Proving Oxygen Therapy

-02 has an irritating effect in mucous membranes and dries secretions, therefore it is important that a high liter of flow of 02 delivering 35-50% be humidified when administered.

The nurse found Mrs Smith to be tachypnoeic, her respirations were recorded as 24 breaths per minute it was observed as being fast and it appeared that her accessory muscles were being used. Mrs Smith’s pallor also appeared flushed and her saturations were documented as 93%. The nurse used the stethoscope to check for wheeze the patient’s lungs were clear and chest rise was symmetrical. Mrs Smith was commenced on 100% oxygen through a non-rebreathe mask, oxygen as an intervention is necessary as Creed & Spiers (2010) highlight ‘metabolic demand for oxygen throughout the body is hugely increased by sepsis and is essential to ensure the supply of oxygen is maximized’ .The nurse monitored the patient closely because in her confused state the patient may try to remove the oxygen mask.

Oxygen can be a comforting, life sustaining treatment and a potent killer. As one of three components of the fire triangle (heat, fuel, and oxygen), it has the potential to cause great injury and even death in those who ignore the risks and fail to follow safety guidelines. The Joint Commission has identified the risk of medical oxygen home fires as serious enough to include it as the 2015 National Patient Safety Goal (NPSG) 15.02.01. It states a home care organization must “Identify patient safety areas: Find out if there are any risks for patients who are getting oxygen. For example, fires in the patient’s home.” (The Joint Commission, 2015). This work is a review of available literature on the issue, its link to nursing administration, the significance to quality and safe nursing practice, as well as potential opportunities for improvement and recommendations for strategies to improve the safety of patients, families, and nursing staff. According to 2003 – 2006 data from the Consumer Product Safety Commission’s National Injury Surveillance System, medical oxygen in the home was a factor in and average of 1,190 thermal burns seen annually in U.S. emergency rooms (Galligan, et al., 2015). Smoking is the leading cause in these incidents and several studies suggest that the incidence of burn

Jane’s asthma was acute severe. Initially to alleviate some of Jane’s breathlessness she was sat up right in the bed and supported with pillows to improve air entry. Due to her low oxygen saturations she was placed on 40% oxygen via Hudson mask (BTS 2006), as Jane was mouth breathing the mask was the appropriate device to use to ensure adequate oxygenation (Walsh 2002). According to Inwald et al (2001) hypoxemia is frequently a primary cause in numerous asthma related deaths. By administering oxygen promptly, for acute severe asthma, serious hypoxemia

After surgery, Mr. Baker is taken to a room on the medical-surgical floor. He has an IV infusing at 125 ml/hr, a PCA pump, and a nasogastric tube connected to low suction. He is receiving oxygen through a nasal cannula.

Oxygen treatment is recommended for individuals who can 't get enough oxygen all alone. This is regularly as a result of a lung condition that keeps the lungs from retaining oxygen, including:

As a clinical facilitator, I provide learning opportunities to staff and nursing students at St Vincent’s Private Hospital Brisbane (SVPHB). Not long after I joined St Vincent’s, I encountered a patient who was receiving high flow oxygen (7 litres/min) via high flow nasal prongs without any humidification device running with it. The scene surprised me. Supplemental oxygen is

less than 2500 gram that are receiving oxygen. The Intervention is to target low range of

Respiratory therapy refers to both a subject area within clinical medicine and to a distinct health care profession. During the 20th century, there were many health care fundamental transformations. Here are 10 possible predictions of what may occur in the future of respiratory care: (1) Less focus on raising PaO2 as a primary goal in managing patients with acute hypoxemic respiratory failure. (2) More attention to

It is prudent to not provide these people too much O2 in a crisis due to the undesired effect of depressing their respiratory rate or even causing a full-blown

After being reminded by the instructor, I was aware of my mistakes and noticed that I failed to maintain patient’s safety. An oxygen below 90% can be very dangerous for the patient, especially for a post-op day #1 patient, because prolonged hypoxemia can cause fatigue, headache, acute respiratory failure, cardiac problems (increased heart rate,

Scientists have discovered and invented numerous mediums by which oxygen can be utilized to treat illnesses; such as hyperbaric chambers, hydrogen peroxide, ozone, and controlled hyperventilation-breathing techniques. Hyperbaric chambers use 100% oxygen at higher than normal pressures, usually 3 atm, to flood the body with oxygen. This method allows oxygen to permeate muscle tissue much quicker, due to the abundance of oxygen and the higher atmospheres of pressure pushing the O2 molecules into the body. Normally used as a means of wound sterilization, hydrogen peroxide saw popularity with scientists and doctors in the early to mid-20th century and is now once again garnering interest in the scientific world. This liquid has the chemical formula of H2O2, which can be broken down by the body to form oxygen radicals. H2O2

Situations in which OLV are indicated can be classified into, either to separate both lungs as in case of hemothorax, massive hemorrhage, bronchopleural fistulae and unilateral pulmonary diseases or to facilitate surgical procedures such as pneumonectomies, lobectomies, thoracoscopies and esophageal resection (4).Intraoperative hypoxemia during OLV is observed in approximately from 1 % up to 27% of patients inspite the use of high inspiratory oxygen fraction (Fio2) (5, 6). The incidence of this hypoxemia is affected by many factors e.g. used ventilator settings, the kind of surgery performed, the patient's position during surgery, and anesthesiologist's experience in OLV thoracic anesthesia (7).

As we know that pulmonary fibrosis is a restrictive disease. People who are suffered from pulmonary fibrosis lives a difficult life as they have trouble taking air in to the lungs. The major symptom related to this disease is dyspnea. In common terms, pulmonary fibrosis is considered as scarring in the lungs. The scar in the lungs makes it difficult for oxygen to get into the blood. It also makes difficult for the patient to feel short of breath especially during exercise or walking. I support the idea of pulmonary rehabilitation to improve quality of life and strengthen muscles. It was a great review to know about different oxygen cylinders. I have never changed the regulator of H cylinder, but I would definitely want to learn about it. I

While I was giving a patient a nebulizer treatment, she mentioned she did not like the oxygen system she was previously on. During the conversation it was hard to understand what exact oxygen delivery system the patient was referring to, I looked at my preceptor and she stated “a high flow nasal cannula". When we were finished with the patient and out her room I asked my preceptor more about a high flow nasal cannula. From my understanding nasal cannulas are low flow system than range from 1-6lpm and 24-44% fio2. It was interesting to learn that there is a high flow nasal cannula that can go up to 100% fio2.Later on in the evening my preceptor pointed out what a high flow nasal cannula look like as we were on our way to see another patient.