Finals - Oxygenation Therapy - Sheet1

Question 1

Normal oxygen saturation

Answer 1

95% - 100%

Question 2

Normal respiration rate

Answer 2

12 - 20 cycles per minute

Question 3

PaO2 indicator = 80 -100 mm Hg

Answer 3

Normal

Question 4

PaO2 indicator = 60 -80 mm Hg

Answer 4

cold, clammy extremities

Question 5

PaO2 indicator = <60 mm Hg

Answer 5

cyanosis

Question 6

PaO2 indicator = <40 mm Hg

Answer 6

mental deficiency and memory loss

Question 7

PaO2 indicator = <30 mm Hg

Answer 7

bradycardia and cardiac arrest

Question 8

How much PaO2 would be considered for oxygen therapy?

Answer 8

PaO2 < 60 mm Hg

Question 9

measures the balance of oxygen and carbon dioxide in your blood to see how well your lungs are working.

Answer 9

Arterial Blood Gas

Question 10

nursing diagnosis for difficulty breathing

Answer 10

Impaired Gas Exchange
Ineffective Breathing Pattern
Ineefective Airway Clearance

Question 11

nursing interventions for difficulty breathing

Answer 11

position patient in semi-Fowler’s, or high Fowler’s as tolerated
position patient in orthopneic position
tripod position

Question 12

is a colorless, odorless, tasteless gas that is essential for the body to function properly and to survive.

Answer 12

Oxygen

Question 13

is the administration of oxygen at a concentration of pressure greater than that found in the environmental atmosphere

Answer 13

Oxygen therapy

Question 14

The air that we breathe contain approximately ___% oxygen.

Answer 14

21%

Question 15

Examples of situations where oxygen therapy is needed

Answer 15

Documented hypoxemia
Severe Respiratory Distress (acute asthma, pneumonia)
Severe trauma
COPD
Pulmonary hyoertension
Acute myocordial infarction
Post-anesthesia Recovery

Question 16

this shows the amount of oxygen in the tank.
.

Answer 16

A reduction gauge

Question 17

this regulates the control of oxygen in liters per minutes.

Answer 17

A flow meter

Question 18

Oxygen is moistened by passing it through a ___ to prevent the mucous membranes of the respiratory tree from becoming dry

Answer 18

humidifier

Question 19

2 types of oxygen dispensers

Answer 19

oxygen tank

wall-outlet oxygen

Question 20

Oxygen Delivery Systems:

Answer 20

1. Nasal Cannula
2. Simple Mask
3. Partial Re-Breather Mask
4. Non-Re Breather Mask (NRBM) Venturi Mask
5. Oxygen Hood
6. Oxygen Tent
7. AMBU Bag
8. Tracheostomy Collar,
9. T-piece

Question 21

It is a disposable, plastic devise with two protruding prongs for insertion into the nostrils, connected to an oxygen source.
Used for low-medium concentrations of Oxygen (24-44%).

Answer 21

Nasal cannula (prongs):

Question 22

It delivers 35% to 60% oxygen.
A flow rate of 6 to 10 liters per minute.
It has vents on its sides which allow ro air to leak in at many places, thereby diluting the source oxygen.
>
Often it is used when an increased delivery of oxygen is needed for short periods (ie., less than 12 hours).

Answer 22

The simple Oxygen mask

Question 23

Nursing Responsibilities to Client with Nasal
Cannula

Answer 23

1. Check frequently that both prongs are in client’s nasal nares
2. Never deliver more than 2-3 L/min to patients with chronic
   lung disease, especially if patient does not need it.

Question 24

Nursing Responsibilities to Client with Simple
Face Mask

Answer 24

1. Monitor client frequently to check placement of the mask.
2. Support client if claustrophobia
   is his concern.
3. Secure physician’s order to replace mask with nasal
   cannula during meal time.

Question 25

is designed to get hold of the first 150ml of the breath that has been exhaled into the reservoir bag so that it can be used for inhalation in the next subsequent breath.

Answer 25

A Partial re-breather mask

Question 26

Nursing Responsibilities to Client with Partial Rebreathing Masks

Answer 26

Set flow rate so mask remains two- thirds full during inspiration >Keep reservoir bag free of twists or kinks Prevents the reservoir bag to collapse or be empty Prevents anyone to squeeze the bag while on the patient.

Question 27

It is high flow oxygen delivery device. > Oxygen from 40-50% At liters flow of 4 to 15 L/min. The mask is constructed so that there is a constant flow of room air blended with a fixed concentration of oxygen

Answer 27

Venturi Mask

Question 28

this is used for babies who can breathe on their own but still need extra oxygen. A hood is a plastic dome or box with warm, moist oxygen inside. The hood is placed over the baby's head

Answer 28

Oxygen Hood

Question 29

this consists of a canopy placed over the head and shoulders, or over the entire body of a patient to provide oxygen at a higher level than normal.

Answer 29

Oxygen Tent

Question 30

Inserted directed into trachea Is indicated for chronic 02 therapy need 02 flow rate 8 to 10L Provides accurate FIO2 Provides good humidity. Comfortable,more efficient

Answer 30

Tracheostomy Collar/Mask

Question 31

is a hand-held device commonly used to provide positive pressure ventilation to patients who are not breathing or not breathing adequately.

Answer 31

AMBU-Artificial Manual Breathing Unit (or) Valve Mask Ventilation

Question 32

It is a condition which occurs due to inspiration of a high concentration of oxygen for aprolonged period of time.

Answer 32

Oxygen Toxicity

Question 33

Oxygen concentration greater than 50% over 24 to 48 hours can cause pathological changes in the lungs.

Answer 33

NA

Question 34

Blindness due to vasoconstriction & Ischemia (premature infants)

Answer 34

Retrolental fibroplasia

Question 35

when not enough gas is left in the alveoli to maintain patency, and the alveolus collapses; this is known as

Answer 35

absorption atelectasis