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Oxygen Administration

Oxygen Administration. NUR 216 Susan Liipfert Shelton RN, MSN, CNM. Oxygen Administration. “Oxygen therapy refers to the administration of oxygen to a client to prevent or relieve hypoxia.” (Elkin et al, p.748) Hypoxia—insufficient oxygen to meet the metabolic needs of the tissues and cells

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Oxygen Administration

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  1. Oxygen Administration NUR 216 Susan Liipfert Shelton RN, MSN, CNM

  2. Oxygen Administration • “Oxygen therapy refers to the administration of oxygen to a client to prevent or relieve hypoxia.” (Elkin et al, p.748) • Hypoxia—insufficient oxygen to meet the metabolic needs of the tissues and cells • Hypoxia results from Hypoxemia Deficiency of 02 in arterial blood

  3. Oxygen AdministrationAssessment • Complete respiratory assessment • Behavioral changes • Apprehension • Anxiety • Decreased ability to concentrate • Decreased level of consciousness (LOC) • Fatigue • Dizziness • Vital signs • Sp02 via pulse oximetry • Skin and mucosa coloring • Arterial Blood Gas (ABG) results

  4. Oxygen AdministrationPlanning • Expected Outcomes • 02 saturation & ABGs return to or remain WNL • Client verbalizes comfort and is without symptoms of hypoxemia • “Abnormals” of respiratory assessment return to normal for client • Client is able to • State indications for oxygen therapy • Follow safety guidelines • Use 02 as prescribed

  5. Oxygen AdministrationPlanning • Equipment • Delivery device • Oxygen tubing • Humidifier • Sterile water • Oxygen source • Flow meter • “Oxygen in use” sign

  6. Oxygen AdministrationPlanning • Nasal Cannula • Venturi Mask • Partial rebreathing mask • Nonrebreathing mask

  7. Oxygen AdministrationImplementation • Check protocol • Attach tubing & flow meter • Adjust flow rate • Check humidifier • Observe proper fit & function • Assess pulse oximetry (or ABG) • Consult MD/practitioner if 02 level is unstable

  8. Oxygen AdministrationEvaluation • Observe repeat ABGs and/or pulse oximetry • Observe behavioral response • Decreased anxiety • Improved LOC • Decreased fatigue • Absence of dizziness • Assess vital signs • Decreased pulse • Decreased respiratory rate • Improved color

  9. Oxygen AdministrationUnexpected Outcomes • Nasal irritation • Irritation of face • Continued hypoxia • Carbon dioxide retention

  10. Record & Report Respiratory assessment findings Method of O2 delivery, flow rate Client’s response and any adverse reaction Documentation 0800 Client alert & oriented. Resp even and unlabored. Color pink. 02 @ 4L per NC. Productive cough of yellow sputum. Enc PO fluids. 1000 Reddened area noted behind R ear, without breakdown. Foam protector added to NC tubing. 1200 No further redness noted behind ears. Client denies discomfort from cannula. Oxygen AdministrationEvaluation

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