Review A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula
Mẹo về A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula 2022
Bùi Nhật Dương đang tìm kiếm từ khóa A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula được Cập Nhật vào lúc : 2022-11-24 02:02:05 . Với phương châm chia sẻ Bí quyết Hướng dẫn trong nội dung bài viết một cách Chi Tiết 2022. Nếu sau khi Read nội dung bài viết vẫn ko hiểu thì hoàn toàn có thể lại phản hồi ở cuối bài để Ad lý giải và hướng dẫn lại nha.Taking care of the client receiving Oxygen
2. Oxygen tank
3.
Concentrator
4. Oxygen cannula/prongs
5. Oxygen mask
Oxygen Therapy Safety Precautions- Place cautionary signs reading “No Smoking: Oxygen in Use” on the client’s door, the foot or head of the bed, and on the oxygen equipment.Handle and store oxygen cylinders with caution, and strap them securely in
wheeled transport devices or stands to prevent possible falls and outlet breakages. Place them away from traffic areas and heaters.Instruct the client and visitors about the hazard of smoking with oxygen in use. Teach family members and roommates to smoke only outside or in provided smoking rooms away from the client.Make sure that electric devices (e.g., razors, hearing aids, radios, televisions, and heating pads) are in good working order to prevent the occurrence of
short-circuit sparks.Avoid materials that generate static electricity, such as woolen blankets and synthetic fabrics. Advise clients and caregivers to wear cotton fabrics and use cotton blanket.Avoid the use of volatile, flammable materials, such as oils, greases, alcohol, ether, and acetone (e.g., nail polish remover), near clients receiving oxygen.
Fig. 7: Properly position nasal cannula with prongs curving downward.
Nội dung chính Show- Taking care of the client receiving Oxygen What is the recommended flow rate of oxygen via nasal cannula?How often should the nurse assess oxygen settings and connections?What are the special nursing responsibilities during administration of oxygen?What would the nurse monitor for before applying oxygen to a COPD patient?
Fig. 8: Place cannula prongs into nares.
Wrap tubing over and behind ears .
Fig. 9: Wrap tubing around ears.
Adjust plastic slide under chin until cannula fits snugly.
Fig. 10: Adjust plastic slide under chin until cannula fits snugly.
Place gauze ear beneath tubing as necessary (Fig. 11).
Rationale: Proper placement in nares ensures accurate administration. Note: The cannula permits some freedom of movement and does not interfere with the client’s ability to eat or talk.
Fig. 11: Place gauze ear to reduce irritation and promote comfort.
If prongs dislodge from nares, replace promptly.Rationale: To ensure correct oxygen delivery and prevent hypoxemia.
Assess for proper functioning of equipment and observe client’s initial response to therapy.ASSISTING WITH THE USE OF THE OXYGEN CONCENTRATOR- Explain procedure to client.Wash hands.Assemble equipment.Clean air filter.Wash humidifying bottle, if used.Check the humidifying bottle to make sure it has
an adequate amount of distilled water in it, and the bottle is screwed on tightly, if used.Attach the air tube, if not on, to the humidifying bottle or oxygen concentrator.Take and records the client’s pulse and respiratory rate.Turn on the switch to the oxygen concentrator.Check that air is bubbling through the humidifying bottle.Check that air is flowing through the nasal cannula.Ensure that flow meter is set to appropriate level as noted
in the care plan. (REGULATION OF FLOW METER DONE BY AIDE UNDER SPECIAL CIRCUMSTANCES ONLY.)Assist the client in applying the nasal cannula.Take and records the client’s pulse and respiratory rate.Turn off the oxygen concentrator.Assist the client in removing the nasal cannula.Wash hands.Observe for difficulty breathing; rapid pulse and respirations; cold, clammy skin; blue or darkened lips, fingernails, eyelids; client unable to sit still;
client does not respond when you call client’s name, has headaches; or complains of no energy.
- Explain procedure to the client.Wash hands.Assemble equipment.Put on gloves, as necessary.Check oxygen tank or reservoir gauge to see if there is enough oxygen. Call supplier if not.Wash humidifying bottle.Check the humidifying bottle to make sure it has
an adequate amount of distilled water in it, and the bottle is screwed on tightly.Take and record the client’s pulse and respiratory rate.Turn on the oxygen tank.Ensure that flow meter is set to appropriate level as noted in the care plan. (REGULATION OF FLOW METER DONE BY AIDE UNDER SPECIAL CIRCUMSTANCES ONLY.)Check that water in humidifying bottle is bubbling.Check that air is flowing from the mask or nasal cannula.Assist the client in
applying mask or nasal cannula.Cannula: prongs go into nose.Mask: should fit close to face, but not pinch it.Take and record the client’s pulse and respiratory rate.Turn oxygen tank offTurn the flow meter off.Assist the client in removing the oxygen mask or nasal cannula.Wash hands.Observe for difficulty breathing; rapid pulse and respirations; cold, clammy skin; blue or darkened lips, fingernails, eyelids; client unable to
sit still, client does not respond when you call his/her name; has headaches; or complains of no energy.Record the use of the oxygen tank or liquid oxygen reservoir and observations of the client.Report to supervisor IMMEDIATELY if client has difficulty breathing; has rapid pulse and respirations; has cold, clammy skin; has blue or darkened lips, fingernails, and eyelids; is unable to sit still; does not respond when you call his/her name; has headaches; complains of no
energy
What is the recommended flow rate of oxygen via nasal cannula?
A traditional nasal cannula can only effectively provide only up to 4 to 6 liters per minute of supplemental oxygen. This equates to a FiO2 of approximately 0.37 to 0.45.How often should the nurse assess oxygen settings and connections?
Monitor continuous therapy by assessing for pressure areas on the skin and nares every 2 hours and rechecking flow rate every 4 to 8 hours.What are the special nursing responsibilities during administration of oxygen?
Nurses have a responsibility to ensure that oxygenation is optimised pulmonary and cellular level as part of their duty of care to patients. This requires knowledge of respiratory and cardiac physiology, as well as selection of the appropriate equipment and delivery method for supplemental oxygen therapy.What would the nurse monitor for before applying oxygen to a COPD patient?
Finally, for clients with COPD, oxygen should not be used in high concentrations all because they may lose their hypoxic respiratory drive. Okay, before administering supplemental oxygen to a client, first assess for signs of hypoxia, such as confusion, difficulty speaking, tachycardia, dyspnea, pallor, or cyanosis. Tải thêm tài liệu liên quan đến nội dung bài viết A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula
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