Oxygen Therapy Overview
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Questions and Answers

What is the primary purpose of oxygen therapy?

  • To reduce air pollution
  • To enhance physical endurance
  • To increase oxygen saturation in tissues (correct)
  • To treat viral infections

Oxygen therapy is only used for patients with chronic lung diseases.

False (B)

What color is oxygen gas?

Colorless

Oxygen therapy is administered at a concentration greater than that found in the __________ atmosphere.

<p>environmental</p> Signup and view all the answers

Match the following oxygen delivery systems with their classification:

<p>Nasal cannula = Low flow system Venturi mask = High flow system Non-rebreather mask = Low flow system T-piece = High flow system</p> Signup and view all the answers

What complication can occur with prolonged exposure to high concentrations of oxygen?

<p>Oxygen toxicity (D)</p> Signup and view all the answers

The air we breathe contains approximately 21% oxygen.

<p>True (A)</p> Signup and view all the answers

Name one condition that oxygen therapy can help treat.

<p>Chronic obstructive pulmonary disease (COPD)</p> Signup and view all the answers

The __________ mask provides the highest concentration of oxygen in low flow systems.

<p>non-rebreather</p> Signup and view all the answers

Which oxygen delivery system delivers a specific and constant percent of oxygen regardless of the client's breathing?

<p>Venturi mask (C)</p> Signup and view all the answers

What is the maximum flow rate for a nasal cannula?

<p>2-3 L/min (C)</p> Signup and view all the answers

The non-rebreather mask allows for the conservation of exhaled air.

<p>False (B)</p> Signup and view all the answers

What oxygen concentration does a partial rebreather mask deliver?

<p>up to 80%</p> Signup and view all the answers

The simple oxygen mask delivers between ___ and ___ percent oxygen.

<p>35, 60</p> Signup and view all the answers

Match the following oxygen delivery methods with their characteristics:

<p>Nasal Cannula = Low flow, 24-44% FIO2 Simple Oxygen Mask = 35-60% oxygen Partial Rebreather Mask = 80% oxygen with reservoir bag Non-Rebreather Mask = 95-100% oxygen with one-way valves</p> Signup and view all the answers

What is a significant disadvantage of using a nasal cannula?

<p>Irritation to the nasal and pharyngeal mucosa (D)</p> Signup and view all the answers

The flow rate for a simple oxygen mask is between 6 to 10 liters per minute.

<p>True (A)</p> Signup and view all the answers

What must remain inflated during both inspiration and expiration when using a partial rebreather mask?

<p>reservoir bag</p> Signup and view all the answers

The oxygen flow rate for a non-rebreather mask must be between ___ and ___ liters per minute.

<p>6, 15</p> Signup and view all the answers

What is the primary advantage of using a nasal cannula?

<p>Client can talk and eat (B)</p> Signup and view all the answers

What is the flow rate for a Venturi mask?

<p>4 to 15 L/min (B)</p> Signup and view all the answers

Oxygen therapy can cause absorption atelectasis.

<p>True (A)</p> Signup and view all the answers

What is a sign of oxygen toxicity?

<p>Non-productive cough</p> Signup and view all the answers

A nasal cannula can deliver oxygen at a flow rate of __________ L/min.

<p>1/2 - 6</p> Signup and view all the answers

Match the oxygen delivery devices with their corresponding flow rates:

<p>Nasal Cannula = 1/2 - 6 L/min Simple O2 Mask = 6 - 10 L/min Reservoir Mask = 10 - 15 L/min Venturi Mask = 4 - 15 L/min</p> Signup and view all the answers

What is the maximum oxygen concentration provided by a reservoir mask?

<p>80% (A)</p> Signup and view all the answers

Oxygen concentration greater than 50% is safe for longer than 48 hours.

<p>False (B)</p> Signup and view all the answers

What device is used on the end of an ET tube when weaning from a ventilator?

<p>T-Piece</p> Signup and view all the answers

The oxygen delivery device that requires a minimum flow of 5 L/min is the __________.

<p>Simple O2 Mask</p> Signup and view all the answers

Which of the following is NOT a sign of oxygen toxicity?

<p>Coughing up blood (B)</p> Signup and view all the answers

Flashcards

What is oxygen therapy?

Oxygen therapy is the administration of oxygen at a higher concentration than what is found in the air we breathe.

Why is oxygen therapy used?

Oxygen therapy is used to increase oxygen levels in the blood when they are too low due to illness or injury.

What is oxygen?

Oxygen is a colorless, odorless, and tasteless gas that is essential for human life.

What is a nasal cannula?

Nasal cannula is a device that delivers oxygen through the nostrils.

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What is a simple mask?

A simple mask delivers oxygen through a covering over both the nose and mouth, providing higher oxygen concentrations than a nasal cannula.

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What is a non-rebreather mask?

A non-rebreather mask is a tight-fitting mask with a one-way valve that allows oxygen to enter but prevents exhaled air from mixing with the oxygen, providing the highest oxygen concentration.

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What is a Venturi mask?

A Venturi mask delivers precise oxygen concentrations based on the flow rate used, and it is used for patients who need consistent oxygen levels.

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What is oxygen toxicity?

Oxygen therapy can lead to oxygen toxicity if high concentrations are used for prolonged periods.

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Are there any fire hazards associated with oxygen therapy?

Oxygen is flammable, so precautions should be taken to prevent fire hazards when using oxygen therapy.

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Can oxygen therapy increase the risk of infection?

Oxygen therapy can increase the risk of infection, so proper hygiene practices are important.

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Nasal Cannula

A device that delivers oxygen directly into the nostrils. It can be used for low-flow oxygen delivery (up to 6 L/min) with a flow rate of 24-44%. It is suitable for home use and allows patients to eat and talk easily.

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Simple Oxygen Mask

The simple oxygen mask delivers 35% to 60% oxygen at a flow rate of 6 to 10 liters per minute. It is often used when an increased delivery of oxygen is needed for short periods, less than 12 hours.

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Partial Rebreather Mask

A mask with a reservoir bag that must be inflated during inspiration and expiration. It collects the first parts of the patient's exhaled air, delivering oxygen concentrations up to 80% at a flow rate of 6 L/min or more.

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Non Rebreather Mask

The highest concentration of oxygen (95 to 100%) is possible with this mask at a flow rate of 6-15 L/min. Similar to the partial rebreather mask but uses one-way valves to prevent exhaled air from being rebreathed.

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Venturi Mask

A mask with a flow rate of 4-10 L/min that delivers oxygen according to the settings of the device, not the patient's breathing pattern.

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Fraction of Inspired Oxygen (FIO2)

The percentage of oxygen in the air a person breathes.

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Low-Flow Oxygen Delivery

A device that delivers a specific amount of oxygen constantly.

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High-Flow Oxygen Delivery

A method of delivering oxygen to a patient that adjusts to the patient's breathing pattern (not set at a fixed rate).

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What is a T-Piece?

A device that delivers oxygen through a mouthpiece or T-piece, especially during weaning from a ventilator.

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What is Absorption Atelectasis?

A possible complication of oxygen therapy where alveoli collapse due to the absorption of oxygen.

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What is Retrolental Fibroplasia?

A complication of oxygen therapy in premature infants, causing abnormal growth of blood vessels in the eye.

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What is FIO2?

The concentration of oxygen in inhaled air, expressed as a percentage.

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What is High Flow Oxygen Therapy?

A method of delivering oxygen therapy using high flow rates to provide specific concentrations.

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What is Oxygen Saturation?

This can be used to assess oxygenation and monitor response to therapy.

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What are Vital Signs in Oxygen Therapy?

These are measures used to ensure adequate oxygen delivery.

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Study Notes

Oxygen Therapy Overview

  • Oxygen therapy is the administration of oxygen at a concentration higher than ambient air (approximately 21% oxygen)
  • It's crucial for various conditions where the body's oxygen levels are too low.
  • Oxygen is a colorless, odorless, and tasteless gas essential for proper bodily functions and survival.

Learning Objectives

  • Define oxygen therapy and its purpose.
  • Identify different types of oxygen therapy.
  • Outline procedures for administering oxygen therapy.
  • Note potential complications of oxygen therapy.

Purposes of Oxygen Therapy

  • Increase oxygen saturation in tissues when levels are below normal, due to illness or injury.
  • Used to treat conditions like documented hypoxemia, severe respiratory distress (e.g., asthma, pneumonia), severe trauma, and chronic obstructive pulmonary disease (COPD), including chronic bronchitis, emphysema, and chronic asthma
  • Treat pulmonary hypertension and acute myocardial infarction (heart attack).
  • Often used as short-term therapy, such as post-anesthesia recovery.
  • Used for treating chronic lung disease patients during exercise.

Methods of Oxygen Administration

  • Low Flow Systems: These systems deliver oxygen that contributes partially to the inspired gas the patient breathes, the amount is dependent on the client's breathing. Examples include Nasal Cannula, Simple Masks, Partial Rebreathers, Non-rebreathers
  • High Flow Systems: These systems deliver specific and constant oxygen percentages,independent of the client's breathing. Examples include Venturi Masks, Trach Collar, T-piece.

Oxygen Delivery Devices

  • Nasal Cannula: A disposable plastic device with prongs inserted into the nostrils. Used for low to medium oxygen concentrations (24-44%).
  • Simple Oxygen Mask: A clear, flexible plastic or rubber mask molded to the face. Delivers 35-60% oxygen at 6-10 liters per minute. Suitable for short-term use.
  • Partial Rebreather Mask: Delivers oxygen concentrations up to 80% with a reservoir bag preventing the re-breathing of exhaled air. A minimum flow rate of 6 L/min is needed to maintain reservoir inflation.
  • Non-Rebreather Mask: Provides the highest oxygen concentrations (95-100%) at 6-15 Liters per minute. A reservoir bag is used, and one-way valves prevent re-breathing exhaled air.
  • Venturi Mask: Delivers specific and constant oxygen concentrations (40-50%) at 4-15 Liters per minute using a Venturi device. The specific oxygen concentration is determined by color-coded valves.
  • T-piece: Used during ventilator weaning, providing accurate oxygen delivery and humidity to the patient.

Cautions and Complications

  • Oxygen Toxicity: Can occur with inspired oxygen fractions (FIO2) greater than 50% for more than 48 hours.
  • Infection: A possible complication that needs to be considered.
  • Fire Hazard: Oxygen is a strong oxidizer.

Evaluation

  • Assess the patient's breathing pattern, color of nail beds, lips, conjunctiva.
  • Check for confusion, disorientation, cognition difficulties.
  • Evaluate arterial oxygen concentration/hemoglobin.
  • Monitor oxygen saturation with appropriate devices and methods.

Documentation

  • Record the timing of oxygen therapy initiation.
  • Document the method of delivery.
  • Note oxygen concentrations and flow rates.
  • Include patient observations.
  • Add oronasal care instructions to the patient plan for care.

Equipment Specifications

  • A table detailing oxygen delivery devices, flow rates, FIO2 (fraction of inspired oxygen), and special notes is included in a separate section for reference.

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Oxygen Therapy PDF

Description

This quiz covers the fundamentals of oxygen therapy, including its definition, purpose, and types. Learn about procedures for administration and potential complications associated with oxygen therapy. This essential knowledge is important for treating various respiratory conditions effectively.

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