NUR 118 CL - Oxygen Therapy

Question 1

What position should the patient be in for Oxygen Therapy?

Answer 1

Fowler’s Position

Question 2

What respiratory assessments should be made for Oxygen Therapy?

Answer 2

rate
rhythm
depth
auscultate for adventitious breath sound
use of accessory muscles
pallor
cyanosis

Question 3

What circulatory assessments should be made for Oxygen Therapy?

Answer 3

Pulse oximetry reading, capillary refill, anxiety & agitation

Question 4

You will need to know the correct names and application of the nasal cannula and masks.
Explain the function of each, the FIO2 and liter ranges

Question 5

Do you need an order to oxygen?

Answer 5

Yes, oxygen is considered a drug. But 2L can be administered in emergency situations

Question 6

Where should the tubes be connected to?

Answer 6

Green flow meter = oxygen

Question 7

NAsal Cannula

Answer 7

First connect oxygen to wall
Put on prescribed amount
Ensure oxygen is flowing
Put it into nares and around ears
Make sure it’s snug to chin

PRos:
Allows patient to eat, drink, talk

Cons:
Breakdown by ears, cheeks
Easily dislodhed
Not good for mouth breathers

Question 8

Face Mask

Answer 8

Put around person’s head
Press seal against nose so it’s snug
FIO2

Pros:
More oxygen

Cons:
Pt cannot eat, drink, talk very well
Claustrophobia
Not precise amount of O2

Question 9

Venturi Mask

Answer 9

Colored portions go into plastic portion of mask

Pros:
Precise amount of O2

Cons:

Question 10

Partial Non-rebreather

Answer 10

Have the same reservoir bag

Question 11

100% Non-Rebreather

Question 12

What do we humidify?

Answer 12

Any Oxygen over 3L

Question 13

Metered Dose Inhaler

Answer 13

Must be prescribed
Remove Mouth piece

Prime: 3-5 shots
Rinse mouth
Inhale + Exhale
Exhale, inhale as they administer med
Hold for 10 seconds
Exhale through pursed lips

1 min between puffs

Patient should rinse mouth afterwards

Question 14

Spacer

Answer 14

Put Metered Dose Inhaler into Spacer, adminster as normal

Question 15

Bronchodilator + Corticosteroid

Answer 15

Bronchodilator prior to corticosteroid

Question 16

Nebulizer

Answer 16

Open medication canister
Open nebulizer contain, pour in medication
Close container

Place nebulizer on flat surface, near outlet
Connect tubing to nebulizer

Exhale, inhale
Put mouth on mouthpiece
Inhale + exhale until container is done