Oxygenation, Circulation, & Heat & Cold Therapy Flashcards
3 Ways to Promote Oxygenation
Positioning
Ambulating
Deep breathing and Coughing
What positions help promote oxygenation?
Fowler’s and Tripod/Orthopneic Position
How does ambulating help promote oxygenation?
encourages abdominal breathing which helps facilitate deep full breaths w/ minimal effort
pursed-lip breathing controls breathing and alleviates dyspnea
“smell the roses and blow out the candles”
increases lung capacity and encourages deep breaths
How does deep breathing and coughing help promote oxygenation?
opens up the lungs and increases gas exchange
What is the purpose of incentive spirometry?
decrease risk of pneumonia
increases gas exchange
loosens secretions
improve pulmonary ventilation
What is the procedure for incentive spirometry?
don’t use nose
hold breath for 6 seconds to see if they can hold their lung expansion
do 5-10 minutes for every 1-2 hours
10 breaths per set
Nasal Cannula
1-6 L/min
24-44% of oxygen
use for mild shortness of breath
also have high flow cannula
At what rate do you need to add humidity for any oxygenation device?
> 4 L/min
Simple Mask
4-8 L/min
40-60% of oxygen
may use for mouth breathers
may cause claustrophobic feeling
Venturi Mask
4-15 L/min
24-60% of oxygen
Most ACCURATE oxygen delivery
use for COPD patients (constriction of the airways)
Non-Rebreather Mask
10-15 L/min
100% of oxygen
use for patients in extreme respiratory distress
must have good fit
must have bag inflated with oxygen
Deep Vein Thrombosis (DVT)
blood clot in deep vein (typically in the back of the calves)
Pulmonary Embolus (PE)
blood clot in lungs
Risk Factors for DVT and PE (8)
bed rest/immobile
after surgery
hormone therapy (birth control)
smoking
truck drivers
obesity
coma patients
paralysis patients
Having a DVT increases the risk of what?
PE
