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53 Cards in this Set

  • Front
  • Back

What is a pulse ox used for?

Measures oxygen saturation of the hemaglobin (not as specific as taking a blood sample from artery)

For Adults the alarm is set to

85% for low


100% for high



What are some reasons that you would need to be careful about where to give it.


  • Cold fingers (poor circulation then don't give in that hand)
  • Pulse has to be detected for accurate reading
  • remove fingernail polish in that finger
  • If patient is on constricting meds (blood pressure meds) then don't give on finger due to inaccurate reading.
  • If the waveform or the moving part is the pulse detector and if the pulse ox is unable to get the pulse, then you are not going to get an accurate reading. (If it's not, then don't use it.)


Pulse ox works how?

There is an infrared lights on one side and a photo detector on the other and the hemoglobin absorbs the light coming through and the photo detector can sense how much hemoglobin is saturated in the oxygen.

If you can't use a finger, where should you get the pulse ox?


  • Nose
  • Earlobe
  • toe
  • forehead



(she didn't mention nose but it is in the book)



infants alarm

80 is low alert


95 is high alert

infant heart rate 02 Sat alram

Low is 100


High is 200

tell kids not to be scared and show the kid that it doesn't hurt by putting it on your own finger and showing them that it doesn't hurt and then they will usually be compliant...

They will have a smaller 02 sat for kids and it can be good to use it on the toes and hold the toes really still.

If your patient looks normal and you get a low reading, don't panic, there may be a bad reading. So check the reading.

...

Concentrated oxygen comes in different sizes and may be portable in smaller containers for patients to take with them.

What do we know about oxygen dangers?

It is combustible

How many feet away should the oxygen tank be from open flames?

10 feet or more


(patient can't smoke while on oxygen)

Oxygen can be continuous or

PRN

To qualify for oxygen at home the patient

they have to have the 02 sat monitored with their activity level. They also have the 02 sat monitored at night. Below 85% in order to qualify for oxygen at home.

The two types of oxygen we use are

liquid


Concentrated



which is more expensive

liquid

is liquid portable?

yes

They usually have a large liquid tank at home where they can refill their small portable tank but it is more expensive

What are the pros and cons of using concentrated

The concentrated uses air and puts it in the form of oxygen and you have to have electricity




It is also cheaper than liquid.





Who decides what type of oxygen the patient has?

the doctor

Patients get oxygen delivered to them with what?

A nasal cannula



What gives you the lowest amount of oxygen as far as delivery goes?

nasal cannula

How much are you given when on a nasal canula?

2-5 l

What do you do if it is over 4 liters?

The oxygen would need to be moisturized

What do we need to check for if using a nasal canula?

Check airway


May have bleeding due to dryness

the reason we don't like to use nasal canula on a patient receiving 6 liters of oxygen or more is because

it will really dry them out so we go to a face mask at that point.

Mask without the bag is called

a simple face mask

simple face mask gets what percentage and how many liters?

40%-60%


5-8 liters

The flow of the oxygen needs to be great enough to reduce the amount of CO2 building up in the mask because you are exhaling CO2. So that is why you would not put a patient on how many liters per minute when using a mask?

2-4 liters

nebulizer treatments can attach to the mask

...

Describe a partial rebreather

it has a resoirvoir bag and we have two types that have that bag (a nonrebreather has is). You are going to partially be rebreathing part of your own air.

Should a partial rebreather be deflated?

no




Always have to be inflated. never deflated

The book says and she says that we are rebreathing how much of our air?

1/3

How full should the bag stay?

1/3 of the way full

The sides allow co2 to escape. If the bags are deflated that puts me at risk for what?

breathing in my CO2

If it is deflated on a partial rebreather or nonrebreather what do I do?

Check for kinks and make sure oxygen is going through it. First assess and if there are no issues the oxygen may need to be turned up.

What is the percentage and liters for a partial rebreather?

40-60%


6-10 l/min

What is the percentage and liters for a non-rebreather?

95-100%


10-15 L

The highest amount of oxygen given without being inabated is given by a

nonrebreather mask




so if you have a patient and we are not intabating at that time and the person is in severe respiratory distress, we would put them on a nonrebreather

Why is it called a nonrebreather

it has a one way valve that keeps the CO2 from coming back in the side and there is a valve that keeps the cO2 out of the bag so you can get the highest amount of oxygen when you are breathing it.

Venturi mask gives you what

the most specific amount

What does a Venturi mask do?

You can dial in a very specific amount and put exactly how much oxygen the doctor prescribes

Face tent mask are really mostly just used on who?

Neonatal.




It is a full tent that goes over the head. We need to protect their eyes could cause retinopathy. So we have to protect their eyes.

Use Hood for who?

pediatric

what is the hood

it goes over the entire crib and with that amount of oxygen we have to provide humidity.

The humidity can put you at risk for

hypothermia




They can get chilled with all that humidity in there so they don't stay wet.

Hood gives up to how much oxygen

30%

A child in a hood should be provided with what?


  • toys
  • games
  • a parent by the bed
  • figure out ways to interact with them

Tracheostomy has the mask where?

straight to the trach, not on the face

CPAP and BiPAP

are two other forms of oxygen delivery sometimes for patients who don't want to be inabated or put on a ventilator

CPAP

Continuous one level of pressure going in

Bilevel gives you what?

2 different pressures




One for inhalation


one for exhalation

check for what with a nasal canula?

skin break down behind ears and around nose.




also check for skin break down with mask as well