Oxygen Administration

This Oxygen Administration guide provides a step-by-step approach to administer Oxygen in an OSCE setting with an included video demonstration.

Oxygen Administration may be administered in several ways, using several different types of devices. Oxygen therapy may be needed on an emergency basis in an acute setting or on a long-term basis in the home management of chronic illness. Increasing the amount of oxygen supplied to the lungs can benefit the patient by making more oxygen available to the various bodily tissues.

Definition:

It is the act of giving oxygen to patient in order to increase its content in the impaired air.

Purpose:

To relieve dyspnea
To administer high concentration of oxygen.

Indication:

1.  
2. Cardiac patient
3. Patient with diseases of the lung e.g pneumonia, emphysema etc
4. Patient with severe shock
5. Patient with severe haemorrhage
6. Pulmonary embolism
7. Carbon monoxide poisoning
8. Maternal and foetal distress
9. Pre-mature baby
10. During surgical operation (patient on general anaesthesia)

Method of oxygen administration:

•  
• By use of nasal catheter
• By the use of Tudor Edward
• Face mask
• By use of oxygen tent

Nasogastric Tube Insertion

Requirement:

Trolley containing the following
Top shelf:

 

Swab in galli pot

Boracic lotion or sodium bicarbonate

Water in a galli pot to serve as lubricant

Artery and dissecting forceps in a receiver

Strapping and scissors

Oxygen key, rubber tubing and nasal catheter, face mask depending on the method to be used.

Bottom shelf:

Receiver for soiled swabs

No smoking cords

At the side of the bed

Oxygen cylinder with humidifier, flow meter and pressure gauze attach.

Procedure Of Oxygen Administration

1.  
2. Determine need for oxygen therapy, check physician order for rate, device to be use and concentration.
3. Perform an assessment of vital sign, level of consciousness, lab values, etc and record.
4. Assess risk factor for oxygen administration in patient and environment like hypoxia drive in patient faulty electrical connection.
5. Explain the procedure to the patient and relatives and emphasize how he has to cooperate
6. Port ’’No smoking’’ signal on patient door in view of patient and visitors and explain to them the danger of smoking when oxygen is on flow.
7. Wash hands
8. Set up oxygen equipment and humidifier.
9. Fill humidifier up to the mark on it.
10. Attach flow metre to source, set flow metre in ‘’off’’ position
11. Attach humidifier bottle to base of the flow metre.
12. Attach tubing and face mask to humidifier
13. Regulate flow metre to prescribed level
14. Guide mark to patient face and apply it from nose downward. Fit the metal piece of mark to conform to shape of nose .
15. Serve electric band around patient heads.
16. Apply padding behind ears as well as scalp where electric band passes
17. Ensure that safety precaution are followed
18. Inspect patient and equipment frequently for flow rate, chemical condition, level of water in humidifiers.
19. Wash hands
20. Remove the mask and dry the skin every 2-3 hours if oxygen is administered continuously. Do not put powder around the mask.
21. Document relevant data in patient record.

Precaution:

1.  
2. Always ensure having a spare full cylinder
3. Make sure the cylinder in use contain oxygen
4. Watch for sign of distress
5. Use no grease in the cylinder
6. Avoid naked flame from smoking
7. Place a notice at the door indicating that oxygen administration on progress
8. Keep bucket of sand for eventuality
9. Avoid synthetic fibres.

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