Questions and Answers
Which of the following items would you select for oxygen rounds? (Select all that apply)
What device would you recommend to help alleviate Mrs. Bosco's dry nose during oxygen therapy?
Why should oxygen be humidified?
What is the best oxygen source to use for transporting Mr. Smith?
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What type of safety system is used when connecting the regulator to the E cylinder?
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Why is it important to know the correct safety system for each cylinder size?
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Which flowmeter would you recommend for transporting the oxygen cylinder that will not be affected by gravity?
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How would you keep the oxygen flowing to Mr. Smith during the chest radiograph?
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Which items would you select to assemble for oxygen at 40% via cool aerosol?
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What would you recommend when the aerosol disappears during inspiration?
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What would you select to review the chart for the oxygen therapy?
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What should you do now after reviewing the oxygen therapy chart?
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What should be done before starting the aerosol treatment?
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What would you assess during the treatment?
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Based on your assessment, what action would you recommend?
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Study Notes
Oxygen Rounds: Equipment and Procedures
- Oxygen rounds involve verifying patients' oxygen therapy settings and administering therapies as per physician orders.
- Essential equipment includes:
- Patient education materials
- Handheld pulse oximeter
- E cylinder cart and stands
- Oxygen nipple adaptors
- 5th floor patient oxygen list
Humidification of Oxygen
- Humidifying oxygen is recommended for patient comfort and to prevent nasal dryness.
- The bubble humidifier is specifically effective in alleviating nasal discomfort.
Oxygen Administration and Safety
- For portable oxygen during transport, the E cylinder is preferred for a patient on 5 L/min oxygen via nasal cannula.
- Different safety systems exist for oxygen cylinder connections:
- P.I.S.S. (Pin-Index Safety System) prevents incorrect connections between varying cylinder sizes.
Flowmeters and Oxygen Delivery
- A Fixed Orifice Bourdon Gauge flowmeter is ideal for situations where the oxygen cylinder may not remain upright.
- When transferring patients, a compensated Thorpe tube flowmeter is best to ensure consistent oxygen delivery during procedures such as a chest radiograph.
Equipment for Aerosol Therapy
- Required items for aerosol therapy setup include:
- Large volume nebulizer
- Flowmeter
- Aerosol mask and tubing
- If aerosol visibility decreases during inspiration, adjusting the flowmeter setting can increase aerosol delivery.
Patient Assessment and Follow-Up
- Regularly check the patient's SpO2. If it drops to 90%, recommend increasing the FIO2 to 60%.
- Any aerosol treatment setup requires handwashing, wearing gloves, and providing instructions to the patient.
- Continuous assessment during treatment includes monitoring heart rate, breath sounds, blood pressure, and pulse oximetry.
Documentation and Communication
- Always review documents such as doctor’s orders, medical history, and patient vital signs before treatment.
- If any equipment malfunctions or issues arise, contact the physician for further guidance.
Other Considerations
- A tandem aerosol system requires additional components such as an air-oxygen proportioner and aerosol 'Y' adapter.
- Understanding the total flow when multiple nebulizers are used is critical; for example, two sets each delivering 60% oxygen at 10 LPM results in a total flow of 40 LPM.
Conclusion
- Knowledge of equipment setup, patient comfort, and effective delivery techniques is crucial in respiratory therapy settings for enhancing patient outcomes.
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Description
This quiz focuses on the essential procedures and responsibilities of a respiratory therapist during oxygen rounds in a hospital. Students will learn about patient care, oxygen settings, and the protocols for initiating oxygen therapy. Test your knowledge and readiness for real-world clinical scenarios.
