BACHELOR OF SCIENCE IN NURSING:

NCMA 113 FUNDAMENTALS OF NURSING

COURSE MODULE COURSE LAB WEEK
3 11 11

OXYGEN THERAPY AND SUCTIONING

✓ Read course and laboratory unit objectives

✓ Read study guide prior to class attendance
✓ Read required learning resources; refer to course unit terminologies for jargons
✓ Participate in weekly discussion board (Canvas)
✓ Answer and submit course unit tasks

At the end of this unit, the students are expected to:

1. Define oxygen therapy and suctioning and its purposes.

2. Identify clinical signs indicating need for oxygen therapy and suctioning.
3. Describe how to safely perform oxygen therapy, oropharyngeal and nasopharyngeal suctioning.
4. Perform properly the procedures.

Kozier, B., and Erb, G. (2007) Fundamentals of Nursing, Concepts, Process, and Practice, 8th
Edition, Chapter 50 Oxygenation (pp 1356-1398). Jurong, Singapore: Pearson Education Asia.
Computer device or smartphone with internet access (at least 54 kbps; average data subscription
will suffice)

To facilitate the practice of students in performing oxygen therapy and suctioning, the following
activities must be implemented:
1. Demonstration on how to administer oxygen therapy and perform suctioning.
2. Watch video on the following online:
▪ https://www.youtube.com/watch?v=qkCcegGqO4Y
▪ https://www.youtube.com/watch?v=TwIc7q7gBK4
▪ https://www.youtube.com/watch?v=_InsxKf1XHM
3. Do return demonstration on oxygen therapy and suctioning.
4. Accomplish the worksheet via email or canvas upload.

PROCEDURE:
Direction: Accomplish the worksheet.

Johti Singh is a 39-year-old secretary who was admitted to the hospital with an elevated temperature,
fatigue, rapid, labored respirations; and mild dehydration. The nursing history reveals that Ms. Singh
has had a “bad cold” for several weeks that just wouldn’t go away. She has been dieting for several
months and skipping meals. Ms. Singh mentions that in addition to her full-time job as a secretary she
is attending college classes two evenings a week. She has smoked one package of cigarettes per day
since she was 18 years old. Chest x-ray confirms pneumonia.

Physical Examination
Height: 167.6 cm (5960)
Weight: 54.4 kg (120 lb)
Temperature: 39.4°C (103°F)
Pulse: 68 beats/min
Respirations: 24/min
Blood pressure: 118/70 mmHg
Skin pale; cheeks flushed; Chills; use of accessory muscles; inspiratory crackles with diminished breath
sounds right base; expectorating thick, yellow sputum

Diagnostic Data
Chest x-ray: right lobar infiltration
WBC: 14,000
pH: 7.49
PaCO2: 33 mmHg
HCO3 -: 20 mEq/L
PaO2: 80 mmHg
O2 SAT: 88%

Applying Critical Thinking:

1. What factors may have led the medical staff to suspect that Ms. Singh had more than a very bad
cold? Would you have come to the same conclusion?
2. The care plan appropriately focuses on the acute care of this client. Once she is significantly
improved, the nurse will perform discharge teaching. What areas should be included?
3. The client already has some signs of respiratory distress. What signs might indicate that her
condition was deteriorating into a more emergency situation? How would you handle this?
4. It appears that the client’s sputum has not been cultured. In caring for this client, what infection
control guidelines would be needed?
5. Ms. Singh’s oxygen order is for a face mask at 6 L/min. She repeatedly pulls it off and you find it lying
in the sheets. How might you intervene?

Kozier, B., and Erb, G. (2007) Fundamentals of Nursing, Concepts, Process, and Practice, 10th
Edition, Chapter 50 Oxygenation (pp 1241-1286). Jurong, Singapore: Pearson Education Asia.

https://www.youtube.com/watch?v=qkCcegGqO4Y

https://www.youtube.com/watch?v=TwIc7q7gBK4

https://www.youtube.com/watch?v=_InsxKf1XHM

https://www.quia.com/jg/649497list.html