– Medications instilled into the nares drain into the back of the mouth and throat, and may cause sensations of difficulty in breathing, tickling, or bad taste. After instillation of the drops, the child should be observed for choking or vomiting. Saline nose drops are sometimes given to young infants who have respiratory disorders to clear the nasal passages.
Administering a Nasal Medication:
EQUIPMENT AND SUPPLIES
1- Place the child in a supine position with the head hyper extended over the parent’s lap or over the edge of the examination table or bed.
2- Don gloves.
3- Instill the drops into the nostrils.
4- Keep the child in the same position for at least 5 minutes to allow the medication to contact the nasal mucosa.
Aerosol therapy is used when medication must be deposited directly into the airway. Bronchodilators, steroids, and antibiotics can be administered to children in aerosol form. Several methods are used to provide aerosol therapy, including mist tents with medications added to a reservoir, intermittent positive pressure breathing machines, or nebulizers. The most common aerosol therapy for children is the metered dose inhaler MDI) commonly used in treatment of asthma . Because nebulizers are the type of aerosol treatment commonly used in the hospital and administered by nurses.
Administering Nebulizer Aerosol Therapy
– The dose of the medication is based on the child’s weight. The medication is placed in the cup the aerosol kit; 2 to 3 mL of normal saline can be added as a diluent if ordered.
– Perform a baseline assessment, including heart and respiratory rates, breath sounds, and respiratory effort.
EQUIPMENT AND SUPPLIES:
– Mouthpiece or blow-by tubing (depending on child’s age)
– Portable nebulizing machine or tubing to hook to oxygen supply
– Place the mask on the child.
– Give an assistant or the parent the tubing for blow-by, or have the child put the mouthpiece it the mouth (Figure 7-10).
– Attach the oxygen tubing to the oxygen flow meter at 6-7 L/min.
– Have the child take deep breaths during the treatment.
– The aerosol administration should last about 10 minutes. Reassess the child’s condition after -the therapy.