Question

I am doing a paper for my nursing clinical class and I need help with this

SKILL: Oxygen Therapies

. DESCRIPTION OF SKILL: –Oxygen Therapies

INDICATIONS: know when to use the correct oxygen therapies such as nasal cannula, simple mask, the partial rebreather, venturi face mask, oxygen regulator, oxygen humidification and non rebreather mask

EXPECTED OUTCOMES

EVALUATION NURSING

INTERVENTIONS

CLIENT EDUCATION

POTENTIAL COMPLICATIONS

NURSING INTERVENTIONS

Can someone please help me asap with this

Answer 1

Ans) Nursing Intervention:

- Monitoring patients receiving oxygen therapy
- Assess patients receiving oxygen therapy, especially those diagnosed with chronic obstructive pulmonary disease (COPD), frequently for any changes in their condition. When patients with COPD receive oxygen at too high a flow rate, carbon dioxide narcosis (a complication that causes confusion, tremors, convulsions, and coma) can result. This complication can ultimately lead to respiratory arrest if left untreated.

Expected outcome/Goal of O2 Therapy:
Since the goal of oxygen therapy is to prevent or relieve hypoxia, delivering oxygen should help prevent or resolve the manifestations of hypoxia. With effective oxygen therapy for patients who have hypoxia, vital signs and oxygen saturation should move closer to normal or to the patient's baseline readings.

If a patient is not improving with oxygen therapy, check to make sure the equipment is functioning properly, the correct oxygen delivery device is in use, and the flow rate is set correctly. If the equipment and flow rate are appropriate, you might have to adjust the oxygen's flow rate. Because oxygen is considered a medication, you must obtain an order from the provider before adjusting the flow rate.

Client education:

- Assess the skin & mucus membrane.

- Teach breathing exercises.

- Oxygen therapy has several safety concerns associated with its use. The most common include fire, equipment malfunction, and pressure hazards. When oxygen therapy is part of your patient's plan of care, it is your responsibility to provide education to the patient and family about the safe use of oxygen.

When fire and high concentrations of oxygen come into contact with each other, extremely rapid burning can result. Because of this, it is important that oxygen is not used around fire or in an environment where there's a potential for sparks. It is recommended that oxygen delivery systems be kept 10 feet from any open flames.

Caution patients when using electrical equipment in such as razors or radios when oxygen is in use. The electrical equipment must be functioning properly and well grounded. Both have the potential to cause sparks if they malfunction and could result in fire. Teach children receiving oxygen therapy not to play with electric or friction toys since they can also cause sparks.

In both the hospital and home settings, display an "oxygen in use" sign on the patient's door or the front door of the home to notify visitors and other family members that oxygen is in use and they must take extreme caution.

Depending on the setting, oxygen is supplied in different ways. In inpatient settings, oxygen is usually stored in large holding tanks outside of the building and piped in to patient rooms via outlets on the wall that are located behind the patient's bed. In home care, oxygen is usually supplied in small portable tanks.

Always handle oxygen tanks with caution. Keep them upright and secured with a chain or in an appropriate holder to keep them from falling and the valve rupturing. Store empty oxygen tanks upright as well and secure them appropriately.
Before initiating oxygen therapy, make sure all equipment is checked. The oxygen should be turned on and the flow meter and regulator checked to make sure they are functioning properly. The gauge indicating the level of oxygen in the tank should also be checked to make sure there is an adequate amount remaining.

Potential complications:

- When patients with COPD receive oxygen at too high a flow rate, carbon dioxide narcosis (a complication that causes confusion, tremors, convulsions, and coma) can result. This complication can ultimately lead to respiratory arrest if left untreated.:

Examples of Nursing Interventions:
1. promoting Comfort (patient positioning, hydration)
2. patient Education (breathing exercise i.e. deep breathing, pursed lip breathing, diaphragmatic breathing; incentive spirometry)
3. chest PT & Postural Drainage
4. administering Medications
5. administration of Oxygen