Oxygen Therapy Flashcards
What is oxygen considered
A medication
You must have a physicians order
Oxygen therapy is used to
Prevent or relive hypoxia
Oxygen is highly
Combustible
What does it mean if a plug is “grounded”
It has 3 prongs
Advantages of a nasal cannula
Simple, comfortable, inexpensive and can eat, talk, and drink
Disadvantages of nasal cannula
40% is the maximum level of oxygen
Dries
Breathing pattern effects fraction of inspired oxygen
What should you inspect before placing a nasal cannula
Nares for obstruction
Does the cannula curve up or down
Downward
Toward lungs
How often should you provide nasal care
At least 2 times a day
Can you add Humidification to a nasal cannula
Yes
Advantages of oxygen masks
Oxygen levels up to 100%
Disadvantages of oxygen masks
Confining and hot
Difficult to understand talking
Have to remove to eat
Non-rebreathing masks
Higher levels of oxygen 40-100%
With a non-rebreathing mask what do you need to know about the flaps
NEVER have both flaps closed
If one flap is closed on a non-rebreathing mask it is called
A partial NRB
If no flaps are closed on a non-rebreathing mask it is called
A full NRB
Should the reservoir bag be inflated or deflated (on a non-rebreathing mask)
Inflated
Why should you never had Humidification to a non-rebreathing mask
If water collects in the bad it could disrupt the function
Venturi mask
High flow Short term Do NOT humidify Dial in flow Up to 100%
What can be delivered with a nebulizer/aerosal
Plain saline and medication
Bronchodilators and muscolytics
With a nebulizer what do you turn on
Compressed air (not oxygen)
Keep on until it runs dry
Metered dose inhalers
Local effects = bronchodilators
Systemic = reduce inflammation
Normal inhalers
Steps to inhaler
Full expiration> press inhaler> take full inhalation
What do spacers allow
Particles of medication to slow down and break into smaller pieces
Helpful if people have trouble with inhaler steps
Incentive spirometry
Encourages voluntary deep breathing by providing visual feedback
What 2 diseases does chest physiotherapy work best for
Pneumonia and cystic fibrosis
Where should you do chest percussion
On all lobes
How many hands do you use for adult chest percussion
2
1 for child
Cups for infants
What does chest vibrations do to secretions
Move them from bronchioles to bronchi
Steps for chest physiotherapy
Clap for 1 minute
Vibrate (on exhalation) 5 times
Repeat both
Do this for every lobe
Hoe often should you use a percussion vest in the hospital
10 minutes every 4 hours
How often should you use a percussion vest in a home setting
20 minutes 2 times a day