Oxygen Administration: Steps Rationale

OXYGEN ADMINISTRATION
Steps Rationale
1. Assess the patients’ respiratory rate and level of Oxygen depletion would decrease respiratory rate,
consciousness. mental status and elevate PaCO2.
2. Determine current arterial blood gases if available.
3. Post “NO SMOKING” signs on the patient door and in Oxygen supports combustion. There is always
view of patient and visitors.
4. Show nasal cannula to the patient and explain the An explanation relieves apprehension and promotes
procedure. cooperation.
5. Make sure that the humidifier is filled to the appropriate If the humidifier is not sufficiently full, less moisture
mark. will be delivered.
6. Check the oxygen tank by turning on the regulator gauge
to determine the amount of Oxygen in it.
7. Attach the connecting tube from the cannula to the Oxygen forced through water in humidifier prevents
humidifier outlet. dehydration of mucous membrane.
8. Set the flow rate at the prescribed liters/minute. Feel to Approximately oxygen concentration delivered by
determine if oxygen is flowing through the tips of the nasal cannula is
cannula. 1 Liter = 24%
2 Liters = 28%
3 Liters = 32 %
5 Liters = 40%
9. Place the tip of the cannula in the patient’s nose. Fasten Position the cannula so that the tips do not extend
tubing around client’s head of behind each ear. more than 2.5cm (1inch) into the nares. Correct
placement facilitates ease in oxygen administration
and comfort for the client.
10. Adjust flow to prescribed rate. Encourage client to Keeping the mouth closed to provide optimum
breathe through his nose with his mouth closed. delivery of oxygen to the lungs
11. Determine patient’s comfort with oxygen use. Flow rate in excess of 4L/min may lead to air
swallowing and cause irritation to nasal and
pharyngeal mucosa. If higher concentrations are
required, consider an alternate form therapy.
12. Record flow rate used and patient’s response.
NEBULIZATION
1. Check for doctor’s order in the chart. To ensure correct treatment to the right patient.
2. Wash hands thoroughly. Ensuring reduction of microorganisms.
3. Bring all equipment’s to patient’s bedside. Save time and energy.
4. Identify and explain the procedure to the The patient will feel reassured. If the procedure is
patient. explained. This will help in gaining the patient’s
cooperation.
5. Position patient in a comfortable sitting or The diaphragmatic excursion and any compliance are
semi-fowlers position. greater in this position.
6. Monitor the heart rate prior the treatment of Bronchodilators may produce tachycardia, precordial,
patient using bronchodilators drug. distress, palpation, dizziness, nausea and excessive
perspiration.
7. Assemble equipment
7.1 Connect the nebulizer (containing
medication or saline) and connect
tubing to the air compressor or
oxygen flowmeter.
7.2 Turn on the nebulizer machine.
A fine mist is expected to come out from the device.

8. Instruct the patient to exhale then;
9. Tell the patient to take a deep breath from the This encourages optimal dispersion of the medication.
mouth piece, hold his breath briefly, and then
exhale.
(Note: nose clips are sometimes used if the patient
has difficulty breathing through his nose.)
10. Observe the expansion of the patient’s chest Ensures that medication is deposited below the level of
to ascertain that he is taking deep breaths. oropharynx.
11. Instruct the patient to breath slowly and deeply Medication usually will be nebulized within 10-15
until all medication is nebulized. minutes.
12. Upon completion of the treatment, encourage The deep lung inflation will allow forceful coughing and
patient to cough after several deep breaths. facilitates expectoration of secretions.
13. Monitor patient’s heart rate after the treatment. Compare the result of heart rate before and after
treatment.
14. Disassemble and clean nebulizer after its use. Proper cleaning and storage prevents’ organism from
Keep patient’s room temperature. entering the lung.
15. Document the following: Note patient’s tolerance of the treatment. Notify
a. Medication used physician of any intolerance.
b. Respiration rate and effort
c. Heart rate
d. Descriptions of secretions
e. Time of administration
f. Patient’s reaction

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OXYGEN ADMINISTRATION

A fine mist is expected to come out from the device.

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