2b. Oxygen Therapy CPG

Question 1

What is Oxygen Therapy?

Answer 1

When you administer oxygen at concentrations greater than in ambient air to provide symptomatic relief or treatment for the patient.

Question 2

Name the 5 Indications for Oxygen Therapy

Answer 2

1. Documented Hypoxemia
2. Acute care situation where hypoxemia is suspected
3. Severe Trauma
4. Acute MI
5. Short term therapy or surgical intervention (post anesthesia recovery)

Question 3

What are contraindications for Oxygen Therapy?

Answer 3

There’s no contraindications

Question 4

What are 5 Precautions/Possible Complications to Oxygen Therapy?

Answer 4

Fire Hazard
Oxygen Toxicity
Retinopathy of Prematurity
Absorption Atelectasis
Depression of Ventilation

Question 5

What do Low Flow systems do?

Answer 5

They deliver 100% oxygen at flows that are less than the patient’s inspiratory flow rate

Question 6

What do High flow systems do?

Answer 6

They deliver a prescribed gas mixture to exceed patient’s inspiratory demand

Question 7

How do you monitor patient during oxygen therapy?

Answer 7

Clinical assessment and measuring PaO2 or SpO2.
Should be monitored at the:
-Initiation of therapy
-Within 12 hrs of start of therapy (FiO2 <0.4)
-Within 8 hours of start of therapy (FiO2 >0.4)
-Within 72 hours of an MI
- Within 2 hours of a diagnosis of COPD

Question 8

What’s the frequency of giving oxygen therapy?

Answer 8

Should be administered continuously unless the need has been shown to be associated only with specific situations like exercise and sleep