Question

Active learning template for oxygen delivery, related content, underlying principles and nursing intervention

Answer 1

Oxygen delivery/ oxygen administration:

Oxygen administration is the administration of a mixture of oxygen and other gases, administered to a patient to help him or her to breathe. Oxygen is an expensive medication mainly given to patients with hypoxemia. It can be given in high or low concentration.

Indications :

* Severe lower respiratory tract infections  

example: Bronchiolitis , Severe Pneumonia.

* Severe asthma

* Upper airway obstruction

* Heart failure, cardiac arrest

* Carbon monoxide poisoning

* Birth asphyxia

* Anaemic hypoxia

* Post operative oxygenation

* Myocardial infarction

* Pulmonary hypertension

Principles

* If the Arterial   Oxygen saturation ( SpO2 ) is less than 92 % , nurse can initiate the Oxygen therapy

* Humidified oxygen is recommended for the patient to prevent the dryness of nasal mucosa.

* Flow of oxygen delivery may depend on the condition and the age of the patient

* Accurate and regular monitoring of Oxygen saturation or Arterial Blood gas analysis is necessary.

* Hypoxemia as well as Hyperoxemia are harmful.  

Contraindications

* Collapse of lung / Atelectasis

* Oxygen toxicity

* For patient with COPD (chronic bronchitis + emphysema + asthma )are at risk for hypoventilation, for such patients administer oxygen with caution.

Nursing Interventions:

* Check the patient identification properly with name,and ID number

* Check the physician's order and the dosage and if any specific precautions or positioning of the patient

* Check the diagnosis and need for oxygen delivery

* Monitor the vital signs of the patient, any clinical signs like Cyanosis, Arterial Blood gas analysis

* Check the patient's level of Consciousness, and the ability to follow instructions

* Check for suitable method of oxygen delivery, and any specific order such as oxygen via;

nasal catheter

nasal canula

oxygen by mask

Oxygen tent or oxygen hood

* Administer oxygen as per physician's order