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Oxygen therapy notes
nursing (NCM116)
De La Salle Lipa
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NCM-
Care of Clients with Problems in Oxygen, Fluid, Electrolytes, Infectious, Inflammatory,
Immuno (RLE)
(Oxygen Therapy and Administration) | SEM 1 2022
OXYGEN THERAPY
● administration of oxygen as a therapeutic modality ● prescribed by the physician, who specifies the concentration, method of delivery, and liter flow per minute ● administration of oxygen by inhalation from a cylinder, piped in system liquid oxygen reservoir or oxygen concentration by various methods
ADDITIONAL BENEFITS LONG TERM BENEFITS
● Increased clarity ● Relieves nausea ● Can prevent heart failure in people with severe lung disease ● Allows the body organs to carry out normal functions
● Prolongs life by reducing heart strain ● Decreases shortness of breath ● Makes exercise more tolerable ● Results in fewer days of hospitalization
OXYGEN DELIVERY SYSTEMS
NASAL CATHETER
● inserted into the nostrils reaching up to the uvula & is held by adhesive tapes ● catheter does not interfere with the patients freedom to eat , to talk & to move in bed ● Flow: 1 to 4 L of oxygen will be sufficient to maintain the concentration: 22 to 30 % oxygen.
NASAL CANNULA
● Also called nasal prongs ● most common inexpensive device used to administer oxygen. ● easy to apply and does not interfere with the client’s ability to eat or talk. ● Flow: 2 to 6 Lpm of oxygen will be sufficient to maintain the concentration: 24 to 45 % oxygen.
FACE MASK
● covers the client’s nose and mouth may be used for oxygen inhalation ● Exhalation ports on the sides of the mask allow exhaled carbon dioxide to escape
TYPE OF FACE
MASK
FLOW RATE CONCENTRATION
OF OXYGEN
Simple Face Mask
Partial Rebreather Mask
Non- Rebreather Mask - Delivers the highest oxygen concentration
Venturi Mask
5 to 8 lpm
6 to 10 lpm
10 to 15 lpm
4 to 10 lpm
40% to 60%
60% to 90%
95% to 100%
24% to 40% or 50%
FACE TENT
● can replace oxygen masks when masks are poorly
tolerated by clients ● Flow: 4 to 8 Lpm of oxygen will be sufficient to maintain the concentration: 30% to 50% oxygen
TRANSTRACHEAL OXYGEN DELIVERY
● may be used for oxygen-dependent clients. ● client requires less oxygen (0 to 2 liters per minute) because all of the low delivered enters the lungs
SAFETY PRECAUTIONS
For home oxygen use or when the facility permits smoking, teach family members and roommates to smoke only outside or in provided smoking rooms away from the client.
Place cautionary signs reading “No Smoking: Oxygen in Use” on the clients door, at the foot or head of the bed, and on the oxygen equipment.
Instruct the client and visitors about the hazard of smoking with oxygen use.
Make sure that electric devices (such as razors, hearing aids, radios, televisions, and hearing pads) are in good working order to prevent the occurrence of short-circuit sparks.
Avoid materials that generate static electricity, such as woolen blankets and synthetic fabrics. Cotton blankets should be used , and client and caregivers should be advised to wear cotton fabrics.
Avoid the use of volatile, flammable materials such as oils, greases, alcohol, ether, and acetone(e. nail polish remover), near clients receiving oxygen.
Ground electric monitoring equipment, suction machines and portable diagnostic machines.
Make known the location of the fire extinguishers, and make sure personnel are trained in their use.
Care of oxygen cylinder
- Always use cylinder of metal case to prevent danger of falling & breaking.
- Oxygen cylinder should be placed at head end of the bed.
- Any source of fire should be kept away from cylinder for fear of fire
- Oxygen cylinder should be placed at cool temperature
- When cylinder are empty , always marks i. “ empty “ & send for filling
- Inspect the apparatus at frequent intervals & make sure for its good working condition
- To test any leakage in the regulator soap leather may be used.
NURSES RESPONSIBILITY FOR ADMINISTRATION OF OXYGEN
● Assess the patient for any sign of clinical analysis ex: cyanosis.
● Check the patients vital sign.
● Check the result of arterial blood gas analysis.
● Note any signs of pulmonary dysfunction
● Check the patients mental state & the ability to follow instructions.
● Check the articles available in the unit - Oxygen cylinder with stand , central supply oxygen with a flow meter , humidifier / connecting tubing - Tray containing: Nasal catheter / O2 mask / cannula, water soluble lubricating jelly, adhesive tape, a bowl of water, swab sticks & normal saline, no smoking indication
● Check the oxygen cylinder for its accessories & their working condition
PROCEDURES
Wash hands.
Attach cannula / catheter mask to oxygen tubing & humidified oxygen sour prescribe flow rate.
Place tips of cannula into the patients nose, if masks apply snugly to face.
Check cannula / equipment every 8 hours.
Keep the humidification jar filled at all times.
Observe the patient nose & superior surface of both ears & skin for preven of nose.
Check the oxygen flow rate & the physician’s orders every 8 hours.
Wash hands before removing the oxygen mask or tube
Inspect the patient for relief of symptoms associated with hypoxia.
10 procedure in the nurse’s record.
11 care of the patient & article.
12 with patient.
13 the patient warm & comfortable.
14 the patients progress by observing the vital signs.
15 the patient for any deteriorating symptoms after the removal of oxy
16 for an arterial blood gas analysis.
17 all articles to utility room.
18 nasal catheter with cold water , then warm soapy water & finally wit Boil, store & send them for sterilization.
Oxygen therapy notes
Course: nursing (NCM116)
University: De La Salle Lipa
