Oxygen Therapy: Administration and Managment
Help!
|
|
||||
|---|---|---|---|---|---|
| What is the goal of oxygen therapy? | show 🗑
|
||||
| What are the objectives of oxygen therapy? | show 🗑
|
||||
| show | Assess ABG
Assess underlying problem or condition. (history)
Physical Assessment
🗑
|
||||
| It is important to beware of conflicting information. You must always... | show 🗑
|
||||
| show | oxygen toxicity
Depression of ventilatory drive
absorption atelectasis
Bronchopulmonary dysplasia
retrolental fibroplasia
🗑
|
||||
| What is oxygen toxicity? | show 🗑
|
||||
| What are two factors that contribute to oxygen toxicity? | show 🗑
|
||||
| What does oxygen toxicity primarily affect? | show 🗑
|
||||
| show | Nitrogen washout, damage to type II pneumocytes
🗑
|
||||
| show | (BPD) is found in premature babies
🗑
|
||||
| show | scar tissue in the eyes
🗑
|
||||
| show | A concentration greater than 60%.
🗑
|
||||
| What are the two oxygen delivery systems? | show 🗑
|
||||
| Low flow systems | show 🗑
|
||||
| show | Nasal Cannula
Reservoir Cannulas
Nasal Catheter
Transtracheal oxygen
simple mask
Partial rebreathing mask
non-rebreating mask
🗑
|
||||
| High flow systems | show 🗑
|
||||
| show | Air entrainment mas
i.e. Venturi Mask
Air Entrainment Nebulizer
🗑
|
||||
| show | It's the most commonly used oxygen therapy device
🗑
|
||||
| show | up to 6 Liters/Minute (adult)
🗑
|
||||
| Estimating Fi02 with nasal cannula | show 🗑
|
||||
| show | Yes, at flow rates set at 4 L/min and greater
🗑
|
||||
| Are pediatric and infant sizes available in the nasal cannula? | show 🗑
|
||||
| show | Reservoir cannulas (conserving devices)
They suppliment the fi02 and are rarely seen
🗑
|
||||
| Is there a high flow nasal cannula? | show 🗑
|
||||
| show | Nasal catheters
🗑
|
||||
| show | 6L/Minute
🗑
|
||||
| show | 1 L/minute=24% fio2
Each additional liter increases Fi02 4%
🗑
|
||||
| The bubble humidifiers are used for flow rates | show 🗑
|
||||
| show | Yes
🗑
|
||||
| show | inconspicuous/ Rare
Is designed for long term oxygen therapy.
Commonly used with a bubble humidifier.
🗑
|
||||
| Why is the transtracheal oxygen more efficient than a nasal cannula? | show 🗑
|
||||
| What happens to flow rates? | show 🗑
|
||||
| show | Requires a minor surgery
Infection
Bleeding
Subcutaneous emphysema
Must be cleaned frequently
damage to catheter requires replacement over time.
Not covered by all insurance agencies
🗑
|
||||
| show | More commonly used by EMT's
🗑
|
||||
| show | 6-10 liters per minute
🗑
|
||||
| show | 35%-50%
🗑
|
||||
| Can a bubble humidifier be used with a simple mask? | show 🗑
|
||||
| show | Yes
🗑
|
||||
| show | The aerosol mask has larger holes on the side.
The simple mask have small holes on the side.
🗑
|
||||
| show | Non-Rebreathing/Partial rebreathing mask
🗑
|
||||
| What does the non-rebreathing mask have? | show 🗑
|
||||
| What are the flow rate requirements for the non-rebreathing mask? | show 🗑
|
||||
| What fi02 values can be achieved with the non-rebreathing mask? | show 🗑
|
||||
| Can a bubble humidifier be used with both rebreathing masks?? | show 🗑
|
||||
| show | yes
🗑
|
||||
| show | enough to keep the bag inflated
🗑
|
||||
| What fi02 values can the partial rebreather mask achieve? | show 🗑
|
||||
| Are pediatric sized available in the partial-rebreathing mask? | show 🗑
|
||||
| show | no
🗑
|
||||
| What are factors that alter the performance of low flow systems and increase the Fi02 | show 🗑
|
||||
| What are factors that affect performance of low flow systems and decrease fi02 | show 🗑
|
||||
| show | Venti mask, Venturi mask
🗑
|
||||
| The Fi02 depends on? | show 🗑
|
||||
| A blocked entrainment port on the venti mask will | show 🗑
|
||||
| What are the Fi02 ranges for the venti mask? | show 🗑
|
||||
| It might be difficult to provide fixed fi02 at high | show 🗑
|
||||
| Can the air entrainment mask be used with a bubble humidifier? | show 🗑
|
||||
| Are pediatric venti masks available? | show 🗑
|
||||
| show | Fi02 and Flow
🗑
|
||||
| show | The fi02 increases and the flow decreases
🗑
|
||||
| show | The large volume jet nebulizer
🗑
|
||||
| show | The size of the air entrainment port
🗑
|
||||
| show | The fi02 will increase
🗑
|
||||
| show | 28%-98%
🗑
|
||||
| The air entrainment nebulizer can provide 21% by attaching what to the flow meter? | show 🗑
|
||||
| What attachments can be used with the air entrainment nebulizer? | show 🗑
|
||||
| What is one thing about high fi02 settings on the air entrainment nebulizer? | show 🗑
|
||||
| show | Claustrophobia
Muffled Speech
Difficulty eating and drinking
Blocks vomitus in unconscious patient
Potential suffocation hazard
🗑
|
||||
| show | See if gas is turned on.
Look for kinking in tubing
look for a leak.
🗑
|
||||
| How do you troubleshoot patient constantly removing mas? | show 🗑
|
||||
| show | Increase the flow of oxygen
🗑
|
||||
| show | Mask may not have a tight fit.
Inspiratory valve jammed/reversed.
Flow may be too high
🗑
|
||||
| show | Use rubber cushions
🗑
|
||||
| How do you troubleshoot the humidifier pop-off sounding? | show 🗑
|
||||
| How do you troubleshoot no humidity/aerosol coming from the system? | show 🗑
|
||||
| show | Objectives of therapy (short term/long term)
Performance characteristics of set up (high flow/low flow)
Individual needs of the patient and patient characteristics. (Age, LOC, Breathing Pattern, Presence or absense of a tracheal airway)
🗑
|
||||
| show | Replace manual titration of fi02 using an oxygen and airflow meter.
🗑
|
||||
| How are oxygen blenders powered? | show 🗑
|
||||
| Oxygen blenders can | show 🗑
|
||||
| show | A proportioning module for blending oxygen and air.
🗑
|
||||
| show | Notify in case of loss of gas supply
🗑
|
||||
| show | It's accurate and precises
Requires 50 PSI source
Flow meter attachments are available
🗑
|
||||
| show | Electrochemical
Galvonic fuel cell
🗑
|
||||
| show | Polarographic (Clark)electrode
Commonly used in ABG machines and transcutaneous monitors
Requires a battery for power
🗑
|
||||
| The electrochemical, polarographic clark electrode | show 🗑
|
||||
| The galvonic fuel cell | show 🗑
|
||||
| The galvonic fuel cell gets a result in | show 🗑
|
||||
| show | It uses 21% or 100% calibration gases
🗑
|
||||
| show | One point- Room Air
Two Point- Room air and 100% Oxygen
🗑
|
||||
| show | Inreases the pa02
wound healing
around since the 1600's
Based on boyles law
🗑
|
||||
| show | Air embolism
C02 poisoning
Wound Healing
🗑
|
||||
| Hazards of hyperbaric therapy | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
kparkerlehman
Popular Respiratory Therapy sets