Oxygen Administration

Question 1

Is oxygen medicine?

Answer 1

Yes

Question 2

What is important to do when dealing w/ oxy?

Answer 2

Check correct patient
Correct flow rate
Correct device
Correct connection to oxy source

Question 3

What is an artificial airway?

Answer 3

Tracheostomy

Nasotracheal tube

Question 4

What is hypoxemia?

Answer 4

An inadequate supply of O2 in blood

Question 5

What is hypoxia?

Answer 5

An inadequate supply of O2 in tissue or cell

Question 6

What is pulse oximetry?

Answer 6

Measurement of O2 saturation of hemoglobin in arterial blood w/ 100% being the max reading

Question 7

What should the pulse oximetry be?

Answer 7

SPO2 of 95%-100%

Question 8

When is O2 therapy needed?

Answer 8

1. Hypoxemia: Asthma, heart failure, pneumonia, pulmonary emboli
   2) Hypoxia: Airway obstruction, injury, bloodflow due to circulatory system

Question 9

Dangers of O2?

Answer 9

1. Oxygen toxicity
   Patient gets lung damage from high levels over 24 hrs
2. COPD
   Patient becomes hypercapnic from excessive amounts
3. Tank leak
   Frost bite

Question 10

What is hypercapnic

Answer 10

Elevated levels of CO2 in blood

Question 11

Signs of respiratory distress?

Answer 11

• Pulse oximetry (SPO2) measures less than 90%
• unusual respiratory rate
• blue/gray appearance on mouth, lips, face
• grunting or wheezing
• nasal flaring
• reverse pattern of normal breathing
• retractions = chest sinks in with each breath in
• sweating

Question 12

When should an 02 tank be changed?

Answer 12

At 500 psi

Question 13

What is a flow meter?

Answer 13

Controls 02 rate of delivery

Rates are in litres per minute

Question 14

How should 02 be transported?

Answer 14

Upright, never on side (leakage)

Never close to patient (frostbite)

Question 15

What is the cannula?

Answer 15

Nose part delivers 1-6L/min

Question 16

What is normal breathing rate in adults?

Answer 16

12-16 breaths per min

Question 17

Steps to transfer oxy from portable to wall unit?

Answer 17

1. Turn on wall unit
2. Match flow rate to patients prescription
3. Check to feel flow
4. Unattach tubing from from portable and attach to wall unit
5. Shut off 02 on portable

Question 18

What do we do when patient is leaving?

Answer 18

Inspect portable tank (leaks, damage, enough 02 to last them trip back) and follow same steps