Name of the Procedure:

Common Name: Administration Set for Non-Disposable Small Volume Pneumatic Nebulizer
Technical Term: HCPCS Code A7005

Summary

This procedure involves using a non-disposable, pneumatic nebulizer to deliver medication in aerosol form to patients with respiratory conditions. The nebulizer converts liquid medication into a fine mist that can be inhaled directly into the lungs.

Purpose

• Medical Conditions Addressed: Asthma, Chronic Obstructive Pulmonary Disease (COPD), Cystic Fibrosis, and other respiratory issues.
• Goals: To deliver medication effectively to the airways for improved breathing and symptom relief.

Indications

• Symptoms: Wheezing, shortness of breath, chronic cough, difficulty breathing.
• Conditions: Diagnosed respiratory diseases like asthma or COPD.
• Patient Criteria: Patients who require inhaled medication delivered via a pneumatic nebulizer.

Preparation

• Pre-procedure Instructions: There are generally no special preparations needed. Patients may be instructed to avoid certain foods or drinks that could exacerbate their symptoms.
• Diagnostic Tests: Spirometry or other pulmonary function tests may be conducted to assess lung function.

Procedure Description

1. Equipment Preparation: Assemble the non-disposable nebulizer set and connect it to the air compressor.
2. Medication: Fill the nebulizer cup with the prescribed liquid medication.
3. Setup: Attach the mouthpiece or facemask to the patient.
4. Operation: Turn on the air compressor. The device will convert the liquid medication into an aerosol mist.
5. Inhalation: The patient inhales the mist through the mouthpiece or facemask for 5-15 minutes, until the medication is fully administered.

Duration

The procedure typically takes about 5-15 minutes, depending on the medication dose and patient’s breathing rate.

Setting

This procedure can be performed in various settings:

• Outpatient clinics
• Doctor’s offices
• Home care settings

Personnel

• Healthcare staff involved: Respiratory Therapists, Nurses, or trained family members for home care.

Risks and Complications

• Common Risks: Mild throat irritation, coughing, or dry mouth.
• Rare Risks: Severe allergic reaction to the medication, dizziness, or bronchospasm.
• Management: Monitoring and adjusting medication dosage, and using emergency interventions if necessary.

Benefits

• Effective delivery of medication directly to the lungs.
• Rapid symptom relief.
• Improved breathing and lung function usually noticed shortly after the procedure.

Recovery

• Post-procedure Care: Patients can resume normal activities immediately.
• Expected Recovery Time: None; the effects are immediate.
• Follow-up: Regular check-ups to adjust medication as needed and monitoring lung function.

Alternatives

• Alternative Treatments: Metered dose inhalers (MDIs), dry powder inhalers (DPIs), oral medications.
• Pros and Cons: MDIs and DPIs are portable but may require more coordination. Oral medications are easy to take but may have systemic side effects.

Patient Experience

• During the Procedure: Patients may feel the cool mist entering their airways, which is generally not uncomfortable.
• After the Procedure: Patients might experience immediate relief of symptoms. Pain is uncommon, but if present, it is usually mild and related to the condition, not the medication delivery. Comfort measures include a calm environment and assistance from healthcare providers.