6 - Pediatric Aerosol Therapy

goals of aerosol therapy

• treat bronchospasm, inflammation, and infection

• aid in secretion mobilization and humidification

common indications for aerosol therapy

• asthma

• bronchiolitis

• CF

• stridor

• chronic lung disease

nebulizer types

• jet (ineffective)

• ultrasonic (fast, heat can degrade meds)

• vibrating mesh (most efficient, ideal for neonates and MV)

pediatric aerosol considerations

• < 3 years: face mask, blow-by

• 3-5 years: face mask, mouthpiece with coaching

• 5+ years: mouthpiece, DPI, MDI with coaching

teaching caregivers inhaler techniques

• use placebos

• utilize teach-back method

• emphasize adherence and correct use

• provide guides and videos

aerosols during respiratory support

• CPAP/HFNC: adapters

• MV: mesh, no jets

• trach: collar/inline nebulizer, suction as needed