Fon Assignment

Topic –Oxygen Administration

Submitted To,
Ms. Madhavi M. Narayane
Tutor/Clinical Instructor
Dept. Of Medical Surgical Nursing
Datta Meghe College Of Nursing

Submitted By,
Mahek O.Sharma
B.S.c Nursing 1st Year
Datta Meghe College
Of Nursing
Roll No-49
General Objective
• Definition
• Purposes
• Indications
• Articles
• Methods of oxygen administration
• Procedure
Definition
Oxygen administration is the process by which supplemented
oxygen is administered in high concentration than of atmospheric
air.
Purpose Of Oxygen Administration
• To relieve dyspnea.
• To prevent hypoxemia and hypoxia.
• To increase oxygenation in tissues.
Indications For Oxygen Adminstration
• Severe respiratory distress (e.g. acute asthma and pneumonia.)
• Intra and post operatively
• Hypoxia and hypoxemia
• Shock
• Severe trauma
• Acute myocardial infrastruction (heart attack)
ARTICLES/EQUIPMENTS NEEDED
FOR OXYGEN ADMINISTRATION.
• Oxygen source: wall outlets or oxygen cylinder.
• Flow meter.
• Humidifier filled with sterile water.
• Oxygen tubing.
• Nasal catheter or Mask.
• Gallipot with cotton swabs.
• Water soluble lubricant.
• Bowl with containing water.
• Oxygen precaution sign.
Oxygen Delivery system
Methods Of Oxygen adminstration
1. It is a disposable plastic device with two protruding
Prongs for insertion into the nostrils, connected to an oxygen source.
• Used for low-medium concentration of Oxygen (24-44%).
• Amount delivered (fraction Inspired Oxygen)
Low flow- 24-44%
1 L\min=24%
2 L\min=28%
3 L\min=32%
4 L\min=36%
5 L\min=40%
6 L\min=44%
2. Simple mask is made of clear, flexible , plastic or rubber that
can be molded to fit the face.
• It is held to the head with elastic bands.
• Some have a metal clip that can be bent over the bridge of
the nose for a comfortable fit.
• It delivers 40% to 60% oxygen .
• A flow rate of 5 to 10 liters per minute.
• It has vents on its sides which allow room air to leak in at many places,
thereby diluting the source oxygen.
• often it is used when an increased delivery of oxygen is needed for short
• periods (i.e., less than 12 hours).
The simple Oxygen mask
3)The mask is with a reservoir bag that must remain
inflated during both inspiration and expiration.
• It collects of part of patients exhaled air.
• It is used to deliver oxygen concentration up to 80%
• The oxygen flow rate must be maintained at a minimum
of 6 L/min to ensure that the patient does not re-breathe
large amounts of exhaled air.
• The remaining exhaled air exits through vents.
4)This mask provides the highest concentration of oxygen
(95-100%) at a flow rate 6-15 L/min.
• It is similar to the partial re-breather mask except two
one way valves prevent conservation of exhaled air.
• The bag has an oxygen reservoir.
• When the patient exhales air the one way valve closes
and all of the expired air is deposited into the atmosphere
not the reservoir bag.
• In this way the patient is not re breathing any of the expired gas.
5)It is high flow oxygen delivery device.
• Oxygen from 24-60% at liters flow of 2 to 15 L/min.
• The mask is constructed so that there is a constant flow
of room air blended with a fixed concentration of oxygen.
• Designed with wide-bore tubing and various various
color-coded jet adapters.
• Each colr code corresponds to a precis oxygen concentration
and a specific liter flow.
• It is primarily for patients with chronic obstructive pulmonary
disease.
6)An oxygen hood is used for babies who can breathe on their own
but still need extra oxygen.
• A hood is plastic dome or box with warm, moist oxygen inside.
• The hood is placed over the baby’s head
• Oxygen hoods provide up to 80% to 90% oxygen,
good humidification, and controlled temperature.
• Flow rate is 10 to 15L/min
7)An oxygen Tent consists of a canopy placed over the head and shoulders,
over the entire body of a patient to provide oxygen at a higher level than
normal.
• Typically the tent is made of see through plastic material.
• It can envelop the patient’s bed with the end sections held in place by a
mattress to ensure that the tent is alright.
• The enclosure often has a side opening with a zipper.
• Oxygen concentration is (80-90%) 10-15L/min
8)AMBU is a hand-held device commonly used to provide
positive pressure ventilation to patients who are not breathing
or not breathing adequately.
9)Inserted directed into trachea
• Is indicated for chronic O2 therapy need
• O2 flow rate 8 to 10L
• Provides accurate FIO2
• Provides good humidity
• Comfortable, more efficient
10) Used on end of ET tube when weaning from ventilator
• Provides accurate FIO2
• Provides good humidity
 Techniques of oxygen administration
Administering oxygen by nasal cannula

Nursing action Rationale

• Check the physician order. • Provide a baseline data for future
• Assesses physical condition. assessment
• Assess vital signs • Oxygen maybe depress the hypoxia
drive (decrease respiratory rate,
• Assess level of consciousness. alliterate mental states)
• Assess the laboratory results
especially the ABG analyses,
• Assess risk of CO2 rentetion with
oxygen administration
Nursing action Rationale
• Wash hands • To prevent infection.
• Prepare equipment
• Oxygen therapy
• Plastic nasal cannula
• connection tube,
• Simple face mask
• The partial Re Breather mask
• The Non Re-breather mask
• The Venturi mask
Nursing action Rationale
• Humidifier filled with distilled water. • Humidification maybe not be ordered
• Flow meter if the flow rate is <4
• No smoking signs /l/min
• Allow 3-5 L oxygen to flow through • Low flow
the tubing. 1 L\min=24%
2 L\min=28%
3 L\min=32%
4 L\min=36%
5 L\min=40%
6 L\min=44%
Nursing Action Rationale
• Place the prongs in the patient’s
nostrils and adjust it comfortably.
• Use gauze pads both behind the head
or the ears and under the chin and
tighten to comfort.
• Adjust the flow rate to the ordered
level.
• Encourage patient to breath through • To provide optimal delivery of oxygen
his nose with his mouth closed. to patient.
• Assess the patient nose and mouth and • Oxygen dries the mucous membrane
provide oronasal care at least every 8 and cause irritation
hours.
Nursing action Rationale
• Face mask
• Produce the flow rate (10-12 l/min) • Ensure patient received flow sufficient
• Attach the oxygen supply tube to the to meet aspiratory demand and
mask maintain accurate concentration
oxygen.
• Regulate the oxygen flow.
• Position the mask over the patient’s
nose and mouth.
• And fit it securely, shaping the metal
band on the mask to the bridge of the
nose.
Nursing action Rationale
• Adjust the elastic band around • To ensure a tight fit.
the patient’s head and tighten.
• Use gauze pads both behind the
head or the ears.
• Adjust the flow rate to the
ordered level. • To reduce irritation and pressure
and protect the skin.
• Remove the mask and dry the
skin every 2-3 hours if the
oxygen is running continuously.
• Don’t powder around the mask • There is danger of inhaling
• Wash your hands. powder if it is placed on the
mask.
Nursing action Rationale
• The partial re-breather mask
• The Non re-breather mask
• The Venturi mask
• Attach tubing to flow meter
• Show the mask to pt & explain
procedure • To ensure correct air/oxygen mix
• Turn on oxygen flowmeter &
prescribed rate (usually indicated on
mask)
• Place mask over pt nose & mouth
under chin
Summary
• So today we discussed about:
• Definition
• Purpose
• Precaution
• Methods of oxygen administration
• procedure
Conclusion
• Oxygen administration is a common clinical intervention for
patients with respiratory distress. Optimizing outcomes often
depends on selecting the correct oxygen administration device
clinical assessment and monitoring are essential to ensure patient
safety and to achieve desired clinical outcomes when administering
oxygen.
Question
• Define oxygen administration.
• Enlist purposes of oxygen administration.
• Enumerate article needed for oxygen administration.
• Enlist methods of oxygen administration.
• Explian procedure of oxygen administration.
Reference
• Nursing Foundation Jaypee.
Author- BT basavanthappa
• Nursing Foundation- 3rd edition
Author- I Clement.