From the Guidelines

The contraindications to inhalation therapy include hemoptysis, not cough, asthma attack, shortness of breath, or wheezing breath. When using a pocket inhaler, the error in the algorithm is that the patient should exhale before pressing the inhaler and inhaling. For oxygen therapy, 70% ethyl alcohol is used as a defoamer 1. If a patient develops nasal irritation during oxygen administration via nasal catheter, the nurse should temporarily stop oxygen, drip oil drops into the nose. The correct technique for using a pocket inhaler involves covering the mouthpiece tightly with lips, taking a deep breath while simultaneously pressing the bottom of the inhaler. During oxygen therapy with a mask, the error is pressing the mask tightly against the patient's mouth, as it should be kept slightly away. An oxygen concentration of 30-40% typically eliminates tissue hypoxia. Oxygen cylinders maintain pressure at approximately 150 atmospheres. For a patient experiencing adverse symptoms during a warm bath, the nurse should stop the procedure immediately and call a doctor. Inhalation treatments should be performed 1-1.5 hours after eating. The appropriate oxygen flow rate through a nasal catheter is 2-3 L/min. Pulse oximetry is the most common non-invasive method to measure oxygenation, as stated in the BTS guideline for oxygen use in adults in healthcare and emergency settings 1. For an asthma attack unresponsive to multiple inhaler doses, the nurse should call a doctor. During procedures with adverse cardiac symptoms, the nurse should stop the procedure and call a doctor. During prolonged oxygen therapy via nasal catheter, the catheter position should be changed to the other nostril every 30-40 minutes. Pulmonary edema is the primary indication for oxygen therapy with defoamers. For general therapeutic baths, patients should be immersed to the level of the xiphoid process. Water in thermal inhalers should be heated to 40°C. For a patient experiencing an asthma attack, the nurse should administer a bronchodilator like Salbutamol via inhaler.

Some key points to consider:

The BTS guideline for oxygen use in adults in healthcare and emergency settings provides recommendations for oxygen therapy, including the use of pulse oximetry to monitor oxygen saturation 1.
The management of stable chronic obstructive pulmonary disease (COPD) involves the use of long-acting inhaled bronchodilators, pulmonary rehabilitation, and supplemental oxygen, as stated in the Annals of Internal Medicine 1.
The standards for the diagnosis and treatment of patients with COPD, as outlined in the European Respiratory Journal, include the use of bronchodilators, corticosteroids, and supplemental oxygen 1.

In terms of specific procedures,

the nurse should follow the guidelines for oxygen therapy, including the use of defoamers and the monitoring of oxygen saturation 1.
the patient should be instructed on the proper use of a pocket inhaler, including exhaling before pressing the inhaler and inhaling.
the nurse should be aware of the potential risks and complications associated with oxygen therapy, including fire and explosion hazards, as outlined in the British Thoracic Society guidelines for home oxygen use in adults 1.

Overall, the key to providing effective care for patients with respiratory conditions is to follow established guidelines and protocols, while also being aware of the potential risks and complications associated with oxygen therapy and other treatments.

From the FDA Drug Label

Contraindications to inhalation therapy are:

Albuterol sulfate inhalation aerosol is contraindicated in patients with a history of hypersensitivity to albuterol or any other albuterol sulfate inhalation aerosol component. The contraindications to inhalation therapy include a history of hypersensitivity to the drug or its components.