To relieve shortness of breath and to administer higher concentration of oxygen.
Administering oxygen to the patient by means of a mask, nasal prong and oxygen tent according to requirement of patient.
All patient who are breathless and visited, admitted in Wards.
Staff Nurse, ANM, Head Nurse, ICU Registrar and Intensivist. .
- Explain the procedure to the patient.
- Select appropriate Oxygen delivery system depending on the patient’s current oxygenation status that is by obtaining an arterial blood gas.
- Connect the Oxygen delivery system.
- Turn on the Oxygen.
- Set the flow rate at the prescribed liters / minute.
- Record the flow rate and immediate patient’s response.
- Periodically assess patient’s condition by pulse Oxymetry .
Points To Remember
- Nasal Cannula
- Provides 35-40% oxygen, oxygen flow rate should be 2-6 liters / minute.
- Ensure nostrils are clean.
- Position the cannula tips in the patient’s nose so that it fits comfortably.
- Secure the cannula from behind the ears and fasten it below the chin.
- Inspect nostrils and cannula and clean whenever necessary.
- Plain Mask – provides an O2 concentration of 35-40% flow rate of 6-10 liters / minute.
- Venturi Mask – provides an O2 Flow rate is adjusted as per percentage set.
- Place the mask over the patient’s nose and mouth and under the chin so that it fits the patient’s face.
- Adjust the elastic strap around the patients head and position the strap below the ear and around the neck.
It provides O2 concentration and is connected to a tracheostomy or ET Tube and has color coded adaptors for different O2 concentration.
Requirements / Equipments
- Oxygen Source – O2 Cylinder or Central O2
- Flow Meter.
- Disposable connecting tubing.
- Various O2 delivery systems. Nasal Cannula, Plain Mask and High Concentration Mask.
- I.C.U. Flow Chart
- Nurses Observation Sheet