OXYGEN DELIVERY DEVICES

GOMER P. PONSO, RN
UC-CON Faculty
 OXYGEN DELIVERY DEVICES

 Oxygen delivery devices are devices that deliver oxygen to a patient when, for
a variety of reasons, they may not be able to breathe in enough oxygen on their
own (Parkes, C. 2021)
 Low-Flow and High-Flow systems are available to deliver oxygen to the client.
The choice of system depends on the client’s oxygen needs, comfort, and
developmental considerations.
 OXYGEN DELIVERY DEVICES

LOW-FLOW
 Low-flow systems deliver oxygen via small-bore tubing.
 Low-flow administration devices include:
 nasal cannula
 face masks
 oxygen tents
 transtracheal catheters
 NASAL CANNULA

• A Nasal Cannula (nasal prongs) is the most common and inexpensive device
used to administer oxygen.
• It is easy to apply and does not interfere with the client’s ability to eat or talk. It
also is relatively comfortable, permits some freedom of movement, and is well
tolerated by the client.
• It delivers a relatively low concentration of oxygen (24% to 45%) at flow rates
of 2 to 6 L/min.
NASAL CANNULA
 NASAL CANNULA

 Reservoir nasal cannulas are oxygen-conserving devices and are also called
Oxymizer oxygen-conserving devices.
 They are used primarily in the home setting.
 The two styles of reservoir nasal cannulas are the mustache and pendant
styles (see Figure 49.11 B and C).
 Humidification is not necessary with the reservoir nasal cannula, because it
collects water vapor while the client breathes out and returns it when the client
breathes in.
 FACE MASK

 Face masks that cover the client’s nose and mouth may be used for oxygen inhalation.
 Most masks are made of clear, pliable plastic that can be molded to fit the face. They
are held to the client’s head with elastic bands. Some have a metal clip that can be
bent over the bridge of the nose for a snug fit.
 Exhalation ports on the sides of the mask allow exhaled carbon dioxide to escape.
 Some masks have reservoir bags, which provide higher oxygen concentrations to the
client. A portion of the client’s expired air is directed into the bag. Because this air
comes from the upper respiratory passages (e.g., the traches and bronchi), where it
does not take part in the gaseous exchange, its oxygen concentration remains the
same as that of inspired air.
FACE MASK
 FACE MASK

Varieties of oxygen masks:

1. SIMPLE FACE MASK that delivers oxygen concentrations from 35% to 65%
at liter flow of 8 to 12 L/min (Figure 49.12 A).
2. PARTIAL REBREATHER MASK that delivers oxygen concentrations of
40% to 60% at liter of 6 to 10 L/min. The oxygen reservoir bag that is
attached allows the client to rebreathe about the first third of the exhaled air in
conjunction with oxygen (Figure 49.12 B). Thus, recycling expired oxygen.
The partial rebreather bag must not totally deflate during inspiration to avoid
carbon dioxide buildup. If this problem occurs, the nurse increases the liter
flow of oxygen so that the bag remains one-third to one-half full.
 FACE MASK

3. NON-REBREATHER MASK delivers the highest oxygen concentration

possible--60% to 100%--by means other than intubation or mechanical
ventilation, at liter flows of 6 to 15 L/min. One-way valves on the mask and
between the reservoir bag and the mask prevent the room air and the client’s
exhaled air from entering the bag so only the oxygen in the bag is inspired
(Figure 49.12 C). To prevent carbon dioxide buildup, the non-rebreather bag
must not totally deflate during inspiration. If it does, the nurse can correct this
problem by increasing the liter flow of oxygen.
 FACE MASK

4. VENTURI MASK delivers oxygen concentrations varying from 24% to 40%

or 50% at liter flows of 4 to 10 L/min (Figure 49.12 D). It has wide-bore
tubing and color-coded jet adapters that correspond to a precise oxygen
concentration and liter flow. For example, in some cases, a blue adapter
delivers a 24% concentration of oxygen at 4L/min, and a green adapter
delivers a 35% concentration of oxygen at 8L/min. However, colors and
concentrations may vary by manufacturers so the equipment must be
examined carefully.
 FACE TENT

 Face tents can replace oxygen masks when masks are poorly tolerated by
clients.
 It provide varying concentrations of oxygen at 8 to 12 L/min.
 It is convenient for providing humidification and oxygenation; however,
oxygen concentration cannot be controlled.
 Frequently inspect the client’s facial skin for dampness or chafing, and dry and
treat as needed.
FACE TENT
 TRANSTRACHEAL CATHETER

 Transtracheal catheter is [laced through a surgically created tract in the lower

neck directly into the trachea.
 Oxygen applied to the catheter at greater that 1 L/min should be humidified,
and high flow rates, as much as 15 to 20 L/min, can be administered.
 Once the tract has matured (healed), the client removes and cleans the catheter
two to four times per day.
TRANSTRACHEAL CATHETER
THANK YOU FOR LISTENING!

DO YOU HAVE ANY QUESTIONS?