Prescribing and Administering O2

Question 1

Introduction

Answer 1

Introduce self to patient
ID checks
Explains procedure, gain consent
PPE

Question 2

Steps needed before O2 is prescribed

Answer 2

Read patient history - is this patient at risk of hypercapnic RF

• COPD, neuromuscular cond, CF, chestwall, severe obesity, bronchiectasis
• check for O2 alert card

Prescribe O2 - target sats

• 94-98% - acutely ill
• 88-92% - T2RF

Measure SaO2

Question 3

What would you use for

• critically ill patients
• hypoxic patients, serious illness
• low levels of supplemental O2

Answer 3

NRM 15L - 94-98%

• acutely unwell + no T2RF risk
• DON”T BE AFRAID TO GIVE NRM TO CO2 RETAINERS IF ACUTELY UNWELL

Venturi (24-60%) - 88-92%
-T2RF

Nasal canula 2-4L/min

Question 4

How would you administer O2

-nasal canulae - 1-6L/min

Answer 4

Attach tubing to O2 flow meter on wall
Turn dial on flow meter to start O2 flow
-ball must be in middle of literage line
Ensure correct size nasal canula used
Insert into nose, loop tubing around ears and secure under chin

Question 5

How would you administer O2

-venturi mask

Answer 5

Attach venturi valve onto venturi facemask
Attach ends of tubing onto valve
Attach other end to O2 flow meter on wall
Turn dial on flow meter
-ball sits in middle of literage line
-match this to the requirements on the valve
Mask over patient’s nose and mouth
Adjust ties on mask

Question 6

How would you administer O2

-NRM

Answer 6

Attach tubing to O2 flow meter on wall
Turn dial on flow meter to 15L
-ball must be in middle of literage line
Cover connecting valve between mask and bag => fills bag with O2
Place mask over mouth and nose

Question 7

How would you give a nebulised medication

Answer 7

Ensure that you check the 5 rights
Pour in liquid medication into nebuliser
Attach pot to mask and O2 tubing
Attach O2 tubing to either the air/O2 tap
Set flow rate
-ensure ball sits in the middle of the literage line
Place mask over mouth and nose