.romero2934 Thank you!! We appreciate our nurses too!
How do you deliver a nebulizer treatment to someone who is on oxygen? Do you take them off the oxygen while they are doing the tx?
Great question. In an ideal world you would have dual flowmeters and continue nasal oxygen during the breathing treatment. If this isn't an option, the RT stays with the patient and monitors Spo2 during the treatment. The patient will receive a 50 or 60% from the oxygen running the nebulizer which will maintain their o2 saturation during the treatment.
Great clear presentation😊 thank you.
Good video. Thank You. I have been doing it wrong for ten years! I use the Phillips Responds InnoSpire Essence model and it has a white plastic plug on the right side (while facing the control button) Is this for a filter? Mine is just a plug with a short plastic tube. Do you know if I am suppose to have a filter with this? Thank You.
A little bit more about cleaning after use. I rinse off the container, the tower and the baffle after each use. I hang the hose with container still attached over my towel rack to dry. I set the baffle and tower out to dry. Looks like I should just dump out remainder with baffle never coming out of container and throwing all parts into a plastic bag till next use?? Good to know about replacing tube every 30 days. I was rinsing this out, too. One more thing - can the green 'vents' be replaced? They seem to become not as efficient over time in allowing the exhalation to escape. Thank you.
I usually see the entire nebulizer replaced because they are fairly inexpensive. Cleaning with a 50:50 vinegar / water mixture is good once per week.
this was very informative man. I like how you presented the video too. Thanks for the upload! just what i needed
Thanks for the great demonstration but I have a couple of questions.
When using a nublizer mask setup that is hooked up to the wall oxygen source (as shown at 10:00) does that require humidification or not? Should I replace the christmas tree with a water cup or is it unnecessary?
When the medication is over does the mask setup with o2 source (as shown at 10:00) work as an oxygen delivery device or the patient isn't getting any breathable oxygen from that mask? because I read somewhere that a nublizer mask without medication in the chamber could double as an oxygen delivery device but I don't think that's how it works, so what do you think about that?
I answered this in the comments of the oxygen tubing myth video
@@rtclinic I saw it, thanks!
I almost died I clicked the video because the intro is EXACTLY how I took the treatment... and it seemed wrong 🤣🤣🤣😂🤦🏽♀️😂🤷🏽♀️🤔
😂😂😂❤
Thank you for such detailed instructions. 👏👍 You made everything so easy to understand. ,🙂
This was fantastic information. I really want to thank you for this.
I appreciate you I was actually suppose to give to my client and I just checked this out but the medication didnt come out and I was shocked but the family of thr client called me to say the machine was bad that the hospice have to change it but as you demonstrate this now I know something is wrong with the machine thanks you ma brother . George
👍
Great information. Thank you!
Thanks a lot for making these videos!
I have the exact same model. Read instruction book several times front to back and not once did it say how to put medication in cup, lol, so came
here.
First thing, in book for this model it says to breathe in deeply..so deep that you can't breathe in anymore and hold your breath!!!!!!!! You said complete opposite. I respect your opinion cause I can tell you are very good and professional, but don't understand why the company that actually made the nebulizer made the instruction book that stated specifically to inhale deeply until you can't breathe in anymore and to hold your breathe for a few seconds! In other words, according to book instructions, the way you inhaled at the beginning and held your breathe is the correct way
Thanks for the info . I have been using a nebulizer for about a year but was never given any instruction on using . Your video has been helpful . What I would like to know is , how long can you use the kit as I call it , the cup and hose assembly before replacing , and what should I clean them with ? You said you rinse them with saline but I've been using alcohol .I soak the parts in it . And how about the hose ? How long can I use it or clean it ?
you don,t clean the hose after 30 days you get a new kit before 30days you clean all parts but hose
The "disposable" kits last 30 days, you can clean them with dish soap (like Dawn) then soak them in 1 part white vinegar, 3 parts water once a week to disinfect it. The "reusable" kits typically last 6 months. Can be cleaned the same way, but some can also be sterilized by boiling them for 10 minutes. The tubing doesn't need to be washed, and should be changed when you change the rest of the kit. If you ever get a breathing treatment at a doctor, ask to take the kit home. It's a disposable kit, good for 30 days. Helps to build a little stockpile in case a part gets damaged, they are pretty universal and work with the majority of compressors out there.
My moms having shortness of.Breath quite often lately and I’m very worried bc she’s almost 80. She keeps getting the asthma inhalers. I got a nebulizer after hearing about them. But I think I got wrong med. I got ASTHMANEFRIN. I read it can’t be used in nebulizer but it looks very similar to the med u used in video. I guess that’s the albuterol. Do u need a prescription for that? Will Drs normally give that to you? Or is there another med otc u can buy? If u have any other tips that can help her, pls let me know. Idk what I’ll do without her 😕
Thanks for the lesson. Very informative!
Great video, well explained. I’m just starting with my T Neb and I’d like to know how you administer N-acetylciesteine from a vial (mucomist?) I have to tear the metal protective cap off and unplug but when I turned it upside down it didn’t come out. I looked at the cup a little closer and earlier was instructed to take the inner mechanism out to clean and noticed the stem was approximately the same size as the vial opening. I inserted the vial upside down and it came pouring into the cylinder/cup. Is this ok or should I use a sterilized syringe ? Thanks
I wouldn't worry about a sterile syringe. Just keep it as aseptic as possible. The nebulizer won't be sterile so sterile medication will be contaminated as soon as you put it in the cup.
hi! I really enjoy your videos! Question though, at 14:30, you say you put some saline in the nebulizer and swoosh is around so its not "dry"... couldn't you also use water (if applicable) instead of wasting the Saline? Or is there a specific reason that you only used saline?
Thank you!!!
Yes. I usually use water to "wet" the neb. Saline was easily available for the video.
Good to know. I have always used water and it alarmed me when you mentioned saline.
A bit late, but GEE, THANKS! Came back in to sub. I've had copd for YEARS, and have the WORST SUPPORT in the country, I think(Okla). After all these years, it took HOSPITALIZATION to get to speak to a RT, who only explained things after i NAILED HIM TO THE WALL. It feels like you're giving a test that you don't have the answers for! And you're not sure what questions to ask, but when you do, you'd better be VERY SPECIFIC. Because they don't volunteer much at all. I'm only interested in proper utilization and getting the most out of my meds, but when i ask (stupid?) questions, my docs just look at me like I"M the stupid one, when they can't even come up with an answer, such as "What's the purpose of this "reservoir tube?" So, clearly THEY'RE not interested in proper techniques or meds. Or tell me it's not their field, but when I ask my doc a question, I EXPECT THEM TO FIND OUT IF THEY DON'T KNOW. I certainly never expected to be left twisting in the wind. Repeatedly. Or even harmed by meds because they can't read their charts! "That's why they call it a "practice." " Geeze, no sh!t? *skeered* *of doctors*
Thanks for your invaluable videos, SERIOUSLY! I'm only alive for sheer spite, lmao.
Drs aren't about your health any more, it's the money & they are drug pushers for big pharma
Thank you so much for doing this video. I have pneumonia due to Covid and my doctor prescribed me to do nebulizer treatments but it didn’t come with instructions.
Whats the treatment schedule like? Father has the same but I'm going to call a physician tomorrow
Same situation and I don’t even know what type of medicine to use? I hope you are feeling better I am three weeks into it and can’t seem to break a fever. Best wishes to you
Did the MD not write a prescription? I would be interested to see what they ordered... I'm guess inhaled corticosteroids which I would definitely recommend.
Valerie Summers: it’s a year after the fact, and I’m just getting over the same thing myself, although I still need to nebulize. I hope you and all your family and friends are well. I’m answering this in case there’s some poor soul out there who comes across this and is desperately seeking help.
Probably the most important thing if you’ve got Covid and pneumonia from it, is to know that you want to stop cytokine storms. Before you do anything else other than possibly nebulize a little bit of saline, you need to take some vitamin C, vitamin D, and zinc. The vitamin C should be either a liposomal or a time release formula. Take that first and early on in this whole process. Early in the pandemic, a lot of people died because although the lungs were able to be treated and people thought they were making a comeback, but then the patients’ bodies started to do the cleanup operation to clean up after the infection, it mounted an immune response called a cytokine storm, which exacerbated the pneumonia and killed them.
So you start with the vitamins at all costs. I can’t over stress that enough. And that’s what my doctor stressed for me as well.
Then comes the nebulized formula. So my doctor prescribed .1% hydrogen peroxide in normal saline. I found that it was immensely helpful. The saline alone is enough to loosen up some of that concrete congestion in the lungs. But that .1% peroxide just seems to give it a little boost. Within a few minutes, I started to be able to move some of that pneumonia and breathe more easily.
My 80-year-old aunt who has asthma went to see her cardiologist, and when he heard the pneumonia on her lungs, he tried to admit her to the hospital. But the hospital was too full. The staff at emerge gave her a steroid prescription and sent her home. Mom thought she was going to have to watch her aunt die. So she brought her home so the Parel sold have care and not have to be by herself when she died.
My aunt was really weak, and hadn’t been able to sleep because she wasn’t able to breathe, so I waited till they got back home from the hospital, and then called Mom and my aunt up, and explain to her how to go prone on the bed and had mom firmly thump her back between her shoulder blades, and it had a near immediate effect. My aunt said that she was very comfortable in that position and finally able to breathe well, and agreed to stay put for a bit so that we could prepare a solution for her to nebulize.
Mom did the preparation for the solution; she was able to do this with just instructions over the phone.
Mom didn’t have a nebulizer, but I explained to her how to set up the ultrasonic essential oil diffuser that she had. She helped my aunt inhale the solution, and I recommended that our aunt go up and lie down on her belly again, to rest, and just have Mom thump her back again if she needed it.
Two hours later, I called my mother to see how her aunt was doing, and they were out running errands. Mom was trying to catch up with her aunt. The difference was pretty much immediate. My aunt was able to keep going just fine with the nebulizing and the steroids until she could see an actual pulmonary specialist, who would see to her lungs. Sometimes all you need is to survive long enough to see a doctor when you can’t get admitted to the hospital. She said she felt the best she had in a very long time. Apparently she had pneumonia for a while, end it had been pretty bad. Because of Covid, and her age, people were trying to respectfully keep a distance so as not to make her sick, so we didn’t realize how ill she has become. But for her appointment with the cardiologist, she may have died.
That’s just one example, but it was desperate. My mother was absolutely certain that she was gonna have to watch her favourite aunt die and not be able to do a blessed thing about it. It wasn’t what her doctor wanted for her. He wanted her in the hospital to be treated. But we were desperate. We did what we had to because help was most certainly not on the way, and there was no chance that my aunt could’ve lived another day or two. It was really that bad.
Everyone else we’ve helped with that solution in that situation, has pulled through just fine, With the help and expertise of the doctor when they could finally see one. I hope and pray the same is true for you. ❤️
what would be a suitable medicine for home use, to try remedy a lingering lung infection? any kind of saline?
Hi. Can i use normal saline solution alone without mixing it with other medication?
Yes definitely 👍
I was looking for how to use the hypertonic saline. I have COPD so I'm gonna check out your other vids
Thanks for stopping by..