Chap 30- Respiratory Treatments

Question 1

Oxygen therapy primarily used to reverse…

Answer 1

hypoxemia

Question 2

3 Goals of O2 Therapy

Answer 2

• Improve tissue oxygenation
• Decrease work of breathing in pt’s w/ dyspnea
• Decrease work of heart in pt’s with cardiac disease

Question 3

It is important to start at the lowest flow of O2, then increase as needed. T or F

Answer 3

True

Question 4

O2 ordered in flow
O2 orded in concentration

Answer 4

Flow- L/min
Conc- %

Question 5

Nurse Assessment for monitoring Oxygen

Answer 5

Pt color
alertness
heart rate
breathing effort

Question 6

Aim of O2 therapy is to keep
PaO2 @ -
SpO2 @ -

Answer 6

PaO2-Above 60
SpO2- Above 93 %

Question 7

Is O2 flammable or combustible?

Answer 7

Combustible

Question 8

Why is high o2 toxic to COPD pts?

Answer 8

They do not have the alveoli to process the excess O2 coming in.

Question 9

Methods of O2 Delivery

Answer 9

Nasal Cannula
Simple Mask
Non rebreather Mask
Venturi Mask

Question 10

most common method of delivery; delivers lower conc of O2 (1-6 L or 22-44 %); mixes w/ room air

Answer 10

Nasal Cannula

Question 11

delivers moderate conc of O2; 6-10 L; given to ppl who need higher conc of O2

Answer 11

Simple Mask (known to be hot/claustrophobic- difficult to eat/drink)

Question 12

mask that delivers high concentration (10-15 L); typically given to critically ill patients

Answer 12

Non Rebreather Mask

Question 13

How long should patients be on high conc O2?

Answer 13

No more than 24 hrs; pt can begin to lose the muscular ability that helps them breathe

Question 14

mask that blends room air w/ a FIXED precise concentration of oxygen

Answer 14

Venturi Mask

Question 15

_______ & ________ are signs of decreased oxygenation status

Answer 15

Confusion and changes in LOC

Question 16

Checking ______ is ALWAYS a must when pt is on O2

Answer 16

Pulse ox

Question 17

Why do pt’s get suctioned?

Answer 17

Pt’s who cannot cough, Cannot clear their airways
Have adventitious breath sounds

Question 18

Intermittent suction should last for how long?

Answer 18

10-15 Seconds

Question 19

test that measures the levels of oxygen and carbon dioxide in your blood, as well as your blood’s acidity, or pH

Answer 19

ABG

Question 20

can detect abnormal fluids/air in chest, collapsed lungs, pneuomonia; confirm cath and tube placements

Answer 20

Chest X ray

Question 21

Oxygen delivery method is low conc is needed

Answer 21

Nasal Cannula
Simple Mask

Question 22

Oxygen delivery method if moderate to high conc is needed

Answer 22

Non rebreather
Venturi Mask