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ATI Oxygenation delivery systems

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Oxygen therapy is indicated for patients who are at risk for developing hypoxia. Who are these Patients?
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This includes patients ~recovering from surgery and may be in pain or still sedated. ~patients who have a respiratory illness that causes excessive secretions to accumulate in the lungs. ~ conditions that reduce the circulation of blood through the lungs.
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What happens in the early signs of hypoxia
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~restless ~confused ~feeling anxious ~Elevated BP ~increase heart rate ~Increase respiratory rate,
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~hypotension ~bradycardia, ~metabolic acidosis. ~cyanosis, a bluish ~ discoloration of the skin and mucous membrane
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Late signs of Hypoxia
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Who are the patients t hat have clubbing of their fingers and toes, peripheral edema, right-sided heart failure, and an oxygen saturation below 87%?
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patients who have chronic hypoxia
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carbon dioxide narcosis (a complication that causes confusion, tremors, convulsions, and coma) can result in patient with ________and because the oxygen is at a ____ _______ _______ ________This complication can ultimately lead to respiratory arrest if left untreated.
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When patients with COPD receive oxygen at too high a flow rate
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Why must you obtain an order from the provider before adjusting the flow rate.
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Because Oxygen is considered a medication.
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flow meter is attached to the oxygen outlet, designated by an?
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green “oxygen” label
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air outlet color on the equipment panel is?
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Yellow “air” label
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1.) if the flow rate is more than 4 L/min add_______________ 2.)replace every
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sterile water for humidification.
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delivers FiO2 concentrations of 24% to 44% with flow rates from 1 to 6 L/min
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Nasal cannula
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Most patients tolerate this device well, and it is simpler to use than a mask. The fraction of inspired oxygen (FiO2) varies depending on the flow of oxygen in L/min and the rate and depth of the patient’s breathing.
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nasal cannula
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This device requires a fairly high oxygen flow to prevent rebreathing of carbon dioxide. About 75% of the inspired volume is room air that the patient breathes through the holes in the side of the mask. An accurate FiO2 is difficult to estimate.
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A simple face mask
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FiO2 = 35% to 65% – flow 6-10 L/min (5L/min is the minimum setting)
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Simple face mask
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used for patients who require a moderate flow rate for a short period of time
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Simple face mask
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what device is used to deliver high flow rates and high concentrations of oxygen?
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nonrebreather face mask
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do not allow the reservoir bag to deflate when using a _______b/c the patient could inhale large amounts of
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nonrebreather face mask CO2
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can deliver oxygen concentrations of 60% to 100% with flow rates from 10 to 15 L/min?
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A nonrebreather mask
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This device uses different size adaptors to deliver a fixed or predicted FiO2. The FiO2 delivered depends on the flow rate and/or entrainment port size. It is used for patients who have COPD when an accurate FiO2 is essential and carbon dioxide buildup must be kept to a minimum. Humidifiers usually are not used with this device
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Venturi Mask
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it is commonly used for patients who have COPD b/c this device deliver a prcise oxygen concentration and CO2 buildup is minimal
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Venturi Mask (high Flow)
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face tent
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Provides oxygen to the mouth without discomfort to the nose and mouth open around the mouth & preferred by clostrophobic patients used with traums and burn patients open mask
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manual resuscitation bag
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A handheld device consisting of a flexible air chamber attatched to a face mask via a shutter valve and used to provide ventilation to a patient who is not breathing or is breathing inadequately; often referred to as the Ambu bag.
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is used to provide high concentrations of oxygen to a patient prior to a procedure, such as suctioning or intubating, and during respiratory or cardiac arrest.
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Ambu bag Manual resuscitation bag
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referred to as a tracheostomy collar
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Tracheostomy
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delivers oxygen concentrations of 28% to 100% with flow rates from 8 to 12 L/min. Difficult to control concentration of oxygen due to control of patients rate and deepth.
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face tent
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flow rate is usually set at 10 L/min, with a nebulizer set at the appropriate oxygen concentration.
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tracheostomy mask
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The two devices most commonly used______ are a also called a _______ adaptor, and a________ mask.
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1.) t-tube & Briggs 2.)tracheostomy
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Patients who have artificial airways require
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continuous humidification
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The recommended flow rate when using a t-tube is
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10 L/min, with a nebulizer set at the appropriate oxygen concentration.
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Continuous positive pressure ventilation
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(CPAP)
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A client has just been admitted to the emergency department and requires high-flow oxygen therapy after suffering facial burns and smoke inhalation. Which oxygen delivery device should the nurse use initially
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face tent
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Noninvasive ventilation, an alternative to mechanical ventilation, is used to maintain positive airway pressure and to improve alveolar ventilation without the need for an artificial airway
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CPAP and BiPAP
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It is commonly used for patients who have congestive heart failure, sleep disorders, and pulmonary diseases to improve oxygenation, reduce and reverse atelectasis, reduce pulmonary edema, and improve cardiac function.
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CPAP and BiPAP
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provides assistance during inspiration and keeps the airway from closing during expiration.
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Bilevel positive airway pressure (BiPAP)
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When using a hood,why is it important to ensure that there is enough space between the curve of the hood and the child’s neck?
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to allow carbon dioxide to escape.
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Who are Oxygen tents and hoods are usually used for?
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pediatric patients who have airway inflammation croup respiratory infections
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FiO2: up to 50% – Flow: 10 to 15 L
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Oxygen tent and hood
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The E cylinder is the most common size used in the home setting and in hospitals when transporting patients.
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Oxygen