nursing responsibilities in oxygen administration- its introduction, purpose ,common indication,Articles equipments used for Oxygen Administration,Methods of oxygen administration in nursing, Procedure and Nursing Responsibilities in oxygen administration,Complications of Oxygen Administration.All these topics covered in this artical of Nursing Responsibilities in oxygen administration .
Introduction-Nursing Responsibilities in oxygen administration
oxygen Administration is a process or method of providing the oxygen supply to child for the treatment of low concentrations of oxygen in blood. Children with respiratory dysfunctions are treated with oxygen inhalation to relieve hypoxia. The oxygen administration treats the effects of oxygen deficiency but it does not correct underlying disease .
Purpose of oxygen administration
- To manage the condition of hypoxia
- To maintain the oxygen tension in blood plasma
- To increase the oxy hemoglobin in red blood cells
- To maintain the ability of cells to carry the normal metabolic function
- 5. To reduce the risk of complications
Common Indications of oxygen administration
List of Common Indications of oxygen administration is :
- Cyanosis
- Breathlessness or labored breathing
- Anemia
- Disease such as pulmonary edema, pneumonia and chest trauma etc
- Environment with low oxygen concentration
- Poisoning with chemicals that change the tissue ability to utilize oxygen
- Hemorrhage
- Shock and circulatory failure
- Children who are under anesthesia
- Asphyxia
Articles used for Oxygen Administration
Articles used for Oxygen Administration is-
- oxygen source – oxygen cylinder/central supply
- Oxygen application device – oxygen face mask, oxygen hood, nasal pongs, nasal catheters, oxygen tent or canopy.
- Humidifier
- Flow meter
- Gauze pieces
- Adhesive tapes
- ‘No-smoking’ board
- Spanner to remove main valve of oxygen supply
- Bowl with water to check the patency the tube
Methods of oxygen administration in nursing .
There are various methods and Nursing Responsibilities in oxygen administration. we discussed some methods of Methods of oxygen administration in nursing .
Administration of oxygen by nasal catheter
oxygen administration by nasal catheter is very common method of oxygen administration in hospitals. A catheter is inserted into the nostril reaching up to the vulva and is held in place by adhesive tapes. The catheter does not interfere with patient’s freedom to eat, talk and move on the bed. catheter should be removed every 8 hourly and new catheter should be introduced. Amount of oxygen should be 4 liters per minute and also suggested by doctor.
Administration of oxygen by mask
oxygen administration by mask method, patient’s nose and mouth should be covered by oxygen mask. The size of oxygen mask may vary and should be removed every four hours and clean the face. The flow of oxygen should be as per suggested by doctors. Generally ,2-3 liters per minute for young children and 1-2 liters per minute for infants.
Oxygen Administration by tent method
Oxygen Administration by tent method consists of a canopy that covers the patient fully or partially. a canopy is made up of plastic or fiber.a canopy is transparent and prevents absorption of oxygen.The lower part of canopy should be tucked under the bed to prevent escape of oxygen.
Procedure of oxygen administration
Nursing Responsibilities in oxygen administration
Verify written order for oxygen administration therapy, including methods of delivery and flow rate of oxygen.Wash your hands.Explain the procedure to patient.
Assess the patient for obstruction of nasal passages by observing of breathing patterns.If you using a wall outlet as oxygen source, plug flow meter into oxygen source outlet by pushing until it snaps into place.Adjust the flow rate of oxygen to the prescribed amount.
Gently position nasal prongs into client’s nares, with curves of prongs pointing toward the floor of the nostrils.Loop the cannula tubing over the client’s ears; adjust the fit of the tubing by sliding the adjuster upward to hold the cannula in place.
Assess the client’s oxygen flow, face, and ears every four hours for signs of skin irritation or breakdown, inspect the client nasal prongs for the presence of nasal secretions or crusts. If needed, wipe the prongs clean with a gauze pad.
Complications of Oxygen Administration
- Infection
- Dryness of mucous membrane of respiratory tract.
- Combustion (fire)
- Oxygen toxicity
- Atelectasis
- Oxygen induced apnoea
- Asphyxia
- Retrolental fibroplasia.