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1. Nebulizer Segment

2. Content:
Type of Nebulizer
Choosing a Nebulizer
Medicine used for Nebulizer
Important technical specifications
Which patient should be treated by Nebulizer
CITIZEN systems Japan Nebulizers✓
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8 Comparison tables
Respiratory Diseases
What is Nebulizer1
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3. • Nebulizers are used in treating respiratory conditions where the
medication must be inhaled.
• Nebulizers are available in small portable versions for home use and
travel.
• nebulizer is used instead of a metered dose inhaler as it provides a
better flow of medication to some patients
• In medicine, a nebulizer is a device used to administer medication in the
form of a mist inhaled into the lungs.
• Nebulizers are commonly used for treatment of cystic fibrosis, asthma,
COPD and other respiratory diseases.
What is Nebulizer

4. • Nebulizers use oxygen, compressed air or ultrasonic power to break up
medical solutions/suspensions into small aerosol droplets that can be directly
inhaled from the mouthpiece/mask of the device.
• The definition of an aerosol is a "mixture of gas and liquid particles,“
What is Nebulizer

5. Type of Nebulizer
1.Compressor Nebulizer
2.Ultrasonic Nebulizer
Nebulizer Mask Nebulizer
Mouthpiece

6. - Compressor Nebulizer
• uses the compressed air to create the mist which carries the medication to the lungs.
- Ultrasonic Nebulizer
• does not use compressed air
• the device operates off of sound vibrations.
• Sound waves at a high frequency are created by a crystal and transform the liquid
medication into a fine mist that is inhaled.
• generally for home use and available in a portable style.

7. - Nebulizer Mask
- Nebulizer Mouthpiece
• To guarantee the proper amount of medication is administered to the patient.
• The only option for babies and young children is the face mask.
• Placed in the patient's mouth and inhaled in slow, deep breaths.
• A method called 'blow by' is sometimes used for young children and babies while
they are sleeping.
• This method uses the mouth inhaler and allows the mist to blow out while the
child breathes it in without inserting the mouthpiece in the mouth
• Unfortunately, a child does not inhale enough medication through the blow by
method and it should not be used for treatment

8. • connected by tubing to a compressor that causes compressed air or oxygen to flow at high
velocity through a liquid medicine to turn it into an aerosol, which is then inhaled by the
patient.
• were used for patients in hospitals who have difficulty using inhalers, such as in serious cases
of respiratory disease, or severe asthma attacks. However some manufacturers like CITIZEN
have also managed to lower the weight of the Compressor nebulizer down to 400 grams ,
and thereby started to label it as a portable and home use device.
Application of Compressor Nebulizer

9. • more portable nebulizer.
• have an electronic oscillator generate a high frequency ultrasonic wave, which causes the
mechanical vibration of a piezoelectric element.
• This vibrating element is in contact with a liquid reservoir and its high frequency vibration is
sufficient to produce a vapor mist.
Application of Ultrasonic Nebulizer

10. compressor nebulizers Ultrasonic nebulizers
more noise Less noise
less portable Portable
heavier weight (400 grams) Lighter weight (170 grams)
Hospital use / Home use Home use
Uses compressed air to generate a fine
mist
Uses ultrasonic vibrations passed
through water to generate a fine mist
Offers a range of particle sizes Offers a very consistent particle size
Available in tabletop models and
handheld models
Available in handheld models only
No medication restrictions Medication restrictions because heat is
transferred to the medication

11. • Nebulizer medicines are liquid. For convenience and safety, most nebulizer
medicines are delivered in single-dose vials.
• Albuterol
• Intal
• Atrovent
• Pulmicort Respules
• Steroids
• Bronchodilators
• Beta-2 agonists such as salbutamol, albetrol
• Ipratropium bromide
• Nedocromil sodium and etc are also used.
Medicines used in nebulizer

12. _ Respiratory patients in hospitals and emergency rooms
_ Babies and young children
_ Elderly patients, including COPD patients
_ Patients receiving a medication that can only be delivered with a nebulizer
_ Any patient for whom MDI or DPI devices are insufficient
_ patients suffering from cystic fibrosis, asthma and other respiratory diseases.
Which patients should be treated by nebulizer

13. Is the nebulizer approved for your medication?
Make sure your nebulizer and medication are compatible. Check the patient instructions for each.
You should never attempt to nebulizer Medications that are not intended to be nebulized.
How much noise does it make?
Think about where and when you might need to use the nebulizer.
new models are almost silent.
Where are you likely to use the nebulizer?
Standard units may work well at home; smaller ones are easier to store in apartments, dorm rooms
and suitcases.
Who will use the nebulizer?
Babies, some young children and elderly patients may require face masks or might be more
bothered by noisy machines.
If it will be used by more than one person, you will need extra nebulizer cups and mouthpieces.
Choosing a Nebulizer

14. • psi Operating Pressure – it is better to have more pressure
• Air Flow (micro liters/min) _it is better to have heavier air flow
• Cup Capillary (I.D. microns) – it is better to have a bigger cup capacity
• Noise – the less noise the better
• Particle size – the smaller particle size the better
• Nebulization rate _ Citizen Nebulizer has adjustable rate in 3 level
• Weight – the lighter the better/ more portable
• Pluggable – it is better if the nebulizer is pluggable to use direct electricity in
addition of battery
Technical important specification to be under
consideration:

15. FeaturesCUN-60
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•Handy design
•Easy To use
•Silent operation
•3-Speed nebulization rate control
•Built-in timer
Ultrasonic Type
CITIZEN nebulizers

16. Features CITIZEN Beurer
Model Ultrasonic- CUN60
Ultrasonic – IH30
Auto switch off Yes
Yes
Particle size 5 microliter 5.15 microliter
Guarantee 2 years replacement -
Mouth pick -
Yes
Child Mask
Yes Yes
Storage Bag
Yes Yes
Comparison Table / Ultrasonic Nebulizer

17. Nebulizer brand CITIZEN OMRON
Model
Ultrasonic- CUN60 Ultrasonic- C801
Nebulization rate 3- speed adjustable 0.3 ml
Particle size 5 microliter 5 microliter
Weight 350 g 3 oz
Power
AC/DC 100 – 240 V 50/60 Hz
AC/DC 100 – 240 V 50/60 Hz
Comparison Table / Ultrasonic Nebulizer

18. Children and babies with:
– Asthma
– C.O.P.D disease
– chest infection
– Wheezing problem
– bronchitis
are asked to use a Nebulizer treatment.
Children and babies using Nebulizer

19. According to the
State of the World
Allergy Report of
the World Allergy
Organization,
about 300 million
people worldwide
have asthma,
approximately
50% of whom live
in developing
countries.
Respiratory diseases
1
Respiratory diseases
Chronic respiratory
diseases (CRD) are
forecast to be
amongst the top five
killers by 2030 and
at present one
person in every
fifteen dies globally
due to the illness,”
said Simon Page,
Group Director of
Life Sciences at IIR
Middle East, the
organizer of Arab
Health 2011.
Respiratory diseases
Respiratory dise
ase is becoming
the second
leading cause of
death worldwid
e and a disease
like COPD is
becoming the
number one
burden on
healthcare
budgets.
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20. TB (Tuberculosis)
• A common bacterial disease
• Caused by mycobacteria, usually ''Mycobacterium tuberculosis'' in
humans.
• Usually affecting the lungs.
• Other parts of the body can also be affected, for example lymph nodes,
kidneys, bones, joints, etc. It is spread through the air, when people who
have the disease cough, sneeze, or spit.

21. - A long-lasting (chronic) cough.
- Wheezing.
- Constant coughing, sometimes called "smoker's cough"
- Excess sputum production.
- Mucus that comes up when you cough.
- Shortness of breath while doing activities.
- Feeling like you can't breathe.
What are the symptoms:
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22. • An estimated 64 million people have COPD worldwide in 2004.
• More than 3 million people died of COPD in 2005, which is equal to 5% of all
deaths globally that year.
• Almost 90% of COPD deaths occur in low- and middle-income countries.
• The primary cause of COPD is tobacco smoke (through tobacco use or second-
hand smoke).
• The disease now affects men and women almost equally, due in part to increased
tobacco use among women in high-income countries.
• COPD is not curable, but treatment can slow the progress of the disease.
• Total deaths from COPD are projected to increase by more than 30% in the next 10
years without interventions to cut risks, particularly exposure to
World COPD statistics

23. World Asthma statistics
• Some 235 million people currently suffer from asthma. It is the most common
chronic disease among children.
• Most asthma-related deaths occur in low- and lower-middle income countries.
• The strongest risk factors for developing asthma are inhaled substances and
particles that may provoke allergic reactions or irritate the airways.
• Medication can control asthma. Avoiding asthma triggers can also reduce the
severity of asthma.
• Appropriate management of asthma can enable people to enjoy a good quality of
life.

24. CITIZEN
Healthcare products
For HumanityTechnologyLeading

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