Using your doctor's directions, you can administer adrenaline or racemic epinephrine through a nebulizer to ease croup. A nebulizer is a small handheld device that sprays a fine mist of medication under pressure. A mask is usually used, with a mouthpiece connected to the nebulizer machine using flexible plastic tubing. Your child may experience some anxiety about using a nebulizer, but be patient and explain the procedure carefully to minimize resistance.
Step 1
Set the nebulizer on a flat, firm surface. Make sure the nebulizer doesn't tip over during the treatment and spill the medicine---and probably upset your child. Occupy your child with an activity during the treatment, preferably reading a book or watching a movie or TV show. Just make sure he or she stays still and holds the nebulizer mask firmly so all the medicine will be delivered.
Step 2
Connect the flexible plastic tubing to the nebulizer machine and place the medication in the reservoir. Connect the mouthpiece or mask to the nebulizer securely and turn the machine on. Make sure there is a fine mist of medication coming through the mask.
Step 3
Remind your child to take slow, deep breaths during the treatment. The mouthpiece should remain over the mouth the whole time to ensure all the medication is brought into the lungs. You may want to tap on the nebulizer reservoir to make sure all the medication gets delivered.
Step 4
Clean the nebulizer machine thoroughly after every use. Do not delay--the machine is easier to clean when it is still damp and you will prevent bacteria from growing in the reservoir. Wash the cup in warm water with mild dish soap and completely air dry. Store in a plastic bag between treatments so it does not come in contact with germs and bacteria.
Step 5
Rinse the nebulizer cup in a mild vinegar and water solution once a week. After using the vinegar mixture, rinse again in plenty of warm running water to wash out all the vinegar smell.
Tips and Warnings
- If your child has a severe coughing episode while using the nebulizer, stop the treatment and let the child calm down. Your child may feel calmer if you hold him or her during the treatment, but make sure the mask is over the mouth so all the medication is delivered to the lungs.
- Croup could be a sign of a much more serious illness. Talk to your doctor if symptoms worsen.
Things You'll Need
- Nebulizer machine
- Prescription medications
- Dish soap
- Vinegar
