Types of oxygen delivery
this type of oxygen involves prongs extending from a tube into the nares. Most simple and preferred method. Delivers FiO2 24-44%
nasal cannula
nasal cannula with a reservoir under patient's nose; for long term home oxygen use; cannula cannot be cleaned, more expensive, FiO2- 35-50%
oxygen-conserving cannula (Oxymizer)
creation of a stoma into the trachea
tracheostomy
this device is used by the patient to encourage deep breathing. The patient inhales 5-10 breaths/session every hour while awake.
incentive spirometry
if the chest tube becomes dislodged from the patient's chest, the nurse should
cover the chest opening with a gloved hand and call for help; then apply petroleum gauze taped on 3 sides (after the patient coughs and exhales to prevent air from entering but allowing air to escape.)
high-flow mask that mixes O2 with room air at precise concentrations. Best for clients with COPD. FiO2- 24-50%
Venturi Mask
simple mask with a reservoir bag with no valve; allows re-breathing of exhaled air. FiO2- 60-75%
partial rebreather mask
most common trach tube. Has 3 parts
Double Lumen
The best position to promote lung expansion
45 degree semi-fowlers
For a patient with pulmonary hemorrhage, the patient should be placed _____________________________________
with the affected lung down to prevent bleeding into the healthy lung
this mask has a reservoir bag with a one-way valve in it delivering the highest amount of oxygen possible without intubation. Used for clients with profound hypoxia. FiO2- 80-95%
Non-rebreather face mask
iv sized cath surgically inserted into trachea from lower neck; for patients with chronic lung disease; the client must remove and irrigate cath 3x/day. Flow rate less than 4L/min through 8F cath
Transtracheal oxygen (TTO)
single cannula
this type of breathing involves deep inspiration and prolonged expiration. Helps empty air from lungs; commonly used for exercise tolerance in COPD patients
pursed lip breathing
How is drainage measured with a chest tube
marked on the collection device at the end of each shift.
Used to non-invasively treat respiratory failure, can titrate to wide rage of FiO2 for adults, children, and infants. Uses an air/oxygen blender up to 60L/min.
high-flow nasal cannula
provides positive pressure through leak proof mask keeping airway open; most effective treatment for sleep apnea, heart failure, and infants with underdeveloped lungs. FiO2 titrated 21-100%
CPAP
this tube has large or several openings in the posterior wall of the outer cannula. When the inner cannula is removed, allows speech, and airflow through upper airway and trach.
fenestrated
this means air under the skin, can be a complication of chest tube
subcutaneous emphysema
If a clients chest tube becomes disconnected from the drainage system, the nurse should
place the tube 2-4cm deep in a 250ml bottle of sterile water or normal saline
This fits loosely over the mouth and nose, and is used for short-term therapy. Contraindicated with patients who have CO2 retention. Delivers FiO2- 35-50%
simple face mask
Provides assistance during inspiration & prevents alveolar collapse during exhalation; increases air remaining in lungs during exhalation; also used to treat sleep apnea. FiO2 titrated 21-100%
BiPap
surgical incision into the trachea to manage the airway
tracheotomy
For a patient with a pneumothorax or pneumonia, the patient should be placed _________________ to promote oxygenation.
with the good lung down
Vigorous bubbling in the suction control chamber is an indicator that
the suction is too high