Mod D Tech 18 Oxygen Therapy Flashcards Preview

Technician Course MOD D 2016 > Mod D Tech 18 Oxygen Therapy > Flashcards

Flashcards in Mod D Tech 18 Oxygen Therapy Deck (20):
1

 What is Oxygen (O2)

•Odourless – can’t smell it.

•Colourless -  can’t see it.

•Accounts for 21% of inspired air

•Can be manufactured and stored in cylinders

Administered to hypoxic patients

•May be used to drive automatic resuscitators

2

Describe 02 clinder

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3

Oxygen Cylinders

•Ambulance Services typically carry the following cylinders:

–D Size  - 340 litres @ 2000 psi.

–CD Size – 610 litres @2000 psi

–F Size   - 1360 litres @ 2000 psi.

•They can be identified by their colouring – black body and white collar

OR

•White collar and white body with lettering on the side

4

Oxygen Equipment - Safety

•Cylinders should be stored under cover, preferably inside, kept dry and clean and not subjected to extremes of heat or cold.

••Cylinders should not be stored near stocks of combustible materials or near sources of heat.

••Medical gases containing different gases should be stored on separate shelves.  Full cylinders should be used in strict rotation.

••Medical cylinders should be stored separately from industrial and other non-medical cylinders.

•Cylinders must not be repainted, have any markings or labels removed.

••F sized cylinders and larger should be stored vertically.

••No smoking in any area where

    oxygen cylinders are in use or

    stored.

•Sealing or jointing compounds must never be used to cure a leak.

••NEVER use excessive force when connecting equipment to cylinders.

••Cylinder valves and any associated equipment must never be lubricated and must always be kept free from oil or grease.

•Close all valves when the cylinder is not in use, even when it appears to be empty.

••Secure cylinders as per Service Instructions so that they do not present a hazard during transit.

••Never place any part of your body over the cylinder outlet valve.

 

5

Oxygen Safety - Summary

List

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6

Oxygen Masks

•Simple plastic face mask  (medium, vari- or duo- flow) 

••This can deliver up to 60% oxygen concentration depending on the oxygen flow rate.

••The simple plastic face mask should be used with a flow rate of 6 to 8 litres per minute (or as recommended on packaging) to ensure adequate oxygenation for hypoxic patients.

••Each mask is sealed in a polythene bag to ensure sterility – don’t open until ready to use.

7

Oxygen Masks flow rate

Oxygen Masks

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8

Oxygen Masks

• non-rebreathing mask with a reservoir bag.

 

•Oxygen can be provided through a non-rebreathing mask with a reservoir bag.

With an oxygen flow rate sufficient to keep the bag inflated (10 – 15 litres/min) a high concentration of oxygen can be delivered

9

Oxygen Masks

Nasal Cannulae amount

Nasal Cannulae (2-6 litres per minute)

10

Therapy Face Masks

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11

Nebulisation used for

Nebuliser masks are used to administer medication in the form of a mist inhaled into the lungs.

12

In-line Nebulisation

The new UK Ambulance Service Clinical Practice Guidelines (2013) identify near fatal asthma to be managed with positive pressure ventilation using a nebulizing T piece.

13

In-line Nebulisation

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14

VR1 Resuscitator

intended use

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15

Oxygen Equipment – Use

•Position the patient and gain consent for the use of oxygen therapy.

•Turn the flow control knob anti-clockwise until the desired flow rate is achieved.

•Secure the mask to the patient’s face.

•Document the use of oxygen on the PRF / ePRF

 

•When you are ready to stop giving oxygen shut off the flow control knob until the litre flow is at zero.

•Do not leave a mask on a patient if no oxygen is being administered.

•Shut off the main cylinder valve by turning it clockwise. 

16

Oxygen Indications

Children

•Significant illness and/or injury

Adults

•Critical illness requiring high levels of supplemental oxygen

•Serious illness requiring moderate levels of supplemental oxygen if the patient is hypoxaemic

•COPD and other conditions requiring controlled or low dose oxygen therapy

•Conditions for which the patient should be monitored closely but oxygen therapy is not required unless the patient is hypoxaemic

17

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18

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19

Hypoxic Drive!?

•Normally respiration is driven by the levels of CO2 in the blood

•In a person with compromised gas exchange (COPD, chronic bronchitis) the body gets used to high levels of CO2 and so no urge to breathe.

•For these individuals it is the lowered Oxygen level that triggers the urge to take a breath

•If these patients are given even moderately high levels of oxygen therapy, respiratory depression may be caused in turn leading to respiratory arrest

 

•Give 28% oxygen via venturi mask or patients own mask.

20

Oxygen Alert Card

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