OXYGEN

CYLINDER
INTRODUCTION
 An oxygen tank is an oxygen storage vessel,
which is either held under pressure in gas
cylinders, or as liquid oxygen in a cryogenic
storage tank.
 Oxygen can be given in a number of ways
including nasal cannula, face mask, and inside a
hyperbaric chamber.
CONT.
 Oxygen cylinders contain oxygen under pressure,
and the pressure gauge gradually falls as the
cylinder is depleted. A full –size E cylinder ( the
size fitted to most anaesthetic machine) contains
approximately 680 litre of gas. Manufactural
label the cylinders to confirm this.
OXYGEN CYLINDER
CONT.
 An oxygen cylinder is a cylindrically shaped
metal container used to store oxygen that has
been compressed to a very high pressure.
 Cylinders are fitted with customized valves
(either bull nose or pin index type) with valve
guards which are opened with valve keys .
CONT.

 The oxygen cylinder often used for transporting

patients with a mask or nasal cannula has a valve
that incorporates a pressure regulator, flow dial,
and pressure gauge (typically, a PSIG in the
United States but there are often two scales—
PSIG and bars or 100 kPa, the SI unit)
CONT.
Within in the hospital environment oxygen is usually found
in-
 Critical care areas
 Operating theaters
MINIMUM PRESSURE
 Minimum pressure in tank is around 300 psi with
delivery systems operating at pressure below 400
psi. In contrast, the storage and delivery system
of liquid oxygen in a hospital, pressure are
usually around 50.0-55 litre psi.
LONG TERM USE OF OXYGEN CYLINDER

 Long- term oxygen is often useful in people

with chronically low oxygen such as
severe COPD or CYSTIC FIBROSIS.
USES OF OXYGEN CYLINDER
 The oxygen cylinder is delivered with a
protective cap to prevent accidental force against
the cylinder outlet.
 To release oxygen safety and at a describe rate, a
regulator is used.
 A reduction gauze that shows the amount of
oxygen in the tank.
CONT.
 A flow meter that regulates the control of oxygen
in liters per minute.
 Oxygen is moistened by passing it through a
patient humidifying to drying of the mucous
membranes of the respiratory tract.
PARTS OF OXYGEN CYLINDER
CONT.
CARE OF OXYGEN CYLINDER

 Always use cylinder of metal case to prevent

danger of failing and breaking.
 Oxygen cylinder should be placed at head end of
the bed.
 Oxygen cylinder should be placed at cool
temperature.
CONT.
 When cylinder are empty, always mark i.e,
“empty and” and send for filling.
 Inspect the apparatus at frequent intervals and
make sure for its good working condition.
 To test, any leakage in the regular soap leather
may be used.
ARTICLES
 Oxygen cylinder with stand, central supply
oxygen with a flow meter, humidifier/ connecting
tubing.
 A tray containing:
 Nasal catheter/ o2 mask/ cannula
 Water soluble lubricating jelly
 Adhesive tape
 A bowel of water
CONT.
 Swab sticks and normal saline
 No smoking indication.
STEPS OF PROCEDURE
 Wash hands.
 Attach cannula/ catheter mask to oxygen tubing
and humidified oxygen source adjusted to
prescribe flow rate.
 Place tip of cannula into the patients nose if
masks apply sungly to face.
 Check cannula/ equipment every eight hours.
CONT.
 Keep the humdifying jar filled at all times.
 Observe the patient nose and superior surface of
both ears and skin for preventing the drying of
nose.
 Check the oxygen flow rate and the physician’s
orders every 8 hours.
CONT.
 Wash hands before removing the oxygen mask or
tube.
 Inspect the patient for relief of symptoms
associated with hyopxia.
 Record procedure in the nurse’s record.
NURSE’S RESPONSIBILITY
 Check the name and bed no. and other
identification.
 Check the diagnosis and need for oxygen therapy.
 Check the doctors order for the initiation of the
therapy, the dosage etc.
 Check the doctors order for specific precaution
regarding the movement of the positioning of the
patient.
CONT.
 Assess the patient for any sign of clinical analysis
ex: cyanosis.
 Check the patient’s vital signs.
 Check the result of arterial blood gas analysis.
 Note any sign of pulmonary dysfunction.
CONT.
 Check the patient mental state and the ability to
follow instructions.
 Check the articles available in the unit.
 Check the oxygen cylinder for its accessories and
their working condition.