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14 Cards in this Set
- Front
- Back
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Age group
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adults = to and > 16 yo
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SpO2 not available/unreliable
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initial dose of 2-6 L/min via NC of 5-10 L/min via Hudson until reliable SpO2 reading can be obtained or symptoms resolve
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critical illnesses and Mx (10)
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-critical ill and haemodynamically unstable -cardiac arrest/resus -major trauma/head injury -CO poisoning -shock -severe sepsis -anaphylaxis -decompression illness -status epililepticus -aim for 100%, once haemodynamically stable then titrate |
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Chronic hypoxaemia condition and Mx
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-neuromuscular disorders -class I, ii, iii obesity -aim for 100%, once haemodynamically stable then titrate |
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SPO2 unreliable (9)
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-severe asthma -severe anaemia -cold extremities -peripherally shut down -severe hypotension -CO poisoning -severe hypoxaemia -reading <80% |
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COPD suspected (5)
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Any pt over 40 yo who is -smoker/exsmoker -experiencing dyspnoea that is progressive, persistent and worse with exercise -has a cough or chronic sputum production -has family Hx |
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CO poisoning or pneumothorax O2 Mx
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high dose of O2 until arrival at hospital +- breathlessness of hypoxaemia
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Other poisonings O2 Mx (2)
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-maintain SpO2 of 94-98% - paraquat and bleomycin SpO288-92% |
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Other considerations when giving O2 (7)
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-Ax VT to ensure adequate ventilation -O2 exchange at its greatest in the upright position unless other clinical problems determine otherwise -clean fingers/ nail polish/ nail infections -O2 not required in anxiety/panic/ hypoventilation no CO2 retention (ie paper bag) -women >20/52 pregnant use left lateral tilt -masks not used with <5L/min -NC effective with mouth breather except where nasal passages are blocked or congested |
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Evidence of hypoxaemia/breathlessness - Ax for? (4)
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-acute or chronic -respiratory status -AX and monitor SpO2 continuously -consider causes of hypoaemia |
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Adequate SpO2 def and Mx
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-= to and > 94% -no O2 required, reassure pt |
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Mild-moderate hypoxaemia def and Mx
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-SpO2 85-93% -titrate O2 flow to spO2 of 94-98% -initial dose 2-6L/min via NC -consider Hudson 5-10L/min |
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Moderate-severe hypoxaemia or critical illness def and Mx
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-SpO2 <85%/arrest/resus/major trauma/head injury/CO poisoning/shock/severe sepsis/anaphylaxis/decompression illness/status epilepticus -NRB 10-15L/min -inad VT - BVM vent with 100% O2 -stable - titrate O2 to SpO2 of 94-98% -deteriorates or SpO2 remains <85%- BVM vent with 100% o2 -consider LMA ETT CPG |
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Chronic hypoxaemia def and Mx |
-COPD/neuromuscular disorders/obesity -at risk of hypercapnic resp failure -titrate O2 to SpO2 88-92% -no critical illness-2-6L/min NC-consider Hudson 5-10L/min -pt deteriorates or SpO2 <85%- as per mod/severe hypoxaemia |
