A nebulizer turns your COPD medicine into a mist. It is easier to breathe the medicine into your lungs this way. If you use a nebulizer, your COPD medicines will come in liquid form.

Another way to get your medicine is with an inhaler, which is usually just as effective.

How to use a Nebulizer

With a nebulizer, you will sit with your machine and use a mouthpiece. Medicine goes into your lungs as you take slow, deep breaths for 10 to 15 minutes.

Nebulizers can deliver medicine with less effort than inhalers. You and your doctor can decide if a nebulizer is the best way to get the medicine you need. The choice of device may be based on whether you find a nebulizer easier to use and what type of medicine you take.

Most nebulizers use air compressors. Some use sound vibrations. These are called "ultrasonic nebulizers." They are quieter, but they cost more.

Follow these steps to set up and use your nebulizer:

• Wash your hands well.
• Fill the medicine cup with your prescription. To avoid spills, close the medicine cup tightly and always hold the mouthpiece straight up and down.
• Attach the hose and mouthpiece to the medicine cup.

• Place the mouthpiece in your mouth. Keep your lips firm around the mouthpiece so that all of the medicine goes into your lungs.

• Breathe through your mouth until all the medicine is used. This takes 10 to 15 minutes. If needed, use a nose clip so that you breathe only through your mouth. Small children usually do better if they wear a mask.

• Turn off the machine when done.

• Wash the medicine cup and mouthpiece with water and air dry until your next treatment.

Taking Care of Your Nebulizer

You will need to clean your nebulizer to prevent bacteria from growing in it, since bacteria can cause a lung infection. It takes some time to clean your nebulizer and keep it working properly. Be sure to unplug the machine before cleaning.

After each use:

1.Wash the medicine cup and mouthpiece with warm running water.

2.Let them air dry on clean paper towels.

3.Later, hook up the nebulizer and run air through the machine for 20 seconds to make sure all of the parts are dry.

4.Take apart and store the machine in a covered area until the next use.

Once per day, you may add a mild dish soap to the cleaning routine above.

Once or twice each week:

• You may add a soaking step to the cleaning routine above.

• Soak the cup and mouthpiece in 1 part distilled white vinegar, 2 parts warm water solution.

You may clean the outside of your machine with a warm, damp cloth as necessary. Never wash the hose or tubing.

You will also need to change the filter. The instructions that come with your nebulizer will tell you when you should change the filter.