OXYGEN

INHALATION
 PRACTICE TEACHING
(Demonstration)
ON
Oxygen Inhalation

Presented by: Moderator:

Komal Mrs. Smita Das
M.Sc. 1st year lecturer at CON
AIIMS, New Delhi.
 GENERAL OBJECTIVE

At the end of the class students must be able to

gain knowledge about oxygen therapy and apply
this knowledge in clinical practice.
SPECIFIC OBJECTIVES:
AT THE END OF THE CLASS STUDENTS MUST BE ABLE TO:
Define oxygen therapy.
Explain the purposes of oxygen therapy.
Explain indications for providing oxygen
therapy.
Enumerate various supplemental oxygen
delivery systems.
Demonstrate the procedure of oxygen
administration.
Describe nurses’ responsibility during
oxygen administration.
 BASICS
 Oxygen is a colorless, odorless, tasteless, gas
that is essential for the body to function
properly and to survive.
 The air that we breath contain approximately
21% oxygen.
 Oxygen therapy is the key treatment in
respiratory care.
 INTRODUCTION

OXYGEN INHALATION THERAPY also known as the

supplemental oxygen, is the use of oxygen as a
medical treatment aimed at restoring toward
normal, any pathophysiological alterations of gas
exchange.
 PURPOSES
To manage the condition of hypoxia.
To maintain the oxygen tension in the blood
plasma.
To increase the oxyhemoglobin in red blood
cells.
To maintain the ability of cells to carry the
normal metabolic function.
To reduce the risk of complications.
 INDICATIONS

Cyanosis
Breathlessness or laboured breathing
Anemia
Hemorrhage
Poisoning
Shock and circulatory failure
 SUPPLEMENTAL

OXYGEN

DELIVERY SYSTEMS
VENTURI MASK
Cont..
 OXYGEN

CONCENTRATION

AND

FLOW
 THREE

BASIC

PRINCIPLES
PREPARATION OF CLIENT
NURSES’ ACTION:
-Determine the need for oxygen therapy.

-Perform an assessment.

-Assess risk factors for oxygen administration in

patient and environment.
Cont..
Explain procedure to patient and relatives
and emphasis how he has to cooperate.

Post “ no smoking” signals on the patient’s

door in view of patient and visitors.

Wash hands
 PREPARATION OF ARTICLES:
Oxygen source
Humidifier with distilled water
Flow meter
Gauze pieces

On the basis of procedure:

Nasal cannula with connecting tubing.
Mask(simple/or with venturi adaptor high flow
device of appropriate size).
Oxygen tent.
HUMIDIFIER AND FLOWMETER
WALL- OUTLET OXYGEN
PROCEDURE
(common steps)

- Wash hands.
- set up oxygen equipment and humidifier.
- Fill humidifier up to the level marked on it
with sterile water.
- Attach flow meter to source, set flow meter in
‘off’ position.
- Attach humidifier to base cannula to
humidifier.
- Regulate flow meter to prescribed level.
 Cannula method:

Ensure proper functioning by checking for bubbles

in humidifier or feeling oxygen at outlet.

Place tips of cannula to patient’s nares and adjust

straps around ear for snug fit.

Pad tubing with gauze pads over ear.

 Cont....
Inspect patient and equipment frequently for flow
rate, clinical condition, level of water in humidifier,
etc.
Ensure that safety precaution are followed.
Wash hands.
Document time, flow rate and observations made
on patient.
 Cont....
Encourage patient to breath through his/her nose
with mouth closed.

Remove and clean the cannula with soap and water,

dry and replace every 8 hours.

 Assess nares at least every 8 hours.

 Mask method
Guide mask to patient’s face and apply it from
nose downward.
Fit the metal piece of mask to confirm to shape of
nose.
Secure elastic band around patient’s head.
Apply padding behind ears as well as scalp where
elastic band passes.
Ensure that safety precaution are followed.
 Cont..
Inspect patient and equipment frequently for flow
rate, clinical condition, level of water in humidifier,
etc.
Wash hands.
Remove the mask and dry skin every 2-3 hour if
oxygen is administrated continuously.
Document relevant data in patient’s record.
 Using oxygen tent
Explain and reassure the parents and child.

Select the smallest tent and canopy that will

achieve the desired concentration of oxygen.

Tuck the edges of tent under the mattress securely.

 Pad the metal frame that supports the canopy.

 Cont...
Flush the tent with oxygen( increase the flow rate)
Analyse and record the tent atmosphere every 1-2
hours.
Check child’s temperature routinely.
 Record the flow rate of oxygen, alteration in flow
rate and child’s reaction.
Oxygen hood:
Oxygen can be administered to babies using
oxygen hood (oxyhood).
Oxygen hood is kept over the head of the
infant.
It permits easy access to child without loss of
oxygen.
Edges of hood should not rub against the
child’s chin, neck and shoulders.
 Complications and side effects
 Oxygen toxicity

 Bronchopulmonary dysplasia

 Retrolental fibroplasia/Retinopathy of prematurity

 Absorption atelectasis

 Hypoventilation in COPD patient.

DEMO TIME
 NURSES RESPONSIBILITY
 Regularly monitor oxygen saturations.
 Help the patient to stay in an upright
position to maximize ventilation.
 Perform chest physiotherapy if
required.
 Observe potential pressure areas eg.
behind the ears.
 Be aware of drying effect of oxygen on
oral and mucosa.
 SUMMARY
Today we have discussed about:
 Introduction of oxygen delivery systems.
 Purposes
 Indications for use
 Types of oxygen delivery systems.
 Procedure
 Nursing responsibility
 CONCLUSION
Oxygen therapy, also known as supplemental
oxygen is the use of oxygen as a medical
treatment. It can be given in a no. of ways
including nasal cannula, face mask, oxygen tent
etc. a nurse plays an important role in
management of a patient undergoing oxygen
therapy.
ANY
DOUBTS
THANK
YOU