A nebulizer is a device that helps deliver medication directly into the lungs, primarily used for treating respiratory conditions like asthma. The device works by converting liquid medication into a fine mist, which is then inhaled through a mask. Initially, this process can be intimidating for infants and young children, but there are a few techniques that can make the nebulizer more user-friendly and easier to use for your child.
Steps
Using the Nebulizer

Place the nebulizer mask on the child’s face. The child will inhale the medicated mist through the mask. Follow the manufacturer's instructions or your doctor’s advice. You can refer to images or instructional videos to ensure you're using the nebulizer correctly. Most nebulizers are easy to assemble. Be sure to wash your hands thoroughly before using the nebulizer.
- Plug the compressor into an electrical outlet.
- Place the correct dosage of medication into the medication cup.
- Assemble the remaining parts by connecting the air tubing to the nebulizer and the mask. Attach the mask to the medication cup.
- Secure the mask over the child’s nose and mouth using the elastic straps.

Monitor if your child has inhaled the correct dose of medication. Typically, this process takes about 5 to 10 minutes. Children should breathe normally during this time.
- Hold the baby on your lap and ensure the mask fits snugly against their face. If there is a gap between the mask and the child’s face, the mist will escape, and they won’t inhale the full dose.
- If the mist slows down, gently tap the medication cup to ensure the last drops of medication are vaporized and inhaled by the child.

Clean the nebulizer according to the manufacturer’s and doctor’s instructions. Keeping the nebulizer clean is crucial to prevent your child from inhaling bacteria and causing infections.
- Clean the parts quickly after each use. All parts should be removed and thoroughly rinsed, except for the air tubing, which should be washed with warm water. The nebulizer mask should be washed with warm water and soap. Rinse well and let it air dry. If the tubing is still damp, run it through the nebulizer for a few minutes until it is completely dry.
- Clean the nebulizer three times a week if used frequently. Soak the parts in warm soapy water for 20 minutes, rinse, then soak them again in a mixture of white vinegar and water (1:4 ratio) for another 20 minutes. Rinse again and let them dry in a clean environment.
- In some cases, the nebulizer parts can be sterilized by boiling them. Check the manufacturer’s guidelines to ensure the parts can be boiled. If so, boil for about 10 minutes.
- Dust the nebulizer weekly and check the air filter monthly. The misting component, not the compressor, should be replaced every 3 to 6 months with regular use.
Make the nebulizer feel familiar to your child

Stay with your child while the nebulizer is running. You can make it a daily routine by performing the treatment at the same time each day. Additionally, you can make this time enjoyable by:
- Reading stories to your child
- Singing to your child
- Playing with fun toys
- Playing their favorite videos
- Praising your child for doing a great job

Let your child try using the nebulizer on their own if they are old enough. This gives them a sense of ownership, which can make them less afraid of using the nebulizer.
- Some children enjoy decorating the compressor with stickers.
- Let your child choose their preferred mask, such as one shaped like an elephant, turtle, or fish. You can also make it fun by pretending the mask is that of a pilot or astronaut and encouraging your child to imagine themselves as a pilot or astronaut while inhaling the medication.
- Use a mask with a pacifier attachment for infants. The pacifier can soothe the child’s discomfort while wearing the mask.

Do not use the nebulizer when your child is crying. This can create a negative association with the nebulizer and make future sessions more difficult. Also, inhaling medication while crying is ineffective.
- When a baby is crying, they breathe shallowly and exhale forcefully, meaning the medication won't be deeply inhaled into the lungs.
- If you comfort the baby by holding them and singing but they remain upset, wait and try again later when they seem more relaxed.
- However, if the child is struggling to breathe and is uncomfortable, the nebulizer can be used as an emergency measure to help them breathe easier, even if they are crying.
- If the child appears sleepy, you can also use the nebulizer while they are sleeping.
