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Oxygen Administration

Oxygen therapy, also known as supplemental oxygen, is the use of oxygen as a medical treatment.
This can include for low blood oxygen, carbon monoxide toxicity, cluster headaches, and to maintain
enough oxygen while inhaled anesthetics are given. Oxygen therapy is prescribed for people who
can’t get enough oxygen on their own. This is often because of lung conditions that prevents the
lungs from absorbing oxygen,

Venturi Mask
Is a cone-shaped device with entrainment ports of various sizes at its base. The
entrainment ports adjust to deliver various oxygen concentrations. The mask is useful
because it delivers a more precise concentration of oxygen to the child.
Use for Children who need precise delivery of FIO2 fraction of inspired concentrations,
not affected by air flow, particularly between 24% and 40%.a

Oxygen hood
Oxygen tents and hoods can provide high concentrations of humidified oxygen, which is
useful in a child with airway inflammation, epiglottitis (croup), or other respiratory tract
infections.
For neonates or infants who need oxygen. Provides high concentration of oxygen, FIO2
fraction of inspired oxygen up to 100%.
An oxygen hood or “head box” is used for babies who can breathe on their own but still
need extra oxygen. A hood is a plastic dome or box with warm, moist oxygen inside.
The hood is placed over the baby's head.

Type of Nebulizer
Inhaler or metered-dose nebulizer
A device that delivers a measured amount of medication as a mist the patient can
inhale. A MDI consists of a pressurized canister of medication in a case with a
mouthpiece. MDIs are portable, efficient and convenient. People with asthma, chronic
obstructive pulmonary disease (COPD), chronic bronchitis, and emphysema.
Metered dose inhalers (MDI) are the most commonly prescribed. Like mini-aerosol
cans, these devices push out a pre-measured spray of medicine. When the person
squeezes the inhaler, a measured “puff” of medicine is released. Some MDIs have
counters that indicate how many doses remain. If there’s no counter, the number of
doses already used should be tracked, so that the inhaler can be replaced on time.

Kids who use a metered dose inhaler also might use a spacer, which attaches to the
inhaler and makes it easier to use. A spacer is a kind of holding chamber for the
medicine, which eliminates the need to closely coordinate squeezing the inhaler and
inhaling the medicine. With an inhaler and spacer, the medicine can be inhaled slowly
when the user is ready. So, it’s possible for very young kids and even babies to receive
their medications using a metered dose inhaler with a spacer.

Babies and younger kids use a facemask (a plastic cup that covers the mouth and
nose) to inhale the medication held in the spacer, whereas older kids can use a
mouthpiece. It usually only takes a couple of minutes or less to give medication by
metered dose inhaler with a spacer.

Jet Nebulizer
The most commonly used nebulizers are jet nebulizers, which are also called
"atomizers". Jet nebulizers are connected by tubing to a supply of compressed gas,
usually compressed air or oxygen to flow at high velocity through a liquid medicine to
turn it into an aerosol that is inhaled by the patient.
A jet nebulizer is a machine that turns certain liquid medicines into a fine mist that your
child simply breathes in through a face mask or mouthpiece. And it delivers the
medicine straight to your child’s lungs, where it is needed. et nebulizers use a
compressor to move a pressurized stream of air down a narrow tube and through an
opening. This creates a vacuum that pushes the medicine out of the nebulizer.

Ultrasonic Nebulizer
This makes an aerosol through high-frequency vibrations. The particles are larger than
with a jet nebulizer. An ultrasonic nebulizer is a small, portable device that uses
ultrasonic sound waves to break liquid particles down into a fog so that they can be
inhaled easily. Patients who have asthma, COPD, pneumonia, chronic bronchitis,
emphysema, or other chronic conditions, most often use them for medicinal purposes.
While other devices can deliver the medicine in a mist form, ultrasonic nebulizers
provide a fog of medicine that has much smaller particles and can travel much deeper
into the patient’s lungs, resulting in much faster relief.

Rationale:
1. Perform hand hygiene to maintain cleanliness and to prevent spread of infection
for safety precaution
2. To maintain proper setting and organization facilitate accurate performance
3. Identify the patient to ensure that right procedure has been done for the patient
and proper explanation of procedure helps to ensure the client cooperation and
effectiveness of the treatment
4. To check the breath sounds, pulse rate and respiratory status
5. To avoid medication error
6. Aerosol particles enable deep penetration into tracheobronchial tree
7. To cover his mouth and nose
8. This encourage optimal dispersion of medications
10-16
17. to assess the client for any adverse reaction to the treatment
After the procedure wash your hand to prevent spread of infection
After care:
1. Because proper documentation Is a proof of work done and observed
2.

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