Neonate Oxygen Administration PDF

Question and answer right below questions pattern: 1. What is the goal of oxygen delivery? To have good oxygenation to tissue 2. What is important when administering oxygen to patients? - Patient size fit - Gestational and postnatal age - Condition 2. What is a therapeutic goal for d...

Question and answer right below questions pattern: 1. What is the goal of oxygen delivery? To have good oxygenation to tissue 2. What is important when administering oxygen to patients? - Patient size fit - Gestational and postnatal age - Condition 2. What is a therapeutic goal for delivering oxygen? - Picking Flow rate and oxygen device of what patient need to fix problem 3. What are the indications for oxygen delivery? - Hypoxemia - No alveolar ventilation - Poor inspired oxygen - Bad V/Q - Intrapulmonary or Shunting - Bad Diffusion - Short red blood cell travel time 4. What are the Indications of Hypoxemia in children? - PaO2 \< 80mmHg - SpO2 \< 95% - Although treating SpO2 \< 90 or PaO2 \< 60mmHg 5. What are the Indications of hypoxemia in Neonates? - PaO2 \< 50 - SpO2 \< 80 6. What are the Indications of hypoxemia of signs and symptoms? - First the tachycardia and tachypnea will start - After tachycardia and tachypnea things will worsen like: - reduced ventilation - Apnea specially for neonates - Bradycardia - Grunting, nasal flaring, retractions, paradoxical breathing (each breath stomach and chest moving in and out) - Cyanosis - Irritability - Increase fatigue What are the complications (harmful outcome) of oxygen administration in two categories? - Harmful effect physiologically - Equipment causation 7. What are the complications of oxygen administration? - Hypoventilation - ROP - Atelectasis - Pulmonary Vasodilation(increase in lungs working or too much opening that leads to tachycardia - Pulmonary fibrosis(lung disease, lung thickens) 8. Doing oxygen therapy entails what? - To provide oxygen from SpO2 88% to 95% - To provide paO2 from 50 to 80 in premature neonates 9. What are the Variable oxygen delivery Devices? - Nasal Cannula - Simple Mask - Reservoir Masks 10. What is nasal cannula contraindication? - Nasal obstruction 11. What is nasal cannula Flow range? 1. to 0.3L/min - 2L/min 12. What is nasal cannula Hazard and complications? - Infants provided Positive Expiratory airway pressure(PEP) with large prongs and \> 2L/min flow - PEP induced with intraventricular hemorrhage in neonates - PEP induced with intraventricular hemorrhage with obstructive pulmonary disease - Pneumothorax, Pulmonary interstitial emphysema(air trapped in tissue), and pneumopericardium - Large prongs cause obstruction - Above 2L/min cause mucosa to dry cause obstruction in low birth infants - Irritation of ears and face from cannula placement/size - Unstable oxygen delivery between oral and nasal breathing - Not knowing correct FiO2 delivery 13. What is Simple mask flow rate? - 6 to 10L/min 14. What is simple mask FiO2 range? - 0.35 to 0.5 15\. What are indications of simple mask? - When infants and children need moderate oxygen in short time span - Medical transport - Emergency stabilization - Post anesthesia recovery - During medical procedures What are the contraindication? Infants and children with small Vt 15. What are the Hazards and complications of simple mask? - Infants and children won't keep mask on strapped to face - Risk of aspiration - Vomiting - Uncomfortable and cause skin irritation - Gets in the way of eating, bottle feeding, and speech 16. What is partial rebreather flow rate? - 6 to 15L/min What is FiO2 for partial rebreather? 0.6 17. What masks aren't recommended for neonates? - Partial rebreather and Non rebreather 18. How much oxygen does partial rebreather deliver and conserve? - 100% 19. The partial rebreather mask should be fitted to minimize room air intake True or False? - True 20. Tight seal of partial rebreather along with adjusted flow O2 flow will keep what inflated? - Reservoir bag partially inflated 21. Non rebreather mask has one valve for what purpose? - Stop pt from breathing exhaled gas non rebreather mask design have higher FiO2 than other reservoir masks true or false? - True 22. What is nonrebreather mask often used for? - Delivering gas mixture like helium oxygen therapy 23. What are the Fixed delivery Devices? - Air entrainment mask - Air entrainment nebulizer - Humidified High flow nasal cannula 24. What are indications for Air Entrainment mask? - Pts that need low or moderate controlled FiO2 levels - Hypoxic Child - Child with high RR and Vt 25. What is the indication for air entrainment mask for pediatrics? - Hypoventilation with increased oxygen concentrations 26. What are hazard and complications of air entrainment mask? - Increased Oxygenation and reduced flow - Room air inhalation - Obstruction of entrainment ports 27. What is air entrainment mask FIO2 range? - 24 to 50% 28. What is the indication of air entrainment nebulizer? - High amount of Humidity or aerosol needed 29. Does air entrainment nebulizer provide 100% O2 clinically indicated true or false? - True 30. What are air entrainment nebulizer hazard and complications? - Bacterial contamination - Condensation in aerosol tube that cant be drained back in neb because infection - Condensation can block gas flow in tubing - Agitation and anxiety - Infants and children find mask to hard to keep in place