Oxygen Therapy: Yani Dewi Suryani Pediatric Departement
Oxygen Therapy: Yani Dewi Suryani Pediatric Departement
Oxygen Therapy: Yani Dewi Suryani Pediatric Departement
Indication
To maintain saturation >94% or pO2 > 80 mmHg
Exception is COPD : target saturation 88-92%
Side effect :
Saturation of 100% is dangerous even MV
Blindness, lung fibrosis, bronkhopulmonary dysplasia, oxygen free radical
Oxygen Dissociation Curve
Type of Hypoxia
In adequate O2 delivery to the tissue
Grading of hypoxia
Classification Pa02
Normal 80 100 mmHg
Mild hypoxemia 60 – 80 mmHg
Moderate hypoxemia 40 – 60 mmHg
Severe hypoxemia < 40 mmHg
Respiratory Failure
Oxygen Dose
Patient demand
Flowmeter
O2 device
Monitoring oxygen saturation
Oxygen device
Oxygen device classification
SPECIFIC OBJECTIVE
At the end of skill practice, the student will be able to perform
oxygen therapy, which includes :
1. Describe the principle of the procedures.
2. Describe the equipments needs for the procedures.
3. Demonstrate the procedure properly.
Equipment
a. Oxygen canister.
b. oxygen mask.
c. oxygen nasal canule.
d. Plastic tube oxygen.
Procedure
I. CLIENT ASSESSMENT
1. Greet client and give inform consent
2. Wash your hands before initiating oxygen therapy to
guard against transmitting nosocomial
3. Tell client/parents what is going to be done and
goal of therapy oxygen, encourage them to ask
some questions
II. PREPARATION AND OXYGEN DELIVERY
1. Say Basmallah
2. Check the cylinder is written “OXYGEN”
3. Regulator with the gauge to reduce the high pressure of gas to a
constant lower working pressure (a full oxygen cylinder has a pressure
around 2000 p.s.i / 13,400 kPa / 132 atmospheres or bars, if less than
120 p.s.i / 800 kPa / 8 atmospheres or bars it means nearly empty)
4. Flow control device must be attached downstream from the
regulator (Flow-meter with a range of 0.5-15 l/min, 0.5-2 l/min for
pediatric patient)
5. Humidifier filled up with Aqua bidestilata (steril water) up to water
level (periodically washed and dried)
6. Connect the humidifier bottle to the tubing and the flow meter
7. A 2-metre length of plastic tube oxygen delivery
8. Prongs or canula (can be replaced by nasogastric tube)
III. SETTING UP WITH OXYGEN NASAL CANNULE
1. Gently suck all the mucus from the child’s nose and
pharynx
2. Open the flow-meter and check effectiveness of the
flow, if the child less than 2 months old, give 0.5 l/m, if
more than 2 months give 1 l/m (max 2 l/m for canula)
3. Enter the nasal infant or pediatric prongs to the child’s
nostrils
4. Tape the prongs to the child’s face just beside the nostrils
V. WARNINGS ON THE USE OF OXYGEN