Homework Answers
Oxygen therapy can be ordered by the doctor, but sometimes it can be initiated by the nurse also during emergency crisis based on patient condition.
Sign and symptoms of hypoxia:
- Shortness of breath
- Rapid breathing
- Sweating
- restlessness
- anxiety
- slow heart rate
- cough
Oxygen Delivery methods:
Nasal cannula: It is used to deliver the oxygen when the patient required a low concentration. Usually, COPD patient who required oxygen at a low level can have nasal cannula. The oxygen level of 2 to 5 liters of oxygen can be delivered per minute depending upon the patient condition.
Simple face mask: Simple face mask covers the nose and mouth, delivers oxygen at medium concentration. It is used to treat patients of chest pain, pneumonia, asthma, hemorrhage, and bronchopulmonary conditions. It delivers the oxygen at a rate of 6 to 10 liters per minute.
Nonbreather mask: It is used to deliver oxygen at higher concentration. It is used for patients to increase Fio2 who have desaturation. It deliver oxygen hundred percent with a flow rate of 15LPM.
Correct Documentation for Oxygen therapy:
- Hypoxia/hypoxemia
- Respiratory rate
- oxygen saturation
- Mode of oxygen delivery
- Amount of oxygen deliver
- Patient outcome
Patient Safety while on Oxygenation:
- Keep oxygen cylinder away from the heat source.
- Check the oxygen pipes for any hazards before applying to the patient.
- Check the patient for signs and symptoms of hypoventilation.
- Check the patient for oxygen tolerance.
- ABG should be checked for the patient with a high concentration of oxygen.
Patient teaching while on oxygen therapy:
- Educate the patient not to adjust the rate of oxygen level in any situation.
- Avoid smoking and other heat sources during oxygen delivery.
- Educate the patient to inform if he is not receiving any oxygen or feeling of any symptoms.
The safe level of oxygen for COPD patient is 2 to 4 liters through a nasal cannula. Because too much oxygen can cause hypercapnia as a result of oxygen toxicity.
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