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What Is Oxygen Therapy? Oxygen therapy is a treatment that provides you with extra oxygen, a gas that your body needs to work properly. Normally, your lungs absorb oxygen from the air. However, some diseases and conditions can prevent you from getting enough oxygen. Oxygen therapy can help ensure that you get enough oxygen, which may help you function better and be more active. Oxygen is supplied in a metal cylinder or other container. It flows through a tube and is delivered to your lungs in one of the following ways:
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Through a nasal cannula, which consists of two small plastic tubes, or prongs, that are placed in both nostrils. Through a face mask, which fits over your nose and mouth. Through a tracheostomy. This is a surgically made hole that goes through the front of your neck and into your windpipe. A breathing tube is placed in the hole to help you breathe. Oxygen delivered this way is called transtracheal oxygen therapy.
Oxygen therapy can be done in a hospital, another medical setting, or at home. If you need oxygen therapy for a chronic (ongoing) disease or condition, you may receive home oxygen therapy.
Indication/Use/Purpose: Indication Oxygen is used as a medical treatment in both chronic and acute cases, and can be used in hospital, pre-hospital or entirely out of hospital, depend on the needs of the patient and the views of the medical professional advising. Use in chronic conditions A common use of supplementary oxygen is in patients with chronic obstructive pulmonary disease (COPD), a common long term effect of smoking, who may require additional oxygen to breathe either during a temporary worsening of their condition, or throughout the day and night. It is indicated in COPD patients with PaO2 55mmHg or SaO2 88% and has been shown to increase lifespan.
g. acute asthma or pneumonia) severe trauma chronic obstructive pulmonary disease (COPD. major trauma. both in hospital and by emergency medical services or advanced first aiders. and the patient may need supplemental oxygen. including chronic bronchitis. Some of the conditions oxygen therapy is used to treat include: y y y y y y y y documented hypoxemia severe respiratory distress (e. Purpose The body is constantly taking in oxygen and releasing carbon dioxide. due to its vaso-constrictive effects. or 88-92% in COPD patients). major hemorrhage. Oxygen therapy is frequently ordered in the home care setting. Breathing prescribed oxygen increases the amount of oxygen in the blood. The purpose is to increase oxygen saturation in tissues where the saturation levels are too low due to illness or injury. Hyperbaric oxygen therapy is used to treat the following conditions: y y y gas gangrene decompression sickness air embolism . For personal use. although in this case oxygen flow should be moderated to achieve target oxygen saturation levels. based on pulse oximetry (with a target level of 94-98% in most patients. high flow oxygen is definitively indicated for use in resuscitation. shock. anaphylaxis. and decreases shortness of breath. In the pre-hospital environment. high concentration oxygen is used as home therapy to abort cluster headache attacks. and chronic asthma) pulmonary hypertension corpulmonale acute myocardial infarction (heart attack) short-term therapy. oxygen levels in the blood decrease.Use in acute conditions Oxygen is widely used in emergency medicine. emphysema. Oxygen therapy is a key treatment in respiratory care. reduces the extra work of the heart. active convulsions and hypothermia It may also be indicated for any other patient where their injury or illness has caused hypoxaemia.. If this process is inadequate. such as post-anesthesia recovery Oxygen may also be used to treat chronic lung disease patients during exercise. as well as in acute (urgent) care facilities.
When released. Oxygen can be delivered to your home in the form of a gas in various-sized cylinders or as a liquid in a vessel. Compressed Gas ² Oxygen is stored under pressure in a cylinder equipped with a regulator that controls the flow rate. Liquid oxygen is more expensive than the compressed gas. Because the flow of oxygen out of the cylinder is constant. Oxygen can be provided in a small cylinder that can be carried with you. and you can transfer the liquid to a small. known as heliox. an oxygen-conserving device may be attached to the system to avoid waste. This system has a number of . and stores it. reduces the density of the delivered gas. severe asthma. The third way to provide oxygen therapy is by using an oxygen concentrator. the liquid converts to a gas and you breathe it in just like the compressed gas. and the vessel vents when not in use. Smoking during oxygen therapy is a fire hazard and a danger to life and limb. An oxygen conserving device may be built into the vessel to conserve the oxygen. Equipment/Materials Needed: The Equipment There is three common ways of providing oxygen therapy. but the large tanks are heavy and are only suitable for stationary use. Oxygen may worsen the effects of paraquat poisoning and is therefore contraindicated in such cases. Liquid Oxygen ² Oxygen is stored as a very cold liquid in a vessel very similar to a thermos. This device releases the gas only when you inhale and cuts it off when you exhale. concentrates it. Oxygen therapy is not recommended for patients who have suffered pulmonary fibrosis or other lung damage resulting from Bleomycin treatment. The combination of helium and oxygen. Contraindications: Oxygen should never be used in explosive environments. Oxygen Concentrator ² This is an electrically powered device that separates the oxygen out of the air. Each method is examined in more detail below. portable vessel at home. especially with home oxygen if compliance is poor.y y y smoke inhalation carbon monoxide poisoning cerebral hypoxic event Helium-oxygen therapy is a treatment that may be used for patients with severe airway obstruction. This storage method takes up less space than the compressed gas cylinder. and its use is cautioned against when there is a risk of sparks or materials combusting as oxygen accelerates combustion. This type of treatment may be used in an emergency room for patients with acute. and has been shown to reduce the effort of breathing and improve ventilation when an airway obstruction is present.
Administration of Oxygen Therapy by Nasal Cannula. Humidifier. You must have a cylinder of oxygen as a backup in the event of a power failure. Procedure (with rationale): 1. Take actions to minimize fire hazards. Rationale: Prevents dryness & irritation of nasal mucosa. The transtracheal catheter is held in place by a necklace. Position tubing over & behind each ear & slide the adjuster . a humidifier is absolutely required at flow rates of 1 LPM or greater. and throat. Rationale: For safety precautions. Oxygen Delivery Devices There are three common means of oxygen delivery. Equipments: Oxygen supply. You should advise your electric power company in order to get priority service when there is a power failure. Since transtracheal oxygen bypasses the mouth. 5. Transtracheal oxygen therapy requires the insertion of a small flexible catheter in the trachea or windpipe. prongs should curve outward in nostrils. People who need a high flow of oxygen generally use a mask.Cannula. Rationale: Oil soluble lubricates emit heat. Nasal Cannula Procedure: 1.is a disposable plastic device with two protruding prongs for insertion into the nostrils. 3. The tubing can rest on the ears or be attached to the frame of eyeglasses. portable systems have been developed that afford even greater mobility. Extra tubing permits the user to move around with minimal difficulty. Description: This equipment is the simplest method & one of the best set tolerated by most patients. Rationale: To alleviate anxiety & gain patient's cooperation. Some people who use a nasal cannula during the day prefer a mask at night or when their noses are irritated or clogged by a cold. Explain the purpose & procedures of oxygen to patient. Place prongs in patient's nostrils.advantages because it doesn't have to be resupplied and it is not as costly as liquid oxygen. Attach humidifier bottle to regulator & attach nasal cannula to connecting tube of water reservoir. Lubricate cannula prongs with water soluble lubricate 7 start flow of oxygen at 2-4LPM. A nasal cannula is a twopronged device inserted in the nostrils that is connected to tubing carrying the oxygen. 4. 2. Small. nose. Regulator.
Rationale: For maximum efficiency of cannula. Don't use any flammable products like cleaning fluid. avoid using extension cords if possible. Care of Equipment The home medical equipment and services company that provides the oxygen therapy equipment you use should provide you with instructions on user care and maintenance of your particular equipment. Put up no-smoking signs in your home where you most often use the oxygen. candles. or aerosol sprays while using your oxygen. Here are some general guidelines for your cleaning procedures. Use gauze pads as necessary under nostril. or other heat sources. cheeks or behind the ears. You should wash your nasal prongs with a liquid soap and thoroughly rinse them once or twice a week. Instruct patient to breathe through nose.under skin so that the cannula fits snugly but comfortably. and let your fire department know that you have oxygen in your home. Rationale: To note any signs of distress. 6. Check with your health care provider to learn how to clean your transtracheal catheter. Rationale: To reduce irritation & pressure. If you use an oxygen cylinder. Keep a fire extinguisher close by. Rationale: Correct placement of prongs & fastener facilitates oxygen administration & comfort for the patient. make sure it is secured to some fixed object or in a stand. lighted fireplaces. Replace them every two to four weeks. If you have a cold. The humidifier bottle should be washed with soap and warm water . change them when your cold symptoms have passed. Monitor vital signs & check patient's condition frequently. Rationale: To minimize infections Nursing Responsibilities: Safety You should never smoke while using oxygen. the liquid oxygen is so cold it can hurt your skin. 9. 7. Stay at least five feet away from gas stoves. Change equipment daily (tubing and cannula). When you go to a restaurant with your portable oxygen source. If you use liquid oxygen. Also. Rationale: To promote comfort & prevent dryness of nasal mucosa. Provide nose care atleast every four (4) hours. notify your electric company so you will be given priority if there is a power failure. 10. ask to be seated in the nonsmoking section. 9. Warn visitors not to smoke near you when you are using oxygen. make sure the vessel is kept upright to keep the oxygen from pouring out. 8. paint thinner. If you use an oxygen concentrator.
It may help: y y y Decrease shortness of breath and fatigue (tiredness) Improve sleep in some people who have sleep-related breathing disorders Increase the lifespan of some people who have COPD Although you may need oxygen long term. tuck some gauze under the tubing. To prevent your cheeks or the skin behind your ears from becoming irritated. Use water-based lubricants on your lips or nostrils. Follow your home medical equipment and services company's directions for cleaning the compressor filter. Make sure you order more oxygen from your dealer in a timely manner. Evaluation/Desired outcome: Goals y y y To increase alveolar oxygen tension To decrease the work of breathing required to maintain a given alveolar oxygen tension To decrease myocardial work necessary to maintain a given arterial oxygen tension Outlook For many people who get oxygen therapy. Air dry the bottle before filling with sterile or distilled water. Do·s and Don·ts y y y y y Don't ever change the flow of oxygen unless directed by your physician. If you use an oxygen concentrator. Don't use alcohol or take any other sedating drugs because they will slow your breathing rate. Portable oxygen units can make it easier for you to move around . the therapy doesn't have to limit your daily routine. Oxygen therapy can help in various ways. Don't use an oil-based product like petroleum jelly.and rinsed thoroughly between each refill. The air filter should be cleaned at least twice a week. The bottle and its top should be disinfected after they are cleaned. the supplemental (extra) oxygen allows them to function better and be more active. call your physician. then wipe down the cabinet with a damp cloth and dry it daily. If you have persistent redness under your nose. unplug the unit.
oxygenconcentrators.scribd.org/info/3typesofoxygentherapy/ http://www.wikipedia.com/doc/5378783/oxygen-therapy .html http://www. References/Sources: http://www.yourlunghealth.com/La-Pa/Oxygen-Therapy. perfusion state-skin color. Talk with your doctor if you have questions about whether certain activities are safe for you.org/wiki/Oxygen_therapy http://www. blood pressure (systolic and diastolic). PaCO2. acid-base status. texture and capillary refill Urine output Level of consciousness Ventilatory pattern-respiratory rate.surgeryencyclopedia. Evaluation y y y y y Physical examination of cardiopulmonary system: pulse rate and rhythm. tidal volume and work of breathing Arterial blood gases: PaO2.org/healthy_living/living/home_oxygen_therapy/ http://www.and do many daily activities.nhlbi.gov/health/dci/Diseases/oxt/oxt_whatis.html http://en.com/doc/30420289/Oxygen-Therapy http://www.nih.scribd.
Cristine Contamina. DenieceDanica Cortado. Crystal Del Socorro.University of San Jose ² Recoletos College of Nursing In Partial Fulfillment in SKILLS LABORATORY REQUIREMENTS Oxygen Therapy Prepared By: Claudio. Neil Elmo C. Kino Doguiles. . Rendylle Conag. Richie Dinoy. Glenn Corro. IzzaMarrie Contado. Jacqueline Cuevas.
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