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Cleaning Equipment 101 CF Education Day 2009. Kristin Shelton, CPFT, RRT Cystic Fibrosis Center Lucille Packard Children’s Hospital at Stanford. Cleaning Your Respiratory Equipment. Germs can get on respiratory equipment and cause lung infections.

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cleaning equipment 101 cf education day 2009

Cleaning Equipment 101CF Education Day 2009

Kristin Shelton, CPFT, RRT

Cystic Fibrosis Center

Lucille Packard Children’s Hospital at Stanford

cleaning your respiratory equipment
Cleaning Your Respiratory Equipment
  • Germs can get on respiratory equipment and cause lung infections.
  • It is important to clean and disinfect equipment that has been in contact with mucous membranes, or secretions.
  • Clean and disinfectall equipment used for inhaled medicines or airway clearance using the manufacturer’s instructions.
slide7

2

Clean and rinse the nebulizer parts.

slide8

3

Disinfect nebulizer parts using one of

these options:

Boiling for 5 minutes

slide10

The CFF has approved the electric Avent iQ24 steam sterilizer as an option for disinfection.

slide11

Soaking in a solution of 1 part

household bleach and 50 parts water for 3 minutes

1 Part

50 Parts

+

slide12
4. Rinse the nebulizer parts.

If you disinfect using bleach, rinse all parts thoroughly using sterile water. You can make water sterile by boiling it for 5 minutes.

5. Air-dry the nebulizer parts.

Drain the parts on a clean surface covered with new paper towels. Remember, germs will grow on anything that stays wet, so store the dry nebulizer in a clean, dry bag in a clean, dry place.

maintaining your compressor
Maintaining your compressor

Remember to change your filter every 6 months

which nebulizer for which drug
Which nebulizer for which drug?
  • Pari LC Plus:
  • Tobi
  • Colistin (Colistimethate, Colymycin)
  • Albuterol
  • Hypertonic Saline (Hyper-sal)
  • Pulmozyme (Dornase Alpha)
  • Mucomyst (Acetylcystine)
  • PulmocortRespules (Budesonide)
which nebulizer for which drug1
Which Nebulizer for which drug
  • Pari Sprint:
  • Use with Albuterol
  • Hypertonic Saline
  • Mucomyst (Acetylcystine)
  • Pulmozyme (Dornase Alfa)
  • PulmicortRespules

*Replace every six months

which nebulizer for which drug2
Which nebulizer for which drug?
  • Pari LC Star
  • Colistin (Colistimethate, Colymycin)
which nebulizer for which drug3
Which nebulizer for which drug?

Side Stream nebulizer:

Use with Pulmozyme (Dornase Alfa) or Albuterol

Replace once a year

which nebulizer for which drug4
Which nebulizer for which drug?

E-flow nebulizer:

Use with Colistin (Colistimethate sodium), Hypertonic saline

Replace aerosol head every ninety days

which nebulizer for which drug5
Which nebulizer for which drug?

Disposable nebulizer:

use if you have no other

nebulizer available.

Replace each month

nebulizing for a child
Nebulizing for a child

The bubble’s the fish mask will melt if boiled.

recommended order of nebulized medications
Recommended order of nebulized medications
  • Bronchodilators: (Albuterol, Xopenex, Atrovent, Combivent) to open the airways.
  • Mucomyst: (10%) (20%) to break up mucous.
  • Hypertonic Saline: (7%) (available now in premixed vial manufactured by Pari called Hypersal) to mobilize mucus and improve airway clearance.
  • Pulmozyme: (Dornase Alfa) to thin mucus.
  • Airway Clearance
  • Antibiotics: (TOBI, Colistin) the previous therapies open and clear the airways thereby improving the distribution and effect of these antibiotics.
  • Steroids: (Flovent, Pulmicort, QVAR, Symbicort, Advair) to relieve inflammation.
special considerations
Special Considerations
  • Do not mix medications in the same nebulizer unless proven to be compatible.
  • Use a mouthpiece whenever possible (moving the mask just 2 cm away from the face may reduce the delivery of nebulized drug by up to 85%; in addition, nasal deposition further reduces airway deposition).
  • Learn how each medication should be stored (e.g., refrigerator, room temperature, travel considerations) and any special mixing concerns.
  • Be aware of possible side effects for each medication (e.g., bronchospasm, hoarseness/voice changes, increased cough and/or secretions, sore throat, loss of taste or hearing).