1. MNA M osby ’ s Long Term Care Assistant Chapter 25 Oxygen Needs

2. Oxygen A gas No taste, odor, or color Basic need required for life Illness, injury and injuries affect the amount of O2 in the blood and cells

3. Factors affecting Oxygen Needs Airway must be open

4. Factors affecting Oxygen Needs Blood vessels Open and healthy

5. Factors affecting Oxygen Needs RBCs Adequate number to carry O2

6. Factors affecting Oxygen Needs Brain function Controls respiratory rate

7. Factors affecting Oxygen Needs Aging Weakens respiratory muscles

8. Factors affecting Oxygen Needs Exercise Increases need for O2

9. Factors affecting Oxygen Needs Fever Increases need for O2

10. Factors affecting Oxygen Needs Drugs Can decrease respiratory rate (especially pain meds)

11. Factors affecting Oxygen Needs Smoking Causes Cancer and COPD

12. Factors affecting Oxygen Needs Allergies Can cause congestion, difficulty breathing

13. Factors affecting Oxygen Needs Alcohol Depresses the brain, decreases respiratory rate

14. Terms Hypoxia Cells do not have enough O2 Restlessness, confusion Life threatening

15. Terms Tachypnea Rapid breathing Over 24 /minute Caused by hypoxia

16. Terms Bradypnea slow breathing Less than 12 /minute Caused by CNS Disorder

17. Terms Apnea No breathing Respiratory arrest Cardiac arrest

18. Terms Respiratory Arrest Breathing stops

19. Terms Hypoventilation Slow, irregular, shallow breathing

20. Terms Hyperventilation Rapid and deep breathing Causes: Asthma,anxiety

21. Terms Dyspnea Difficult, labored, painful breathing

22. Terms Cheyne-Stokes Dyspnea followed by periods of apnea Near death

23. Terms Orthopnea Comfortable breathing only when in a sitting position

24. Terms Cyanosis Condition of blue Show a decrease in oxygenation Fingers, toes, lips

25. Terms Hemoptysis Bloody sputum

26. Signs and Symptoms to Report c/o SOB Harsh or productive cough Noisy respirations Cyanosis

27. Pulse Oximetry Measures O2 Concentration in arterial blood Normal range is 95 - 100%

28. Pulse Oximetry Avoid sites that are: Swollen Have skin breakdown Can use fingers, toes, forehead, earlobe

29. Promoting oxygenation Positioning Semi- Fowler ’ s Or Fowler ’ s Frequent position changes - Q2H Avoid heavy blankets

30. Promoting oxygenation Deep breathing and coughing Usually done after surgery or when on bed rest Splinting

31. Promoting oxygenation Incentive spirometer Respirex Voldyne Tri-flo

32. Promoting oxygenation Incentive spirometer Use Q2H Encourage deep, slow breaths

33. Oxygen Therapy O2 is treated as a drug Ordered by MD

34. Oxygen Therapy You are not responsible for O2 therapy but you can assist with safety issues. You CANNOT adjust flowrate

35. Oxygen Therapy Nasal cannula 2 prongs. Inserted into nose Allows freedom for eating and drinking Not for mouth breather

36. Oxygen Therapy Simple face mask good for mouth breather Can cause feelings of suffocation

37. Oxygen Therapy Non-rebreather mask Prevents exhaled air and room air from entering

38. Oxygen Therapy Venturi mask Precise amounts of O2 are given. Color coded adapters show amount of O2

39. Oxygen Safety Do not adjust the flow rate Check for signs of irritation form the device No smoking No electric razors

40. Artificial airways Intubation Inserting an artificial airway

41. Artificial airways Tracheostomies Can be temporary or permanent Used for mechanical ventilation

43. Artificial airways Mechanical Ventilation Uses a machine to move air in and out of the lungs

44. Artificial airways If the artificial airway comes out …… Call the nurse

45. Suctioning Withdrawing fluid or secretions from the airway.

46. For oral suctioning

48. Chest Tubes Inserted to remove air, fluid or blood

49. Review You may adjust the flow rate of O2 prn TrueFalse

50. Review Artificially inserting an airway is called intubation

51. Review Difficult or labored breathingis called hypoventilation. TrueFalse

52. Review Cyanosis cam be observed in the eyes. TrueFalse

53. Review A 2 pronged device for O2 administration is called a ____________________. Nasal cannula