Oxygen administration procedure

Sachin Chauhan [email protected]

Oxygen Administration

Sachin Chauhan(B.Sc. Nursing)


Definition

Method by which oxygen is supplemented at higher percentages than what is available in atmospheric

air.Oxygen (O2) is administered as a corrective

treatment for conditions resulting in hypoxia (low level of oxygen in the Cells).


Purpose

• To relieve dyspnea.• To reduce or prevent hypoxemia (low level of

O2 in blood) and hypoxia (low level of O2 in cells).

• To alleviate associated with struggle to breathe.


Sources of O2

Therapeutic oxygen is available from two sources:• 1. Wall Outlets(; Central supply)• 2. Oxygen cylinders


Nursing ALERT !• Oxygen must only be administered at the rate and percentage prescribed, as over-

oxygenation can be dangerous for some individuals, Particularly those with chronic lung disease who are retaining carbon dioxide, and infants, where there is also a risk of retinopathy of prematurity (ROP).

• Explain to the client the dangers of lighting matches or smoking cigarettes, cigars, pipes. Be sure the client has no matches, cigarettes, or smoking materials in the bedside table.

• Make sure that warning signs (OXYGEN - NO SMOKING) are posted on the client’s door and above the client’s bed.

• Do not use oil on oxygen equipment.( Rationale: Oil can ignite if exposed to oxygen.)• With all oxygen delivery systems, the oxygen is turned on before the mask is applied to

the client.• Make sure the tubing is patent at all times and that the equipment is working properly.• Maintain a constant oxygen concentration for the client to breathe; monitor equipment

at regular intervals.• Give pain medications as needed, prevent chilling and try to ensure that the client gets

needed rest. Be alert to cues about hunger and elimination.( Rationale: The client’s physical comfort is important.)


Nursing ALERT ! (Contd…)• Watch for respiratory depression or distress.• Encourage or assist the client to move about in bed. ( Rationale: To prevent

hypostatic pneumonia or circulatory difficulties.) Many clients are reluctant to move because they are afraid of the oxygen apparatus.

• Provide frequent mouth care. Make sure the oxygen contains proper humidification.( Rationale: Oxygen can be drying to mucous membrane.)

• Discontinue oxygen only after a physician has evaluated the client. Generally, you should not abruptly discontinue oxygen given in medium-to-high concentrations( above 30%). Gradually decrease it in stages, and monitor the client’s arterial blood gases or oxygen saturation level. ( Rationale: These steps determine whether the client needs continued support.)

• Always be careful when you give high levels of oxygen to a client with COPD. The elevated levels of oxygen in the patient’s body can depress their stimulus to breathe.

• Never use oxygen in the hyperventilation patient.• Wear gloves any time you might come into contact with the client’s respiratory

secretions.( Rationale: To prevent the spread of infection).


Articles / Equipment's1. Client’s chart 2. Oxygen connecting tube (1)3. Flowmeter (1)4. Humidifier filled with sterile water (1)5. Oxygen source: Wall Outlets or Oxygen cylinder6. Tray with nasal cannula of appropriate size or oxygen mask (1)7. Kidney tray (1)8. Adhassive tape9. Scissors (1)10. Oxygen stand (1)11. Gauze pieces, Cotton swabs if needed12. “No smoking” sign board13. Gloves (1)


Nursing Alert!

There are another high flow devices such as venture mask, oxygen hood and

tracheostomy mask. You should choose appropriate method of oxygen

administration with Dr’s prescription and nursing assessment.


Nasal Cannula


Procedure: Nasal Cannula


Procedure: Nasal Cannula contd…


Simple Face Mask


Procedure: Simple Face Mask


Procedure: Mask (cntd…)


Nasal Catheter


Nasal Catheter1. Steps 1 to 3 as above.2. Take the measurement of catheter from nostrils to ear lobe &

mark it.3. Adjust the flow at 2-4 L/M, than insert the catheter after

applying jelly from nostrils to oropharynx smoothly & safely.4. Check the position of catheter by observing mouth. 5. Fix the catheter over nose by adhesive tape.6. Give comfortable position to client.7. Catheter should be changed every 12 hourly, if O2

administration duration is long. 8. Steps 7 to 11 same as above.


Articles / Equipment's1. Client’s chart 2. Oxygen connecting tube (1)3. Flowmeter (1)4. Humidifier filled with sterile water (1)5. Oxygen source: Wall Outlets or Oxygen cylinder with key6. Tray with nasal catheter (1)7. Kidney tray (1)8. Adhassive tape9. Scissors (1)10. Oxygen stand (1)11. Gauze pieces, Cotton swabs if needed12. “No smoking” sign board13. Gloves (1)14. Bowl of Water (1)15. Light Source16. Lubricant Jelly17. Mackintosh & Draw Sheet

Oxygen administration procedure

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