PROCEDURE GUIDELINES 10 15b

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GENERAL PROCEDURES AND TREATMENT MODALITIES

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PROCEDURE GUIDELINES 10-15 CONTINUED flow and alter oxygen concentration. If


condensate is emptied into the humidifier,
Nursing Action bacteria may be aerosolized into the
lungs.
8. Apply the mask to the patient’s face and
adjust the straps so the mask fits
securely. 10. Excessive temperatures can cause airway
9. Drain the tubing frequently by emptying burns; patients with elevated temperature
condensate into a separate receptacle, should be humidified with an unheated
not into the humidifier. If a heating device.
element is used, the tubing will have to be
drained more often.

10. If a heating element is used, check the


temperature. The humidifier bottle should
be warm, not hot, to touch.

Simple face mask. Oxygen concentration


varies with patient’s tidal volume and
respiratory rate.
2. Assess the patient for change in mental
FOLLOW-UP PHASE status, diaphoresis, changes in blood
pressure, and increasing heart and
1. Record Fio2 and immediate patient respiratory rates.
response. Note the patient’s tolerance of 3. If the patient has a high VE flow from the
treatment. Notify the physician if mask may not be sufficient to meet
intolerance occurs. inspiratory needs without pulling in room
2. Assess the patient’s condition and the air. Room air will dilute the oxygen
functioning of equipment at regular provided and lower the inspired oxygen
intervals. concentration, resulting in hypoxemia. A
3. If the patient’s condition changes, assess change in mask or delivery system may
Sao2 or ABG. be indicated.
4. Record changes in volume and tenacity of 4. Indicates effectiveness of humidification.
sputum produced.
Rationale

9. The tubing must be kept free of


condensate. Condensate allowed to
accumulate in the delivery tube will block

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