OXYGEN

ADMINISTRATION
 DEFINITION

Oxygen administration is the process

by which supplemented oxygen is
administered in high concentration
than that of atmospheric air.
 OXYGEN SOURCES

• Wall outlets (Central

supply).
The oxygen is supplied
from a central source
through a pipeline.
OXYGEN CYLINDER
 PAO2 AS AN INDICATOR FOR
OXYGEN THERAPY
 PaO2 : 80 – 100 mm Hg : Normal
60 – 80 mm Hg : cold, clammy
extremities
< 60 mm Hg : cyanosis
< 40 mm Hg : mental deficiency
memory loss
< 30 mm Hg : bradycardia
cardiac arrest

PaO2 < 60 mm Hg is a strong indicator for oxygen therapy

 INDICATIONS
• Cyanosis
• Dyspnoea
• Hypoxemia
• Hypoxia
• Respiratory distress
• Shock
• Anaemia
• Acute myocardial infraction
• During anaesthesia for surgery
 OXYGEN DELIVERY

Low flow High flow

Delivery delivery
system system
 Low flow Delivery system

• These contribute partially to the inspired gas the

patient breathes
High flow delivery system
• These provide total amount of inspired air. A
specific percentage of oxygen is delivered
independent of the patients breathing
 NASAL CANNULA (PRONGS)
SUGGESTE O2 %
D FLOW SETTI
RATE NG
(L/min)
1 L/mnt 24
2 L/mnt 28
3 L/mnt 32
4 L/mnt 36
5 L/mnt 40
6 L/mnt 44
 ADVANTAGES
Client able to talk and eat
with oxygen in place
Easily used in home settings
Safe and simple
Easily tolerated
Delivers low concentrations
DISADVANTAGES
Unable to use with nasal
obstruction
Drying to mucous membranes so
flow greater than 6L/mnt needs
to be humidified
Can dislodge from nares easily
Causes skin irritation or
breakdown over ears or at nares
Not good for mouth breathers
Patients breathing pattern affects
exact Fio2
 SIMPLE OXYGEN FACE
MASK

It delivers 35% to 60%

oxygen.
A flow rate of
6 to 10 L/mnt.
ADVANTAGES DISADVANTAGES

 Simple to use  Difficult to keep

 Inexpensive mask in position
 Can provide over nose and
increased mouth
delivery of  Potential for skin
oxygen for short breakdown
period of time.  Uncomfortable
for patient while
eating or talking
 THE PARTIAL REBREATHER
MASK

It is used to deliver oxygen

concentration up to 80%.
The oxygen flow rate must be
maintained
at a minimum of 6 L/mnt
ADVANTAGES
• Client can inhale room air through openings in mask if
oxygen supply is briefly interrupted
• Delivers moderate oxygen concentration
DISADVANTAGES
• Requires tight seal ( eating and talk difficult,
uncomfortable)
 THE NON RE -BREATHER
MASK

This mask provides the

highest
concentration
of oxygen ( 80%- 100%)
at a flow rate 6-15 L/mnt.
ADVANTAGES
• Delivers the highest possible oxygen concentration
• Suitable for patient breathing spontaneous with severe
hypoxemia
DISADVANTAGE
• Impractical for the long term therapy
• Malfunction can cause co2 build-up
• Suffocation
• Expensive
• Uncomfortable
 HIGH FLOW DELIVERY SYSTEM
VENTURI MASK

It is a high flow oxygen delivery

delivery device. Oxygen from
40-50% At litters flow of 4 to 15
L/ mint. The mask is constructed
so that there is a constant flow of
room air blended with a fixed
concentration of oxygen.
COLOR FiO2 O2 Flow

Blue 24% 2 L/mnt

White 28% 4 L/mnt

Orange 31% 6 L/mnt

Yellow 35% 8 L/mnt

Red 40% 10 L/mnt

green 60% 15 L/mnt

ADVANTAGES DISADVANTAGES
Delivers most precise • Uncomfortable
oxygen concentration • Risk for skin irritation
Doesn’t dry mucous • Produce respiratory
membranes depression in COPD
patient with high
concentration of oxygen
50%
 TRACHEOSTOMY COLLAR
Direct to the trachea. To
deliver oxygen, humidity, and
medication to patients with
tracheostomies. The oxygen
flow rate is 8- 10 L/mnt. It is
comfortable and more
efficient.
ADVANTAGES
• deliver high concentration of oxygen
• maintain saturation level
• stable and not moved
• good humidity
DISADVANTAGES
• Heavy with tubing
• Regular cleaning
• Chance for infection
 T- PIECE

T- Piece adaptor is used on end

of endotracheal tube to provide
humidification and oxygen
therapy. The oxygen flow rate is
8 – 10 L/mnt . And 30% - 100%
oxygen can be given
 OXYGEN HOOD
It covers only the head
allowing access to the lower
body. Ideal for short term use
for neonates and infants. O2
and air premixed passed
through heated humidifiers.
Oxygen flow rate is 8-10 L/mnt
 TRANSTRACHEAL
THERAPY
Trans tracheal catheter is used to
deliver oxygen directly into the
lungs. A small plastic catheter is
surgically placed in your neck
and sits in the windpipe. Here
the flow rate is 1-4 L/mnt. And
the oxygen 60% - 100%
ADVANTAGES DISADVANTAGES
• Lower O2 use • HIGH COST
• Eliminates nasal and skin • Surgical complications
irritation • Infections
• Increased exercise tolerance • Frequent regular cleaning
• Increased mobility