Using a Pari LC Jet+™ Nebulizer

Many medications are available as inhaled treatments.  Inhaled methods deliver medication directly to the airway, which is particularly useful for respiratory problems.  The patient and healthcare provider can choose from a variety of delivery systems for inhaling medication.

A nebulizer delivery system consists of a nebulizer (small plastic medication cup with a lid that drops into the cup and twists) and a source for compressed air.  The air flow from the compressor to the nebulizer changes the medication solution to a mist.  When inhaled correctly, the medication has a better chance to reach the small airways.  This increases the medication's effectiveness.

 

Assembling the PARI LC Jet+™ Nebulizer and Air Compressor

  1. Place the compressor and nebulizer on a clean, flat, hard surface.  The compressor should be placed where it can safely reach its power source and where you can reach the ON/OFF switch.
  2. If you are using the PARI PRONEBTM compressor, plug one end of the power cord into the back of the compressor.  Plug the other end of the power cord into an electrical outlet.
  3. Connect the air tubing from the compressor to the nebulizer base.  Note:  If you are using the PARI PRONEBTM compressor you will need to use the black plastic tubing adapter.

Preparing the Medication

  1. Wash your hands prior to preparing each treatment.Attach the mask to the front of the nebulizer
  2. Always use a clean nebulizer.
  3. Remove the medication cup from the nebulizer unit.
  4. Measure the correct dose of medication and other solutions prescribed by your healthcare provider.
  5. Put the medication and other solutions into the medication cup.
  6. Replace the top of the nebulizer.  The half round baffle should face the mouthpiece of the nebulizer.
  7. If using a mouthpiece, attach the mouthpiece to the front of the nebulizer.  The air vents should face upward.
  8. If using a mask, attach the mask to the front of the nebulizer.Connect the tubing to the bottom of the nebulizer
  9. If using an interrupter (finger valve) connect it to the bottom of the nebulizer.
  10. Connect the tubing to the bottom of the nebulizer (or the side of the interrupter).
  11. Turn the compressor on and check the nebulizer for misting.  When using an interrupter valve, push the black button with your finger to force the air to the nebulizer.

If the nebulizer is not misting:

  1. Check all of the connections.
  2. Refer to the manufacturer's instructions.

Taking a Nebulized Treatment Using a Mouthpiece and Interrupter

  1. Sit comfortably.  Position yourself in an upright, sitting position that will allow you to take a deep breath.
  2. Gently breathe out.
  3. Put the mouthpiece in your mouth between your teeth and close your lips around it. 
  4. Hold the nebulizer in an upright position.  This prevents spilling and promotes nebulization.
  5. To start the mist, push the black button on the interrupter with your finger.  If you are not using an interrupter, the nebulizer will continually mist.
  6. As the mist starts, breathe in slowly and deeply over three to five seconds, while pushing in with your finger on the black button on the interrupter.
  7. At the end of a deep breath, take your finger off of the black button on the interrupter to stop the mist.
  8. Hold your breath for up to ten seconds.  This allows the medication time to deposit in the airway.
  9. Resume normal breathing.
  10. Continue these steps until the onset of inconsistent nebulization, i.e., sputtering.

Taking a Nebulized Treatment Using a Mask

  1. Sit comfortably.  Position yourself in an upright, sitting position that will allow you to take a deep breath.
  2. Gently breathe out.
  3. Secure the mask on your face and inhale with your mouth open.
  4. Continue breathing deeply throughout the treatment.

Care and Cleaning of Nebulizer Equipment After Each Use

Please follow the manufacturer's instructions for cleaning the nebulizer equipment.  Some suggested guidelines include the following:

  1. Take apart the nebulizer.  Wash all parts (except tubing and interrupter) in liquid dish soap and water.  Rinse with water.
    Or
    Place the nebulizer parts (except mask, tubing and interrupter) in a dishwasher basket and place on the top rack of the dishwasher.
  2. After washing the nebulizer shake off any excess water.
  3. Reattach the nebulizer pieces and tubing to the air compressor and turn on the compressor to dry the nebulizer quickly.  Make sure the nebulizer is completely dry before storing the nebulizer.

Care and Cleaning of Nebulizer Equipment Every Other Treatment Day

There are two ways to disinfect and sterilize your nebulizer.  You may select either of the following methods:

Boiling Water

  1. Wash your hands.
  2. Take the nebulizer apart.
  3. Put all the parts of the PARI LC JET+ TM except the mask, tubing and interrupter in boiling water for 10 minutes.
  4. After boiling the nebulizer shake off any excess water
  5. Reattach the nebulizer pieces and tubing to the air compressor and turn on the compressor to dry the nebulizer quickly.  Make sure the nebulizer is completely dry before storing the nebulizer.

Vinegar and Water

  1. Wash your hands.
  2. Soak all parts of the nebulizer (except mask, tubing and interrupter) for 1 hour in a solution of 1 part distilled white vinegar and 3 parts hot water.  The solution should be fresh.  Remove the parts from the vinegar solution and rinse them in water.  Discard the solution.
  3. Shake off any excess water.
  4. Reattach the nebulizer pieces and tubing to the air compressor and turn on the compressor to dry the nebulizer quickly.  Make sure the nebulizer is completely dry before storing the nebulizer.

Care of the Compressor

Check the manufacturer's instructions for cleaning and care of other compressor you are using.

 

 

This information has been approved by Ann Mullen, RN, MS, AE-C  (June 2009).

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