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NAME OF DATE CLIENT’S NURSING

INDICATIONS
PROCEDURE PERFORMED RESPONSE RESPONSIBILITIES
Hook to Nasal November 1, Nasal cannulas are used to deliver There is no Before:
canula at 2 LPM 2021 oxygen when a low flow, low or indicated  Assess respiratory status (i.e.,
medium concentration is required, and response. breath sounds, respiratory rate
the patient is in a stable state. (Nursing and depth, presence of sputum,
Times, 2011) arterial blood gases if
available).
Nasal cannulas are typically used to  Assess past medical history,
treat people who have respiratory noting chronic obstructive
conditions such as asthma, pulmonary disease (COPD).
bronchopulmonary dysplasia, or  Assess for clinical signs and
underdeveloped lungs in newborns, symptoms of hypoxia: anxiety,
COPD, cystic fibrosis, pneumonia, decreased level of
sleep apnea. They can also be consciousness, inability to
administered in hospitals to people who concentrate, fatigue, dizziness,
have experienced trauma or acute cardiac dysrhythmias, pallor or
conditions such as heart failure. (Heitz, cyanosis, dyspnea.
2014)  Review chart for physician's
order for oxygen to ensure that
it includes method of delivery,
flow rate, titration orders;
identify client.
 Perform hand hygiene
During:
 Explain procedure to client.
Explain that oxygen will ease
dyspnea or discomfort, and
inform client concerning safety
precautions associated with
oxygen use.
 Assist client to semi- or high
Fowler's position, if tolerated.
 Clean patient nostrils and
ensure right fitting of nasal
cannula.
 Encourage patient to breathe
through the nose and exhale
through the mouth.
After:
 Stand by to observe the flow
of oxygen for some time
before leaving patients bed
side.
 Document the procedure and
wash hands.
 Regularly check on patient for
any abnormalities.
 Regularly check the flow
meter and gauge for the
amount of oxygen in the
cylinder and the water level in
the humidifier.
 Remove mask from patient
when he/she is better.
 Turn off oxygen and make
patient comfortable in bed.
 Record and report any
abnormalities.

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