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When administering oxygen therapy, it is important for the nurse to assess the patient before, during, and after the procedure and document the findings. Subjective AssessmentPrior to initiating oxygen therapy, if conditions warrant, the nurse should briefly obtain a history of respiratory conditions and collect data regarding current symptoms associated with the patient’s feeling of shortness of breath. The duration of this focused assessment should be modified based on the severity of the patient’s dyspnea. See Table 11.4 for focused interview questions related to oxygen therapy. This information is used to customize the oxygen delivery device and flow rate for the patient. For example, supplemental oxygen is typically initiated in nonemergency situations with a nasal cannula at 1-2 liters per minute (L/min), but a patient with a history of chronic obstructive pulmonary disease (COPD) may require a different device such as a Venturi mask. Table 11.4 Focused Interview Questions for Subjective Assessment of Dyspnea
Objective AssessmentPrior to applying supplemental oxygen, objective data regarding patient status should quickly be obtained such as airway clearance, respiratory rate, pulse oximetry, and lung sounds. Signs of cyanosis in the skin or nail bed assessment should also be noted. Within a few minutes after initiating oxygen administration, the nurse should evaluate for improvement of these indicators, and if no improvement is noted, then additional actions should be taken. At any point, if the nurse feels that the patient’s condition is deteriorating, emergency action should be taken such as calling the rapid response team or 911. Depending upon the severity of patient condition, serial ABG results may also be monitored to determine effectiveness of oxygenation interventions. After oxygen therapy is initiated, it is important to closely monitor for skin breakdown at pressure points. For example, nasal cannula tubing often causes skin breakdown in the nares or over the ears, so protective foam dressings may need to be applied. Life Span ConsiderationsChildrenDifferent sized oxygen equipment is used for infants and children. Additionally, oxygen tubing may need to be secured to a child’s face with tape to prevent them from pulling it off. For infants, the pulse oximeter probe is usually attached to the palm or foot. Older AdultsIf a patient is oxygen-dependent, ensure that extension tubing is applied so the patient is able to reach the bathroom with the oxygen device in place. However, be aware of the increased risk for falls due to the excess tubing. Keeping the oxygen tubing coiled up at the head of the bed or on the bedside table closest to the bathroom will decrease the patient’s risk of falling. Advise the patient to ask for assistance when getting up to use the restroom.
What should you monitor when patient is receiving oxygen?Abstract. , oxygen flow, heart rate, breathing frequency, and heart rate variability). The combination of these parameters into new scores is at least as accurate and well-evaluated, and recommended early warning scores and may be useful in monitoring patients receiving oxygen therapy.
What are some important nursing responsibilities associated with oxygen therapy?Nurses have a responsibility to ensure that oxygenation is optimised at pulmonary and cellular level as part of their duty of care to patients. This requires knowledge of respiratory and cardiac physiology, as well as selection of the appropriate equipment and delivery method for supplemental oxygen therapy.
What nursing considerations would you observe on a patient receiving supplemental oxygen?Okay, before administering supplemental oxygen to a client, first assess for signs of hypoxia, such as confusion, difficulty speaking, tachycardia, dyspnea, pallor, or cyanosis. In addition, they may also have an increased rate and depth of respirations, accessory muscle use, and an SpO2 less than 92%.
What are 5 rules that must be followed while oxygen is in use?If you or a loved one is prescribed supplemental oxygen therapy, here's what you need to know to stay safe.. Don't Smoke Anywhere Near Oxygen.. Keep Oxygen Canisters Away From Open Flames.. Switch to a Non-Electric Razor.. Pass on Petroleum-Based Lotions and Creams.. How to Use Oxygen Safely.. |