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Oxygen therapy new (2) version 2010


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my latest overview in O2 therapy conducted this week in our hospital-king abdulaziz specialist hospital-taif

Published in: Health & Medicine

Oxygen therapy new (2) version 2010

  1. 1. OXYGEN therapy King Abdulaziz Specialist Hospital-Taif mohammed alhabsi indanan, RN
  2. 2. 3 BASIC ESSENTIAL IN LIFE Oxygen Water Food Add Your Title OXYGEN therapy
  3. 3. history: <ul><li>Joseph Pristley </li></ul><ul><li>An element of Oxygen </li></ul><ul><li>was officially discovered </li></ul><ul><li>in August 1774 </li></ul>OXYGEN therapy
  4. 4. history: <ul><li>Antoine- Laurent Lavoisier </li></ul><ul><li>1775 </li></ul><ul><li>Oxygen : acid producer, </li></ul><ul><li>identified as an element </li></ul>OXYGEN therapy
  5. 5. definition: <ul><li>Oxygen </li></ul><ul><li>Element, gas, and drug </li></ul><ul><li>Oxygen therapy </li></ul><ul><li>Is the administration of oxygen at concentrations greater than that in room air to treat or prevent hypoxemia. </li></ul>OXYGEN therapy
  6. 6. What is hypoxia and types <ul><li>Hypoxia </li></ul><ul><li>a condition of insufficient oxygen anywhere in the body from the inspired gas to the tissue. </li></ul><ul><li>Types of Hypoxia </li></ul><ul><li>Hypoxemic hypoxia </li></ul><ul><li>Circulatory hypoxia </li></ul><ul><li>Hematological hypoxia </li></ul><ul><li>Demand hypoxia </li></ul><ul><li>Histotoxic hypoxia </li></ul>OXYGEN therapy
  7. 7. ٍٍ Signs & Symptoms <ul><li>Tachypnea, dyspnea, hyperpnoea </li></ul><ul><li>Tachycardia, dysrhythmias, pulse change, hypertension </li></ul><ul><li>Anemia, polycythemia </li></ul><ul><li>Restlessness, disorientation, lethargy </li></ul><ul><li>Cyanosis, digital clubbing </li></ul>OXYGEN therapy
  8. 8. Indications for Oxygen <ul><li>Treat hypoxia </li></ul><ul><li>Decrease the work of breathing </li></ul><ul><li>Decrease myocardial work </li></ul><ul><li>Severe trauma </li></ul><ul><li>Short term, post operative </li></ul>OXYGEN therapy
  9. 9. O 2 Administration Devices OXYGEN therapy DEVICE FLOW RATE L/MIN O 2 PERCENTAGE Cannula 1-6 24%-45% Facial Mask 5-8 40%-60% Partial Rebreather 6-10 60%-90% Nonrebreather 10-15 95%-100% Venturi 4-8 24%-40% Face Tent 4-8 30%-50%
  10. 10. Oxygen Delivery system: <ul><li>Low Flow </li></ul><ul><li>Do not provide a constant or know concentration of inspired O 2 </li></ul><ul><li>Nasal, face, partial, non-rebreather </li></ul><ul><li>High Flow </li></ul><ul><li>Provide the total inspired air </li></ul><ul><li>Specific % of O 2 is delivered independently </li></ul><ul><li>Requires constant & precise amount </li></ul><ul><li>Transtracheal, Venturi, T-piece, face tent </li></ul>
  11. 11. Nasal cannula <ul><li>1-2L/min (23- 30%) </li></ul><ul><li>3-5L/min (30-40%) </li></ul><ul><li>6L/min (23-42%) </li></ul>OXYGEN therapy
  12. 12. Facial mask <ul><li>6-8 L/min </li></ul><ul><li>40% to 60 % </li></ul>OXYGEN therapy
  13. 13. Partial rebreather mask <ul><li>8-11 L/min </li></ul><ul><li>50% to 75 % </li></ul>OXYGEN therapy
  14. 14. Nonbreathing mask <ul><li>12 L/min </li></ul><ul><li>95% to 100% </li></ul>OXYGEN therapy
  15. 15. Transtracheal O2 catheter <ul><li>1/4 – 4 L/min </li></ul><ul><li>60 to100% </li></ul>
  16. 16. Venturi mask <ul><li>4-6 L/min (24,26,28%) </li></ul><ul><li>6-8 L/min (30,35,40%) </li></ul>OXYGEN therapy
  17. 17. Tracheostomy collar <ul><li>8-10L/min </li></ul><ul><li>30-100% </li></ul>OXYGEN therapy
  18. 18. T-piece <ul><li>8-10L/min </li></ul><ul><li>30-100% </li></ul>OXYGEN therapy
  19. 19. Face Tent <ul><li>4 to 8 L/min (30% to 50% ) </li></ul><ul><li>8-10 L/min (30-100%) </li></ul>OXYGEN therapy
  20. 20. Pediatric O2 Tent <ul><li>Set to 15L/min for </li></ul><ul><li>5 minutes then adjust </li></ul><ul><li>according to orders e.g. </li></ul><ul><li>10-15L/min </li></ul><ul><li>Approximately 30% </li></ul>
  21. 21. Oxygen Hood <ul><li>Provides precise O2 level </li></ul><ul><li>& humidity </li></ul>
  22. 22. Hyperbaric therapy <ul><li>Increase pressure </li></ul><ul><li>Increase oxygen in tissue </li></ul>
  23. 23. Flow meter/Humidifier <ul><li>Regulates the flow </li></ul><ul><li>of oxygen in </li></ul><ul><li>liters/min </li></ul>OXYGEN therapy
  24. 24. Nursing Responsibilities OXYGEN therapy <ul><li>Assessment </li></ul><ul><li>Skin & mucous membrane </li></ul><ul><li>Breathing patterns </li></ul><ul><li>Chest movements </li></ul><ul><li>Lung sounds </li></ul><ul><li>Presence of clinical signs of hypoxemia </li></ul><ul><li>Presence of clinical signs of hypercarbia </li></ul><ul><li>Presence of clinical signs of O 2 toxicity </li></ul>
  25. 25. Nursing Responsibilities OXYGEN therapy <ul><li>Determine: </li></ul><ul><li>Monitor Respiratory status </li></ul><ul><li>Neurologic assessment </li></ul><ul><li>V/S and Saturation </li></ul><ul><li>Whether client with COPD </li></ul><ul><li>Laboratory test </li></ul>
  26. 26. Campaign against. SMOKING
  27. 27. GOLDEN RULE: <ul><li>“ You should never stop giving oxygen to a patient in need.” </li></ul>OXYGEN therapy
  28. 28. Magsukul... King Abdulaziz Specialist Hospital-Taif