5378783 oxygen therapy
DESCRIPTION
part of medical courseTRANSCRIPT
![Page 1: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/1.jpg)
Oxygen Therapy
Is the administration of oxygen at concentartions greater than that in ambient air with the intent of treating or preventing the symptoms and manifestation of hypoxia.
![Page 2: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/2.jpg)
Parts of the Oxygen Tank:
Regulator – use to release O2 safely with a desirable rate.
– controls rate of oxygen output
Flow rate meter – indicates # of liters per minute of O2 being released
![Page 3: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/3.jpg)
Pressure Gauge – the one nearest to the tank which shows the pressure or amount of oxygen in the tank.
![Page 4: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/4.jpg)
Precautions when administering Oxygen:
1.Avoid open flames in patients room such as burning candles & striking match.
2.Place “NO SMOKING” signs in conspicuous places in the patient’s room.
![Page 5: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/5.jpg)
3. Check all electrical equipments. Ensure that it emits no sparks.
4. Avoid wearing & using synthetic fabrics.
5. Avoid using oil, or wearing clothing stained with oil in the area.
![Page 6: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/6.jpg)
Clinical Alert: Oxygen is used very conservatively on anyone with chronic lung disease because high levels of oxygen will disrupt carbon dioxide center & lead to respiratory arrest.
![Page 7: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/7.jpg)
1.Administration of Oxygen Therapy by Nasal Cannula.
Description: This equipments the simplest method & the one best set tolerated by most patients.
Cannula-is a disposable plastic device with two protruding prongs for insertion into the nostrils
![Page 8: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/8.jpg)
![Page 9: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/9.jpg)
Equipments: Oxygen supply
Regulator
Humidifier
Nasal Cannula
![Page 10: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/10.jpg)
PROCEDURE:
1.Explain purpose & procedures of oxygen to patient
R- To alleviate anxiety & gain patient’s cooperation
2. Take actions to minimize fire hazards.
![Page 11: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/11.jpg)
3. Attach humidifier bottle to regulator & attach nasal cannula to connecting tube of water reservoir.
R- Prevents dryness & irritation of nasal mucosa
![Page 12: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/12.jpg)
4. Lubricate cannula prongs with water soluble lubricant & start flow of Oxygen at 2-4 LPM
R- Oil soluble lubricants emit heat.
![Page 13: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/13.jpg)
5. Place prongs in patient’s nostrils. Prongs should curve outward in nostrils. Position tubing over & behind each ear & slide the adjuster under skin so that the cannula fits snugly but comfortably.
![Page 14: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/14.jpg)
R- Correct placement of prongs & fastener facilitates oxygen administration & comfort for the patient.
6. Use gauze pads as necessary under nostril, cheeks or behind the ears,
R- To reduce irritation & pressure.
![Page 15: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/15.jpg)
7. Instruct patient to breath through nose.
R- For maximum efficiency of cannula.
8. Monitor vital signs & check patient’s condition frequently.
R- To note any signs of distress.
![Page 16: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/16.jpg)
9. Provide nose care at least every four (4) hours.
R- To promote comfort & prevent dryness of nasal mucosa.
10. Change equipment daily (tubing and cannula)
![Page 17: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/17.jpg)
III. Administration of Oxygen by Face Mask
Description: The use of disposable & reusable face mask for oxygen.
Points to Remember:
1. Mask should be fitted carefully to the patient’s face to avoid leakage of oxygen
![Page 18: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/18.jpg)
2. Mask should be comfortable, snug but not too tight against the patient’s face.
Types of Face Mask:
1.Disposable Plastic Mask- simplest, less expensive; with open vents for elimination of exhaled air.
Types of Face Masks:1.Simple Face Mask - Delivers oxygen concentrations from 40% to 60% at liter flows of 5 to 8 liters per minute, respectively.2.Partial Rebreather Mask – Delivers oxygen concentration of 60% to 90% at liter flows of 6 to 10 liters per minute, respectively.3.Non Rebreather Mask – Delivers the highest oxygen concentration possible 95% to 100% – by means other than intubation4. or mechanical ventilation, at liter flows of 10 to 15 liters per minute.4.Venturi Mask – Delivers oxygen concentrations varying from 24% to 40% or 50% at liter flows of 4 to 10 liters per minute.
![Page 19: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/19.jpg)
2. Concentration Mask- Designed to supply specific concentration of oxygen up to about 40%. This mask permits the more precise administration of oxygen at low concentration.
3. Partial Rebreathing Mask- No respiratory valve so that the beginning portion of exhaled air returns to the bag & mixes with
![Page 20: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/20.jpg)
the inspired air. Ports are present so that expired air escapes.
4. Nonbreathing Mask- Provides highest concentration for the patient & offers the most precise method of administration. With valve which closes during expiration so that any exhaled air is forced thru the expiratory valve on the face piece.
![Page 21: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/21.jpg)
5. Venturi Mask- Use to control low oxygen concentration; Allows a fixed predicted FIO2 to be delivered. It is utilized effectively on patients with COPD when accurate FIO2 is necessary for proper treatment. CO2 build up is kept at minimum.
EQUIPMENTS: Oxygen mask, Oxygen source, Flow-meter, Humidifier
![Page 22: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/22.jpg)
![Page 23: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/23.jpg)
PROCEDURES:
1.Explain procedure & rationale for administering oxygen to patient.
R- To relieve anxiety & gain patient’s cooperation.
2. Observe precautions to prevent fire
R- Oxygen supports combustion
![Page 24: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/24.jpg)
3. If used, attach a water humidifier bottle to the oxygen regulator or flow meter.
R- Humidifiers prevent mucosal dryness.
4. Measure size of face mask for patient’s use
R- To make sure it fits the patient.
![Page 25: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/25.jpg)
5. Turn on oxygen flow to LPM (prescribed). If reservoir bag is attached, partially inflate it with oxygen.
R- So that the patient will not feel suffocated as the mask is fit.
6. Place patient in semi or higher fowler’s position
R- To promote maximum vital capacity
![Page 26: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/26.jpg)
7. Fit mask to patient’s face from nose downward during expiration. If reservoir bag is attached, oxygen flow must be at level.
R- A tight fit prevents oxygen from escaping around eyes or nose.
8. Place elastic band around patient’s head
![Page 27: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/27.jpg)
R- To avoid mask displacement.
9. Attach tubing to pillows & bed keeping tubing free of kinks.
R- To facilitate a good oxygen flow
10. Use gauze pads on patient’s ear & scalp.
![Page 28: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/28.jpg)
11. Instruct patient to breath thru nose if nasal mask has been used.
12. Stay with the patient until patient feels at ease with the mask.
R- Some patient may be afraid of the mask
13. Asses patient’s condition frequently
![Page 29: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/29.jpg)
R- To monitor any signs of distress
14. Remove & clean face mask every 2-3 hrs. if oxygen is running continuously.
R- Promotes comfort.
15. Check the equipment & water level of humidifier frequently.
![Page 30: 5378783 Oxygen Therapy](https://reader034.vdocuments.site/reader034/viewer/2022042814/5520b9544a795969718b484d/html5/thumbnails/30.jpg)
16. Observe for any change in patient’s condition.
17. Check with physician to order a nasal cannula during meals.
http://www.youtube.com/watch?v=z46Fjmj2sCM&feature=related