Thursday, November 19, 2009

Oxygen Administration Devices Summary

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Oxygenation –is a basic human need. Breathing is synonymous with life. The respiratory system replenishes the body’s oxygen supply and eliminates waste from the blood in the form of carbon dioxide. Oxygen is colorless odorless, tasteless and dry gas that supports combustion.

High Flow Administration devices

  1. Venturi mask/Low-concentration venture – type mask is proffered for client with COPD because it provides accurate amount of oxygen. They required 2-3 L/min or 28% oxygen.
  2. Face mask
  3. Incubator/isollete – Can be used for low and high flow concentration.
  4. Oxygen hood – Can be used for low and high flow concentration.

Low Flow administration devices

  1. Nasal Cannula (24-45% at 2-6L/min. May be used in clients with COPD at 2-3 L/min if venture mask is not available
  2. Simple Face Mask (40-60% at 6-10 LPM)
  3. Partial Rebreathing Mask (60-90% at 6-10LPM)
  4. Non-rebreathing Mask (95-100% 6-15LPM)
  5. Croupette
  6. Oxygen Tent

Nursing Intervention

  1. Assess signs and symptoms of hypoxemia
  2. Check doctor’s order
  3. Position the patient preferably semi-fowler’s position.
  4. Open source of oxygen before insertion of oxygen device.
  5. regulate oxygen flow accurately
  6. Place a “No-smoking” sign at the bedside. Strictly enforce this warning
  7. Avoid use of oil, greases, alcohol and ether near the client receiving oxygen
  8. Place sterile water into the oxygen humidifier
  9. Provide good oronasal hygiene to prevent dryness and irritation of mucous membrane
  10. Lubricate nares with water soluble lubricant to soothe the mucous membrane. Do not use oil.
  11. Assess the effectiveness of oxygen therapy.
  12. Check vital signs. Especially RR; note quality of respiration; evaluate arterial blood gas results (ABG analysis)
  13. Document the procedure

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