Perfusion COMMON INDICATION FOR
OXYGEN ADMINISTRATION
refers to the blood flow to
tissues and organs severe respiratory distressed
Alveoli are perfused by asthma and pneumonia
capillaries so the diffusion of intra and post-operatively
oxygen and carbon dioxide can hypoxia and hypoxemia
take places shock (loss of blood & allergies)
severe trauma
Oxygenation acute myocardial infarction
the process of supplying oxygen heart attack
to the body's cells METHOD OF OXYGEN
ADMINISTRATION OF OXYGEN ADMINISTRATION
INHALATION face mask
Oxygen is a gas found In the air nasal cannula
and has no color, smell, or taste Article used for Oxygen
and is very necessary to live Administration
Oxygen makes up 21 percent of
the atmosphere by volume oxygen source
Oxygen is established by 2 oxygen cylinder/central
methods, that is by distillation supply.
of liquid air and by passing oxygen tubing
liquid oxygen application device,
Oxygen is used in industries. nasal cannula
Water treatment as a therapy Humidifier
Oxygen administration is the Gauze pieces
process by which supplemented Bowl containing water
oxygen is administered in high Adhesive tape
concentration than that of No smoking board
atmospheric air Gloves
SOURCES OF OXYGEN IN THE Oxygen administration via nasal
HOSPITAL cannula (nc)
wall oxygen invented by Wilfred Jones a
oxygen cylinders device
Mechanical ventilator requires Carries 1-3 liter per minute of
more oxygen cylinder 7 oxygen
Stationary A device used to deliver
Portable, mobile, or ambulatory supplemental oxygen or
increased airflow to a patient or
PURPOSE OF OXYGEN person in need of respiratory
ADMINISTRATION help
to relieve dyspnea has a lightweight tube whose
to prevent hypoxemia (low level one end spits into two which are
of oxygen in the blood) and place in the nostrils from which
hypoxia (low level of bloods in a mixture of air and oxygen
cells) flows
increase oxygenation in tissues the other end of the tube is
connected to an oxygen supply
such as a portable oxygen 3. Identify the patient and proceed
generator via the flowmeter with 5 rights of medication .
neonate cannula explain the procedure to the client
infant cannula
pedia cannula Rationale: oxygen is a drug and
Adult cannula administering using the 5 rights
avoids potential errors. Teaching
Mechanical ventilator - a machine helps compliance with therapy
that takes over the work of breathing
when a person is not able to breathe 4. Assist client to semi or high
enough on their own fowler's position it tolerated
-endotracheal tube (doctor lang Rationale: This position facilitate
naglalagay while nurses assist) lung expansion
Assessment/preparation 5. Insert flow the meter into a wall
outlet. Attach oxygen tubing to
assess respiratory status (i.e., humidifier
breath sounds, respiratory rate
and depths, presence of Rationale : oxygen in high
sputum, arterial blood glucose if concentration can be drying to the
available) mucosa
assess past medical history, 6. Turn the oxygen in prescribe
noting chronic obstructive rate. Check the oxygen
pulmonary disease (COPD). For
client with COPD , hypoxemia is 7. Hold nasal cannula in proper
often the stimulus to breathe position with prongs curving
because they chronically have downward.
high blood level of carbon
8. Place cannula prongs into nares
dioxide.
assess for clinical signs and 9. Wrap tubing over and behind
symptoms of hypoxia, anxiety, ears
decreased level of
consciousness, inability to 10. Adjust plastic slides under chin
concentrate fatigure, dizziness, until cannula fits snugly
cardiac dysrhythmias, pallor of 11. Place gauze at ear or beneath the
cyanosis, dyspnea ear 12. If prongs dislodged from nare,
PROCEDURE 1. replace them promptly
Review the chart for the physician's Rationale: to ensure correct oxygen
order for oxygen to ensure that it delivery and prevent hypoxemia
includes methods of delivery, flow 13. Assess for the proper functioning
rate, hand irritation order , identify of equipment and observe client's
the client initial response to therapy
Rationale: prevent potential error Rationale: assessment of vital signs,
2. oxygen saturation, color, breathing
2. Wash your hands pattern, and orientation helps the
nurse evaluate effectiveness of
Rationale: handwashing reduces therapy and detect clinical evidence of
transmission of microorganism hypoxia
14. Monitor continues therapy by patients who had abdominal or
assessing for pressure areas on the chest injury need to perform
skin and nares every 2 hrs and deep breathing at least 3-4
rechecking flow every 4-8 hrs times daily. Each session should
include a minimum of five
Rationale: permit early detection of breaths.
skin breakdown or inadequate flow During this type of breathing,
rate you should feel your lungs really
SIDE EFECT OF OXYGEN expanding and should even feel
RESPIRATORY EXERCISES your abdomen expanding.
breathing exercises To deep breathe correctly, you
Helps prevent respiratory must use your abdominal muscle
complication as well as your chest muscle
may speed your recovery and Breath in through your noses as
lower your risk of lung problem deep as possible
such as pneumonia hold your breath for 5 to 10
PURPOSE OF DEEP BRATHING AND seconds
COUGHING EXERCISE rest and then repeat this
process with 10 repetition
Keep airway clearance
prevent post operative the incentive spirometer is a
pulmonary complication hand-held breathing exercise
eliminate the useless and device to help you inflate your
uncoordinated pattern and lungs after surgery. This will help
decrease the work of breathing keep your lungs healthy after
promote relaxation and relative surgery
anxiety COUGHING EXERCISES
strengthen and improve the
efficacy of respiratory muscle To help you cough
Indication
hold pillow against your
INDICATION stomach
Take a slow deep breathing.
inpatient with acute and chronic Breath in through you nose and
obstructive disease concentrate on fully expanding
having upper abdominal and your chest
thoracic surgery breathe out through your mouth
post surgery and concentrate on feeling your
CONTRAINDICATION chest sink downward and
inward
increase intracranial pressure Take a second breath in the
acute unstable head, neck, or same manner
spinal injury Take a third breathe. This time
hold your breath for a moment,
HOW FREQUENCY THESE
then cough vigorously. As you
EXERCISES BE PERFORMED
cough, concentrate on forcing
deep breathing should be all the air out of your chest
performed every hour while Repeat this exercise two more
awake times
DISCHARGE PRIORITIES AND Lie on your back with you head
PREVENTION elevated and your knees bent
with a pillow under your knees
Teach the patients a continue
deep breathing exercise 4x TYPES OF OXYGEN THERAPY
daily. 6-8 weeks
Non-breather mask oxygen
TRIPOD BREATHING -a physical
stance person in respiratory distressed therapy device covers a
takes leaning their hand on their thigh patient's nose and mouth and
with their arms supported on them: attaches to an oxygen tank.
leaning or sitting against a wall in a Deliver oxygen at higher
similar fashion concentration up 70-100%
POSITION TO REDUCE SHORTNESS Simple oxygen mask oxygen
OF BREATH therapy device
Shortness of breath (SOB) can occur cover the mouth and nose and
during activity, emotional excitement, is attached to an oxygen tank.
exposure to adverse weather, or when Concentration of 35-55%. They
you feel tense and need to relax are less intrusive than other
type of oxygen mask and
SITTING provide a lower oxygen
concentration. This makes
Rest your feet flat on the floor them comfortable to wear for
Lean your chest forward slightly long periods of time.
Rest your arms on a table
Rest your head on you forearms Partial re-breather mask
or some pillow
Used during oxygen therapy
STANDING because they deliver oxygen at
higher concentration than
Stand with your feet shoulder- simple oxygen mask. 50-70%.
width apart Used 2 way valve to prevent
Lean on your hips against the risk of suffocation.
wall
Rest your hands on your thigh Venturi system mask
Relax your shoulders, leaning
forward slightly and dangling Can deliver between 24-60% of
your arms in front of you oxygen, depending on the
Rest your elbows or hands on a connector used. It delivers
piece of furniture, just below controlled percentage of
shoulder height oxygen. most commonly used
Relax your neck, resting your by COPD patients
head on your forearms High flow nasal cannula oxygen
Relax your shoulder therapy
SLEEPING Carried out using an air/oxygen
Lie on your side with a pillow blender, active humidifier,
between your legs and your single heated tube, and nasal
head elevated with pillows. cannula. Able to deliver
Keep your back straight adequately heated and
humidified medical gas at flows
up to 60 liters per minute. A special oxygen nasal cannula
Accomplishes a reduction of that provides a higher luminal
nasopharyngeal airway diameter in combination with an
resistance. incorporated oxygen reservoir.
Thus it is assumed that higher
Face tent oxygen content can be
a shield like device that fits delivered in order to increased
under the patient chin and oxygenation
encircle the face. It is used
primary's for humidification and
for oxygen only when patient
cannot or will not tolerate a
tight fitting mask. Delivers 40%
of oxygen at 10-15lpm. Mostly
used by patients who have
facial burn or a broken nose or
who are claustrophobic
BiPAP ( bilevel positive airway
pressure ) - machine provide two
different pressure level, one level
of air pressure during inhalation
and another level for exhalation. A
type of ventilator that helps in
breathing. Commonly used by
COPD patients, obstructive sleep
apnea, and asthma flare up.
Continuous flow oxygen
generally used for patients with
a more severe respiratory
chronic respiratory condition.
For some users, continuous
flow oxygen may also need to
be combined with CPAP therapy
Pulse Dose Oxygen
cannot be used with CPAP
therapy
Hyperbaric Oxygen Therapy
involves breathing pure oxygen
in a pressurized environment.
Well established treatment for
decompression sickness, a
potential risk of scuba diving
Oxymizer device
