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10 Cards in this Set
- Front
- Back
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What is oxygen therapy for? |
Prevents or treats hypoxia
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What is dangerous about compressed gas? |
It is flammable |
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What are ways we can use Evidence-Based Practice with oxygen therapy? |
Initiate oxygen protocols for hypoxic patients
Ensure there are no contraindications
Assess gas exchange parameters
Check all equipment for safety
Avoid interruption of therapy during transport
Notify respiratory therapist as needed |
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What are ways we can use Patient-Centered care with oxygen therapy? |
Orient patients and family members to the oxygen setup and precautions needed when oxygen is in use
Patients and visitors with limited English proficiency may not be able to understand signs posted in the room
Accommodate cultural practices safely |
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What are some safety guidlines with oxygen therapy? |
1. Know a patient’s normal range of vital signs and pulse oximetry (SpO2) values.
2. Be aware of environmental conditions.
3. Document a patient’s smoking history.
4. Know a patient’s most recent hemoglobin values and past and current arterial blood gas (ABG) values.
5. Oxygen is a medication.
6. Provide education to patient and family about home oxygen therapy.
7. All oxygen delivery devices fall into three categories, depending on their ability to provide enough flow to match a patient’s spontaneous minute volume.
8. All oxygen delivery devices are supplemental, high flow, and/or positive pressure. |
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Important steps in: Applying a Nasal Cannula or Oxygen Mask |
A nasal cannula is a simple, effective, and comfortable device for delivering oxygen to a patient (Fig. 23-3). It allows a patient to breathe through the mouth or nose, is available for all age-groups, and is adequate for short- or long-term use. Cannulas are inexpensive, disposable, and easily accepted by most patients. The two tips of the cannula, about 1.5 cm ( inch) long, protrude from the center of a disposable tube and are inserted into the nostrils. Oxygen is delivered via the cannula at a flow rate from 1 to 6 L/min. Higher flow rates dry airway mucosa and do not increase the inspired oxygen concentration (FiO2). You do not use humidification for rates less than 4 L/min. At flow rates greater than 4 L/min, humidification helps prevent drying of nasal and oral mucous membranes. You can estimate approximate FiO2 by the flow rate (Table 23-1). The delivered oxygen percentage varies, depending on the rate and depth of a patient's breathing. (Perry 590) |
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Can the task of applying a nasal cannula or oxygen mask be delegated to nursing assistive personnel (NAP)? |
The task of applying a nasal cannula or oxygen mask can be delegated to nursing assistive personnel (NAP)
The nurse directs NAP by: Informing how to safely place or adjust the device
Instructing to inform the nurse about any changes in patient condition
Having personnel provide skin care around the patient’s ears and nose |
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Recording and Reporting: Oxygen therapy |
Record respiratory assessment findings; method of oxygen delivery, flow rate, and patient’s response; any adverse reactions or side effects; and any change in the health care provider’s orders
Report to health care provider or nurse in charge any unexpected outcome
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What should you teach regarding oxygen therapy: in general? to the elderly? and home care? |
Explain oxygen therapy, safety precautions, and signs of oxygen toxicity and carbon dioxide retention if therapy continues after discharge
Gerontologic Offer oral hygiene and skin care more frequently
Home care Obtain appropriate referrals Refer patients to a reliable vendor Consider oxygen-conserving devices |
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The task of assisting a patient to use incentive spirometry (IS) can be delegated to NAP |
The task of assisting a patient to use incentive spirometry (IS) can be delegated to NAP |
