Oxygen therapy 0.0 / 5 ? OthernursingOtherAll boards Created by: evepoagCreated on: 18-05-22 14:55 What does hypoxaemic mean? Low oxygen levels 1 of 22 If you give too much oxygen to a COPD patient, what can happen? increased carbon dioxide (CO2) levels 2 of 22 What is normal Spo2 for adult patients? 96-98% But 94-96% is not overly concerning 3 of 22 What is normal Spo2 for COPD patients? 88-92% 4 of 22 Name 5 conditions that require high-flow oxygen 1. major trauma 2. sepsis 3. shock 4. lung collapse 5. pulmonary embolism 5 of 22 What strength of oxygen and mask is used for initial emergency oxygen therapy? 15L/min with a reservoir mask 6 of 22 If a patient is breathless, and their target saturations are 94-98%, what should you do? choose mask and flow rate to achieve saturations 7 of 22 If a patient is breathless, and their target saturations are 88-92%, what should you do? start with nasal cannulae at 1-2L/min OR 28% venturi mask then titrate up to reach target saturations do a blood gas after 30-60 mins 8 of 22 In a patient with targets 94-98%, how do you titrate oxygen? Increase 02 if spo2 is lower than range Decrease 02 if spo2 is higher than target range monitor spo2 every 5 minutes get blood gases if oxygen therapy is increased 9 of 22 In a patient with targets 88-92%, how do you titrate oxygen? increase 02 if spo2 is lower than range decrease 02 if spo2 is higher than target range monitor spo2 every 5 minutes take blood gases after 30-60 minutes if increase oxygen is required - show dr results 10 of 22 How do you stop oxygen therapy for stable patients? Stop oxygen and monitor spo2 for 5 minutes if stable, keep oxygen stopped for 1 hour and monitor spo2 if stable after 1 hour, wean off oxygen 11 of 22 Describe the high-concentration reservoir mask also known as, non re-breathing reservoir mask used for critically ill patients or post arrest delivers oxygen between 60 - 80% + short-term 12 of 22 Describe nasal cannulas recommended for most patients delivers oxygen at 1-6L/min 13 of 22 Describe Venturi or fixed performance masks aims to deliver constant oxygen minimum oxygen flow is displayed increasing flow does NOT increase oxygen - it is a FIXED device 14 of 22 Describe the simple face mask used for patients with type 1 respiratory failure delivers oxygen between 35-60% and flow 5-10L/min flow must be at least 5L/min 15 of 22 Describe humidified oxygen typically used in tracheostomy patients humidification can be delivered via warm or cold humidifiers 16 of 22 Describe tracheostomy mask for 'neck-breathing patients' prolonged use requires humidification 17 of 22 Describe high-flow nasal oxygen uses specialised equipment for patients with acute respiratory failure without hypercapnia 18 of 22 What does hypercapnia mean? Too much carbon dioxide in blood 19 of 22 If a patient is in cardiac arrest, what mask and flow do you give? Bag-valve-mask at 15L/min 20 of 22 If a patient is seriously unwell, but not critically, what mask and flow do you give? Nasal specs 2-6L/min OR face mask 5-10L/min (unless spo2 drops below 85%) 21 of 22 If a patient with COPD requires low-dose oxygen therapy, what mask and flow do you give? 24% or 28% Venturi mask 2-4L/min OR nasal cannula 2L/min when stable 22 of 22
Comments
No comments have yet been made