1 / 20

Oxygen Gas Administration

Oxygen Gas Administration. م.م زيد وحيد عاجل. Oxygen Therapy General Goals/objectives. Correcting Hypoxemia By raising Alveolar & Blood levels of Oxygen Easiest objective to attain & measure Decreasing symptoms of Hypoxemia Supplemental O2 can help relieve symptoms of hypoxia

greta
Download Presentation

Oxygen Gas Administration

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Oxygen Gas Administration م.م زيد وحيد عاجل

  2. Oxygen TherapyGeneral Goals/objectives • Correcting Hypoxemia • By raising Alveolar & Blood levels of Oxygen • Easiest objective to attain & measure • Decreasing symptoms of Hypoxemia • Supplemental O2 can help relieve symptoms of hypoxia • Less dyspnea/WOB • Improve mental funx

  3. Oxygen TherapyDesign & Performance • Flow does not meet inspiratory demand • O2 is diluted with air on inspiration • Nasal Cannula • Nasal Catheter • Xtracheal Catheter • Resevoir Cannulas

  4. Nasal Cannula

  5. Oxygen TherapyLow Flow Devices • Nasal Cannula • Adult • requires Humidity • Can cause irritax, dryness, bleeding, etc. • Rule of thumb Nasal • Neo • 0-2 l/m

  6. Oxygen TherapyLow Flow Devices • Nasal Catheter • Adult • Visualize placement or blind to depth = to length of nose to tragus • Replace Q8hrs • Affects secretion, irritax, etc. • Good for short procedures • bronchoscopy

  7. Oxygen TherapyLow Flow Devices • Xtracheal catheter • Surgically inserted in trachea • Uses trachea/upper airway as reservoir • Requires very low flows to meet needs

  8. Oxygen TherapyLow Flow Devices • Reservoir Cannula • Frequent replacement • No humidificax • Requires nasal exhalax • Nasal • Stores ~20ml • Aesthetically displeasing • Pendant • Better aesthetically • Extra weight can irritate ears/face

  9. Low Flow DevicesReservoir Masks • Simple Mask • Gas gathers in mask • Exhalax ports • Air entrained thru ports & around mask

  10. Partial rebreather Non-rebreather

  11. AEM

  12. Oxygen TherapyMore Reservoirs • Enclosures • Tents • Hoods • Incubators • Others • BVM • Pulse Dose Cannula • Concentrators

  13. Oxygen TherapyMore Reservoirs – Enclosures • Oxygen Tents • Rare • Air conditioned to provide constant desired Temp • Frequent opening & constant leakage • Make FiO2 variable • Analyze FiO2 @pt head level (layering) • Primarily for pediatric aerosol therapy for Croup or CF

  14. Oxygen TherapyMore Reservoirs – Enclosures • Hoods • Best method to deliver controlled O2 to infants • Covers only head • Ideal to allow nursing access • 7 L/m minimum flow • To flush adequately • Flows above 10-15 L/M are contraindicated • Generate damaging noises, cold, & dry • Cold stress can increase O2 consumpx & apnea • Analyze FiO2 @pt head level (layering) • Must heat & humidify incoming gas • Do not direct at pt face • Maintain Neutral Thermal Environment • Age & weight appropriate

  15. Oxygen TherapyMore Reservoirs – Enclosures • Incubator (isolette) • Plexiglas enclosure • Servo controlled convex heating with supplemental O2 • Freq opening & dilution makes it hared to deliver high O2 • Hoods are used in Incubators to provide supplemental O2

  16. Oxygen Blender

  17. Oxygen TherapySelecting Delivery Approach • Purpose (Objective) • Increase FiO2 to correct hypoxemia • minimize symptoms of hypoxemia • Patient • Cause & severity of hypoxemia • Age • Neuro status/orientax • Airway in place/protected • Regular rate & rhythm

  18. Oxygen TherapyPrecautions & Hazards • O2 Toxicity • Primarily affects Lungs & CNS • 2 determining factors of O2 tox • PO2 • Time of exposure • i.e., higher the PO2 & exposure time the greater the toxicity. • CNS effects occur with Hyperbaric Pressures • Pulmonary effects can occur @ clinical PO2 levels • Patchy infiltrates on x-ray, prominent in lower lung fields • Major alveolar injury

  19. Oxygen TherapyPrecautions & Hazards • Retinopathy of Prematurity (ROP) retrolental fibroplasia • Up to 1month of age • excesive Blood oxygen level causes retinal vasoconstrix

  20. Oxygen TherapyPrecautions & Hazards • Fire Newspaper! • Fire Triangle • O2, Heat, & Fuel • increase risk of fire • High Concentrax of O2 • High Pressures of O2 • Reduce O2 buildup in enclosed environments • Under drapes • Operating rooms, etc. • Be cautious when using electronic equipment • Scalpels, Cardioverx, Cardio Shock

More Related