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Jovit Lyndon R.

Pingoy

Understand what is oxygenation. Know the benefits of oxygenation. Learn what are the delivery systems of oxygenation. Learn how to administer oxygen. Exemplify the Marist Core Value which is presence and participation.

Oxygen therapy is the administration of oxygen as a therapeutic modality. It is prescribed by the physician, who specifies the concentration, method of delivery, and liter flow per minute.

Additional Benefits of Oxygen Therapy: Increased clarity Relieves nausea Can prevent heart failure in people with severe lung disease Allows the bodies organs to carry out normal functions

Long-Term Benefits of Oxygen Therapy: Prolongs life by reducing heart strain Decreases shortness of breath Makes exercise more tolerable Results in fewer days of hospitalization

Developmental Stage Environment Lifestyle Medications Pathophysiological Conditions

1. Nasal Cannula Also called nasal prongs. Is the most common inexpensive device used to administer oxygen. It is easy to apply and does not interfere with the clients ability to eat or talk. It delivers a relatively low concentration of oxygen which is 24% to 45% at flow rates of 2 to 6 liters per minute.

2. Face Mask It cover the clients nose and mouth may be used for oxygen inhalation. Exhalation ports on the sides of the mask allow exhaled carbon dioxide to escape.

Types of Face Masks: Simple Face Mask Delivers oxygen concentrations from 40% to 60% at liter flows of 5 to 8 liters per minute, respectively. Partial Rebreather Mask Delivers oxygen concentration of 60% to 90% at liter flows of 6 to 10 liters per minute, respectively. Non Rebreather Mask Delivers the highest oxygen concentration possible 95% to 100% by means other than intubation or mechanical ventilation, at liter flows of 10 to 15 liters per minute. Venturi Mask Delivers oxygen concentrations varying from 24% to 40% or 50% at liter flows of 4 to 10 liters per minute.

For home oxygen use or when the facility permits smoking, teach family members and roommates to smoke only outside or in provided smoking rooms away from the client. Place cautionary signs reading No Smoking: Oxygen in use on the clients door, at the foot or head of the bed, and on the oxygen equipment. Instruct the client and visitors about the hazard of smoking with oxygen use. Make sure that electric devices (such as razors, hearing aids, radios, televisions, and hearing pads) are in good working order to prevent the occurrence of short-circuit sparks.

Avoids materials that generate static electricity, such as woolen blankets and synthetic fabrics. Cotton blankets should be used , and client and caregivers should be advised to wear cotton fabrics. Avoid the use of volatile, flammable materials such as oils, greases, alcohol, ether, and acetone(e.g. nail polish remover), near clients receiving oxygen. Ground electric monitoring equipment, suction machines and portable diagnostic machines. Make known the location of the fire extinguishers, and make sure personnel are trained in their use.

1. Explain procedure to patient and review safety precautions necessary when oxygen is in use. Place No Smoking sign in appropriate areas. 2. Perform hand hygiene. 3. Connect nasal cannula to oxygen setup with humidification, if one is in use. Adjust flow rate as ordered by physician. Check the oxygen is flowing out of prongs. 4. Place the prongs in patients nostrils. Adjust according to type of equipment: a. Over and behind each ear with adjuster comfortably under chin or b. Around patients head. 5. Use gauze pads at ear beneath tubing as necessary. 6. Encourage patient to breathe through nose with mouth closed. 7. Perform hand hygiene. 8. Assess and chart patients response to therapy. 9. Remove and clean cannula and assess nares at least every 8 hours or according to agency recommendations. Check nares for evidence of irrigation or bleeding.

1. Explain procedure to patient and review safety precautions necessary when oxygen is in use. Place No Smoking signs in appropriate areas. 2. Perform hand hygiene. 3. Attach face mask to oxygen setup with humidification. Start flow of oxygen to fill bag before placing mask over patients nose and mouth. 4. Position face mask over patients nose and mouth. Adjust it with the elastic strap so mask fits snugly but comfortable on face. 5. Use gauze pads to reduce irrigation on patients ears and scalp. 6. Perform hand hygiene. 7. Remove mask and dry skin every 2 to 3 hours if oxygen is running continuously. Do not powder around mask. 8. Assess and chart patients response to therapy.