The document provides information about oxygenation and oxygen therapy. It begins with defining oxygenation and the purpose of oxygen therapy in facilitating normal tissue metabolism and reducing arterial hypoxemia. It then discusses factors that can influence oxygenation such as physiological, developmental, lifestyle and environmental factors. The document also covers various methods of oxygen administration like nasal cannula, masks and tents. It concludes with discussing preparations for oxygen therapy, monitoring patients on oxygen therapy and potential complications.
oxygen is very very important for the human being. so i tried here to provide best content from the books and easy way to understand, if you like this slide comment it.
The PPT is regarding discussion of Safe Restraint Policy as per NABH norms basically for Nurses working in medical conditions and emergency medical conditions. The discussion is mainly based on Assessment care and monitoring of patient with restraint, and also documentation
Nursing Care plan ( History collection format )kalyan kumar
The care plan is a written document (either electronic or paper-based) that is used and altered constantly throughout the day. It’s based on a ‘template’ which defines the areas the care plan covers. Some templates are very simple and focus on the essentials of care – nutrition, mobility, sleeping, positioning, oral care and personal hygiene, for instance – while others can be very detailed and might include sections on issues like falls prevention, psychological needs, recording of clinical signs, communication and information.
Chronic obstructive pulmonary disease (COPD)- Preeti sharmaEducate with smile
COPD is a type of obstructive lung disease and related conditions. it is very helpful presentation to you about information of COPD.
It includes all things that is definition, causes, symptoms, pathophysiology, diagnostic evaluation, types, treatment and role of nurses for COPD patient.
oxygen is very very important for the human being. so i tried here to provide best content from the books and easy way to understand, if you like this slide comment it.
The PPT is regarding discussion of Safe Restraint Policy as per NABH norms basically for Nurses working in medical conditions and emergency medical conditions. The discussion is mainly based on Assessment care and monitoring of patient with restraint, and also documentation
Nursing Care plan ( History collection format )kalyan kumar
The care plan is a written document (either electronic or paper-based) that is used and altered constantly throughout the day. It’s based on a ‘template’ which defines the areas the care plan covers. Some templates are very simple and focus on the essentials of care – nutrition, mobility, sleeping, positioning, oral care and personal hygiene, for instance – while others can be very detailed and might include sections on issues like falls prevention, psychological needs, recording of clinical signs, communication and information.
Chronic obstructive pulmonary disease (COPD)- Preeti sharmaEducate with smile
COPD is a type of obstructive lung disease and related conditions. it is very helpful presentation to you about information of COPD.
It includes all things that is definition, causes, symptoms, pathophysiology, diagnostic evaluation, types, treatment and role of nurses for COPD patient.
Oxygen therapy
Definition:
Oxygen is a colorless, odorless, tasteless gas that is essential for the body to function properly and to survive.
Oxygen therapy is a treatment that delivers oxygen gas to breathe. The oxygen therapy is received from tubes resting in nose, a face mask, or a tube placed n your trachea, or windpipe. This treatment increases the amount of oxygen in lungs to receive and deliver to blood.
What is meaning of O2 therapy
Oxygen therapy is the administration of oxygen at a concentration of pressure greater than that found in the environmental atmosphere
The air that we breathe contain approximately 21% oxygen
the heart relies on oxygen to pump blood.
Purpose
Oxygen therapy is a key treatment in respiratory care.
The purpose is to increase oxygen saturation in tissues where the saturation levels are too low due to illness or injury.
What are the signs that a person needs oxygen
shortness of breath.
headache.
restlessness.
dizziness.
rapid breathing.
chest pain.
confusion.
high blood pressure.
Contd…..
Pulmonary hypertension
Acute myocardial infarction (heart attack)
Short-term therapy, such as post-anesthesia recovery
Oxygen may also be used to treat chronic lung disease patients during exercise .
Methods of oxygen administration:
1- Nasal cannula
Face mask
The simple Oxygen mask
The partial rebreather mask:
The non rebreather mask:
The venturi mask:
The partial rebreather mask:
The mask is have with a reservoir bag must romaine inflated during both inspiration & expiration
It collection of the first parts of the patients' exhaled air.
It is used to deliver oxygen concentrations up to 80%.
The non rebreather mask
This mask provides the highest concentration of
oxygen (95-100%) at a flow rate6-15 L/min.
It is similar to the partial rebreather mask
except two one-way valves prevent conservation of exhaled air.
The bag is an oxygen reservoir
Venturi mask
It is high flow concentration of oxygen.
Oxygen from 40 - 50%
At liters flow of 4 to 15 L/min.
T-piece
Used on end of ET tube when weaning from ventilator
Provides accurate FIO2
Provides good humidity
Documentation:
Date and time oxygen started.
Method of delivery.
Oxygen concentration and flow rate.
Patient observation.
Add oronasal care to the nursing care plan
O2 DELIVERY DEVICES
Oxygen Therapy, Indications, procedure, precautions, different ways of oxygen delivery
Presented by Ganga Tiwari (BSC. Nursing Fourth Year , TU, IOM, MNC, Kathmandu Nepal)
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
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Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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3. INTRODUCTION
Air ,water and food are the three essentials of
life.
‘Oxygen’ the most important component of air
, is vital to all existence.
Oxygen is given when there is interference
with normal oxygenation of body tissues.
Oxygenation is the process that includes both
inspiratory and expiratory activities hence
there occurs the exchange transport of
respiratory gases.
4. DEFINITION
Oxygen is a colourless , odourless ,
tasteless and combustible gas.
Oxygen therapy is defined as the
administration of oxygen by
inhalation from a cylinder , piped
in system liquid oxygen
concentration by various methods
to relieve anoxemia.
8. ALTERATION IN CARDIAC FUNCTIONING.
Illness and conditions affecting cardiac
strength of contraction , blood flow
through the heart or to the heart muscles ,
and decreased peripheral circulation cause
alterations in cardiac functioning.
9. older adults experience alterations in
cardiac functions as a result of calcification
of the conduction pathways , thicker and
shifter heart valves caused by lipid
accumulation and fibrosis and decreases in
the number of pacemaker cells in the S.A
node.
10. DISTURBANCES IN THE CONDUCTION.
Electrical impulses that do not originate
from the S.A node cause conduction
disturbances. these rhythm disturbances are
called dysrhythmias , meaning a deviation
from the normal sinus heart rhythm.
11. Sinus tachycardia : Regular rhythm rate >
100 – 180 bts/min, with normal p wave and
normal QRS complex.
Sinus bradycardia : Regular rhythm rate
less than 60 bts/min, normal P wave ,
normal PR interval and QRS complex.
12.
13. Sinus dysrhythmia: sinus rhythm with cyclic
variation , slows during inspiration and increases
with expiration rate of 60 -100bts/min ; normal P
wave , normal PR interval , normal QRS complex.
Atrial fibrillation : no identifiable p wave,
irregular cardiac rate and rhythm.
14. Premature ventricular contractions : Irregular
Rhythm With Ectopic Beats , Rate Or Increased , P
Wave Absent In Ectopic Beat ; PR Interval Absent. QRS
Complex Widened And Distorted ; T Wave In
Opposition To R Wave.
ventricular tachycardia : Rhythm Slightly
Irregular Rate100-200 bts/Min , P Wave Absent , PR
Interval Absent , QRS Wide And Bizarre , >0.12
Seconds.
15. Ventricular fibrillation : uncoordinated electrical
activity . No identifiable PQRS or T wave.
Altered cardiac output : when the blood
volume gets decreased , the systematic and
pulmonary circulation can result in heart
failure.
16. Impaired vulvular functions : it may be
congenital or acquired when size of the lumen of
the valves get narrowed. It is called stenosis ,
when there is widening of valves that leads to
regurgitation.
Angina pectoris : it is transient imbalance
between myocardial oxygen supply and demand.
The condition results in chest pain that is aching ,
sharp, tingling, burning or the feeling of pressure.
17. Myocardial infarction : It results from
sudden decrease in coronary blood flow or
an increase in myocardial oxygen demand
with out adequate coronary perfusion.
18. ALTERATION IN RESPIRATORY
FUNCTIONING
Hyperventilation :
It is a state of excessive ventilation
. If that required to eliminate normal
oxygen produced by cellular
metabolism. May be induced chemically
by anxiety occurs as the body tries to
compensate for metabolic acidosis.
19. Hypoventilation : It is a condition where there is
less ventilation , not sufficient to eliminate
carbon dioxide produced by metabolic activities.
Hypoxia : It is the inadequate oxygenation of the
cells of tissues that leads to the necrosis of the
tissues and ineffective functioning at that level.
20. Developmental factors : The developmental
stage of a patient and the normal aging
process affects tissue oxygenation.
Infant and toddlers
School age children's and adolescents.
Young and middle age adults.
Older adults
23. OXYGEN ADMINISTRATION
DEVICES
OXYGEN FLOW RATE
HIGH FLOW
VENTURI MASK
MECHANICAL AEROSOL SYSTEMS
HIGHFLOW HUMIDIFIER SYSTEM
NON REBREATHER MASK
HIGHFLOW NASAL CANNULA
4 TO 12( L/MIN)
10 TO 15 (L/MIN)
MAXIMUM 60 LPM VIA NASAL PRONGS OR
CANNULA
LOW FLOW
NASAL CANNULA
NASAL CATHETER
TRANSTRACHEAL CATHETER
FACE MASK
TENT
ABOVE 5(L/MIN)
UPTO 5(L/MIN)
6 T0 12 LPM
2 TO 6 LITRES PER MINUTE
8 TO 12( L/MIN)
24. METHODS OF OXYGEN ADMINISTRATION
NASAL CATHETER : It Involves
Inserting An Oxygen Catheter/Sample
Rubber Catheter Into The Nose Up to
The Nasopharynx. It Is Needs To Be
Changed At least Every Eight Hours
And Inserted Into The Other Nostril, It
Is Also Painful And Can Cause Trauma.
Thus , It Is Less Desirable
25. NASAL CANNULA : A Nasal Cannula Is A
Simple Comfortable Devices. The
Cannula About 15cm (1/2 Inch) Long
Protrude From The Centre Of Disposable
Tube And Are Inserted Into The Nares.
26.
27. TRANS-TRACHEAL OXYGEN : In
Trans Tracheal Oxygenation , Oxygen Is
Delivered Directly Into The Trachea Via A
Catheter( Small Intravenous Size) Into The
Trachea Through A Surgical Opening In
The Lower Neck.
28.
29. OXYGEN MASK : Oxygen Mask Is
Device Used To Administer Humidified
Oxygen. It Is Strapped To Fit Snugly To
The Mouth And Nose And Is Secured In
Place With A Strap.
30.
31. OXYGEN TENT: When A Patient Has Facial
Injuries Or For Any Other Reason Cannot Tolerate
An Oxygen Mask. Then This Method Can Be Used.
The Tent Is First Flooded With Oxygen And Then
A Flow Of 4-5 Litres Per Minute Is Given. This Will
Maintain A Service Of 40% - 50% In The Tent.
35. GENERAL INSTRUCTIONS
oxygen should be treated as a drug ; the five rights
of medication administration also pertain to oxygen.
When using on oxygen cylinder or central supply
oxygen , use a regulator and humidifier.
Every part of the apparatus should be clean to
prevent infection.
36. When oxygen therapy is to be discontinued , it
should be done gradually.
Pay attention to conditions that can interfere with
the flow of oxygen from sources to the patient. this
may include tubing , loose connections and faulty
humidifying apparatus.
Airway keep a space oxygen cylinder in close vicinity.
37. Change nasal catheters at least every eight hours
or more often to prevent blockage of the nasal
catheter by a mucus.
Watch the patients receiving oxygen therapy
continuously to detect the early signs of oxygen
toxicity.
Since oxygen supports combustion ,fire protection
are to be taken when oxygen is on flow
40. PROCEDURE
STEPS
Wash hands.
Attach cannula/ catheter
, mask for oxygen tubing
and humidified oxygen
source adjusted to the
prescribed flow rate.
RATIONALE
To prevent cross
infection.
Prevents drying of
nasal and oral mucous
membranes and airway
secretions , use of a
humidifier prevents
drying of mucous
membrane.
41. Place tips of cannula
into the patient nares, if
mask apply snuggly to
face.
Check cannula /
equipment every eight
hours.
Directs flow of oxygen
into the upper
respiratory tract,
prevents loss of oxygen.
Ensures patency of
cannula and oxygen
flow, also ensures safe
delivery of prescribed
oxygen.
42. Keep the humidification jar
filled at all times.
Observe the patients nares
and superior surface of
both ears and skin
breakdown.
Prevents inhalation of
dehumidified oxygen
prevents drying of
mucus membranes.
Oxygen therapy can dry
nasal mucosa, pressure
on ears from cannula
tubing's / elastic can
cause skin irritation
43. Check the oxygen flow
safe and the physicians
orders every eight hours.
Wash hands before
removing the oxygen
mask or tube.
Ensures delivery of the
prescribed oxygen
flow rate.
Reduces transmission
of micro-organisms.
44. Inspect the patient for
relief of symptom's
associated with hypoxia.
Record procedure in the
nurses notes.
Indicates the hypoxia is
reduced / treated.
Document correct use
of oxygen therapy and
the patients response.
45. AFTER CARE OF PATIENTS AND THE ARTICLES
Stay with the patients till he / she is at care.
Keep the patient warm and comfortable .
Evaluate the patients progress by observing the
vital signs and symptom's.
Watch the patients progress by observing the vital
signs and symptoms.
Record procedure with date and time.
46. Request for an arterial blood gas analysis at specified
intervals to make sure hypoxia is treated.
Take all articles to the utility room.
Clean nasal catheter with cold water then warm soapy
water and finally with clean water (if disposable ) boil
and store or send for sterilization.