Oxygen Therapy: Sources and Administration

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Questions and Answers

Which of the following statements is correct regarding oxygen therapy?

  • Oxygen is treated like a medication and must be ordered by a doctor. (correct)
  • Oxygen therapy can be initiated by any healthcare staff member in case of emergency.
  • Oxygen is administered without a doctor's order when the resident feels short of breath.
  • Oxygen tanks are filled by healthcare assistants as needed.

A resident is on oxygen therapy via a nasal cannula. What is typical flow rate range?

  • 1-2 l/pm
  • 10-15 l/pm
  • 5-10 l/pm
  • 2-5 l/pm (correct)

What should a healthcare assistant do first if they observe signs of skin irritation around a resident's ears due to the nasal cannula?

  • Tighten the straps of the nasal cannula.
  • Immediately discontinue oxygen therapy.
  • Apply petroleum jelly to the irritated areas.
  • Reposition the tubing and notify the nurse. (correct)

Which of the following is a key safety measure a healthcare assistant should follow when assisting a resident using oxygen therapy?

<p>Avoiding the use of petroleum-based products on the resident's lips or face. (D)</p> Signup and view all the answers

How often should masks and tubing be replaced?

<p>On bath day (A)</p> Signup and view all the answers

What is the primary purpose of a flow meter in oxygen therapy?

<p>To control and measure the amount of oxygen delivered per minute. (A)</p> Signup and view all the answers

Which of the following oxygen delivery devices allows a resident to eat and talk more easily while receiving oxygen?

<p>Nasal cannula (C)</p> Signup and view all the answers

A resident using a nebulizer has finished their treatment. What is the healthcare assistant's next action?

<p>Remove the mask, turn off the machine, and offer water for the resident to rinse their mouth. (D)</p> Signup and view all the answers

Which of the following observations should a healthcare assistant report immediately to the nurse?

<p>The resident is experiencing increased shortness of breath and confusion. (B)</p> Signup and view all the answers

What is the approximate time a portable oxygen unit typically lasts??

<p>8 hours (B)</p> Signup and view all the answers

What does an oxygen concentrator do?

<p>Removes and concentrates oxygen from the air. (D)</p> Signup and view all the answers

A healthcare assistant is preparing to assist a resident with oxygen therapy. Which action is most important before initiating the therapy?

<p>Checking the oxygen flow rate and the delivery device as ordered. (C)</p> Signup and view all the answers

What does the acronym 'l/pm' stand for when discussing oxygen flow rate?

<p>Liters per minute (A)</p> Signup and view all the answers

During oxygen therapy, why is it essential to avoid using Vaseline or petroleum jelly on a resident's lips?

<p>They are flammable in the presence of oxygen. (B)</p> Signup and view all the answers

If there's a fire, why is it important for an HCA to know which residents are using oxygen?

<p>To prioritize their evacuation due to the increased fire risk. (A)</p> Signup and view all the answers

In the context of oxygen therapy, what does 'prn' refer to?

<p>Pro re nata, meaning as needed (D)</p> Signup and view all the answers

What should the healthcare assistant do after wiping the face of a resident who has just finished using a nebulizer?

<p>Offer the resident water to rinse their mouth. (D)</p> Signup and view all the answers

Which of the following requires a healthcare assistant check with the LPN/RN?

<p>Removing the device used to administer oxygen. (D)</p> Signup and view all the answers

What is the first thing a healthcare assistant should do in assisting with oxygen therapy?

<p>Check hospital policy (C)</p> Signup and view all the answers

The doctor orders between which l/min in residential care?

<p>2 to 5 l/min (D)</p> Signup and view all the answers

Flashcards

Is Oxygen a Drug?

Oxygen is treated as a drug and must be ordered by a doctor.

Oxygen Sources

Wall outlets, oxygen tanks, and oxygen concentrators.

Liquid oxygen system

A portable unit filled from a stationary unit.

Oxygen Gauge

Gauge shows oxygen amount; know how to read and replace tanks.

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Oxygen Concentrator

Machine removes oxygen from the air, needs power, limits tubing length.

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Flow Rate

Liters per minute of oxygen delivered, ordered by the doctor.

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Nasal Cannula

Inserted in nostrils, allows eating/talking, can irritate nose/ears, 2-5 l/pm.

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Face Mask

Covers nose and mouth, check for moisture, remove for eating, 5-10 l/pm.

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Nebulizer

Administers medications like Ventolin.

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Nebulizer HCA Responsibilities

Recognize when done, turn off, wipe face, offer water, brush teeth (children).

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Oxygen Therapy HCA scope

Scope differs: home, complex, acute. Check with nurse, know flow rate, device used.

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Oxygen Safety HCA

Check hospital policy, never remove device without permission, check with LPN/RN on therapy.

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Report Oxygen Observations

Report signs like hypoxia or any oral hygiene concerns.

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Oxygen safety no no's

Do NOT use electric razor or Vaseline around oxygen.

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Mask and tubing replacement

Masks and tubing are replaced on bath day

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Study Notes

Assisting with Oxygen Therapy skills

  • Oxygen sources
  • Oxygen administration devices
  • Resident and equipment care

Oxygen as a Drug

  • Oxygen is treated like a drug and must be prescribed by a doctor

Sources of Oxygen

  • Wall outlet
  • Oxygen Tank
  • Oxygen Concentrator

Wall Outlets

Liquid Oxygen

  • Liquid oxygen systems have a portable unit that can be filled from a stationary unit.

Portable Units

  • Portable units have around 8 hours of oxygen supply.
  • A gauge indicates how much oxygen remains in the unit.

Oxygen Gauges

  • It is important to know how to read an oxygen gauge.
  • It is important to know how to replace the tank when it is low.
  • Observe the units in your clinical area

Concentrators

  • Concentrators remove oxygen from the air
  • A power source is needed to operate a concentrator
  • For power outages, a portable oxygen tank is required
  • The resident's movement is limited by the length of the concentrator's tubing.

Flow Meters

  • Oxygen is delivered in liters per minute (l/min), and this is called the flow rate.
  • A doctor typically orders a flow rate between 2 to 5 l/min in residential care.
  • It is important that you know the flow rate and adjust it as needed if the resident is on oxygen.

Oxygen Administration Devices

  • Nasal Cannula
  • Two prongs are inserted into the nostrils.
  • The tube is brought over the ears and under the chin.
  • Nasal cannulas allow eating and talking
  • Tight prongs can irritate the nose, ears, and cheekbones.
  • Typical flow rate is 2-5 l/pm.

Face Masks

  • Face masks cover the nose and mouth.
  • Face masks should be examined to make sure moisture does not build up inside.
  • The face should be kept clean and dry to prevent irritation from face masks.
  • Masks are removed for eating.
  • Typical flow rate is 5-10 l/pm.

Nebulizers

  • Nebulizers administer medications like Ventolin.

HCA Responsibilities for Nebulizers

  • Recognize when the medication is finished
  • Remove the mask and turn off machine
  • Wipe the resident's face and offer water to rinse their mouth
  • Brush the resident's teeth

Oxygen Safety: HCA Responsibilities

  • Check Hospital Policy: Scope of practice may vary in Home Care, Complex Care, and Acute Care settings.
  • Consult with LPN/RN to determine your role in oxygen therapy, as it depends on the LPN/RN's instructions and the patient's acuity.
  • Know the prescribed flow rate and the type of device being used.
  • Know if the oxygen is to be administered as needed (prn) or continuously.
  • Never remove the oxygen administration device without permission from the LPN/RN.
  • Do not use electric razors while oxygen is running.
  • Vaseline or petroleum jelly should not be used on clients' lips during oxygen therapy.
  • It is important to know who is using oxygen on the unit in case of a Code Red.

Oxygen Safety: Checking for Irritation

  • Behind the ears
  • Under the nose
  • On the face
  • Masks and tubing are replaced on bath day

Reporting and Observations

  • Report any signs of hypoxia, respiratory distress, or abnormal breathing patterns.
  • Report any oral hygiene concerns.

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