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OXYGENATION
DEFINITION
OXYGENATION the process that
supplies oxygen to the blood
and cells
- without adequate
oxygen, cells
cannot survive
3 PHASES OF ADEQUATE
RESPIRATORY FUNCTION
1. PULMONARY VENTILATION
- inhalation and exhalation of air
between the atmosphere and the
alveoli of the lungs
3 PHASES OF ADEQUATE
RESPIRATORY FUNCTION
1. PERFUSION
- Diffusion or movement of oxygen
and carbon dioxide between the
alveoli and the pulmonary capillaries
3 PHASES OF ADEQUATE
RESPIRATORY FUNCTION
1. Gas Exchange
- transport of oxygen and carbon
dioxide via the blood to and from the
cells
Tachycardia
Restlessness
Cyanosis
Increased blood pressure followed by
decreased blood
pressure
Pursed-Lip Breathing
Definition
The process of providing or combining
or treating with oxygen
GOALS OF OXYGENATION
1. Improve tissue oxygenation
2. Decrease work of breathing in
dyspneic patients
3. Decrease work of
the heart in
patients with
cardiac disease
OXYGEN SAFETY
Prominently display a NO SMOKING
sign on the patients door
Inspect all electrical equipment in the
immediate vicinity of the patient
Do not allow the patient to
use an electric razor
OXYGEN SAFETY
Avoid using woolen blankets
Take special precautions with patients
in oxygen tent (do not comb hair or
allow electric call bells to be operated
in a closed tent)
OXYGEN STORAGE
Piped-in System
Tank System
Large
Small
Piped-In System
OXYGEN THERAPY
oxygen regulator
Oxygen mask
Flow meter
humidifier
Oxygen tank
FLOW METER
A device that attaches to the oxygen
outlet to regulate the amount and
pressure of oxygen delivered
Oxygen regulator
Mercury ball flow meter
humidifier
Gauge
Type
Mercury Ball
HUMIDIFIER
Containers with sterile water which are
attached to the administration device
METHODS OF ADMINISTRATION
Nasal Cannula
Nasal Catheter
Oxygen Mask
Standard mask
Non-rebreathing mask
Venturi mask
Oxygen Tent
Oxygen Hood
Self-inflating Breathing Bag and Mask
NASAL CANNULA
NASAL CANNULA
Procedure on pages 573 575 of
Taylors Clinical Nursing Skills
NASAL CATHETER
Plastic or rubber catheter with a small
lumen
Used infrequently(irritates pts. nostril)
Tip of the catheter should be visible at
a position near the uvula
Should be transferred to the
other nostril every 8 hours
OXYGEN MASK
Method of choice in emergency situations
or when a relatively high concentration of
oxygen is needed promptly
Gives a high-flow rate
(6-10 liters/minute)
(35% - 60%)
Procedure on pages 576
580 of Taylors Clinical
Nursing Skills
STANDARD MASK
Has side vents
Provides a reservoir over
the face into which
oxygen flows
most common midrange O2 device
Not usually desirable for COPD pts
because of potential for excessive
oxygenation
VENTURI MASK
Delivers 4-10 liters/min (24% - 55%)
Precise delivery system
Noisy
NON-REBREATHING MASK
Has a bag attached to the bottom
Used for critically ill pts
Delivers 6-15 liters/min (60% - 100%)
OXYGEN TENT
Used in children who will not leave a
face mask or nasal cannula in place
Made of a transparent plastic canopy
that is suspended
from a frame, with
an electric cooling
unit.
OXYGEN HOOD
Deliver oxygen to infants at rates
approaching 100%
Placed over the infants head
Made up of hard plastic or vinyl with a
metal frame