Lecture-9-OXYGEN THERAPY FOR NURSES-PART (2).pdf

Title page

Objectives

Outlines of the presentation

Introduction about schizophrenia types and signs and symptoms

Nursing diagnoses and behaviors commonly associated with psychotic disorders (Table 3-24)

Nursing diagnoses for patients with schizophrenia, expected outcomes, and nursing interventions

Summary slide

References slide

1. JERASH UNIVERSITY
FACULTY OF NURSING
2025-2026ACADEMIC YEAR
FIRSTSEMESTER
Lecturer:
Assistant Professor. Dr. Jawad Abu-Shennar
EMERGENCY & DISASTER NURSING –CLINICAL PRACTICE

2. OXYGEN THERAPY FOR
NURSES-PART (2)
Lecture-nine

3. 3
BeforeinitiatingO2therapy,checkthepatient’sroomtomakesureitissafe
foroxygendelivery
Identifythecontentsofthecylinder.IntheUSAtheyarealwaysgreen,but
readthelabelasadouble-check
NeverusegreaseoroilonOxygencylinderconnections
Post“OxygeninUse”signsoverthebedandonthedooroftheroom,or
accordingtofacilitypolicy.Thesignshouldlistwarnings,suchas“No
Smoking”
Teachthepatientandvisitorstheprecautionstotake
Donotforcetheflowmeterintothewallorcylinderwhenassemblingan
oxygenunit
Avoidsparks—canstartafire

4. CheckwiththeRNbeforeusingahairdryer,electricshaver,fanradio,or
television
Neveruseflammableliquidssuchasnailpolishremoveroradhesivetape
remover;theyarecombustibleandcanburnreadily
Avoidusingpetroleumjellyorotherpetroleumproductsaslubricants;
consulttheRNforawater-solublelubricant
Respondtoallequipmentalarmsimmediately
Coverthepatientwithacottonblanket;avoidusingwoolandsynthetic
blanketsorclothing

5. 5
Avoiddroppingthetank
Transportoxygencylinderscarefully
Iftheoxygenequipmentmakesanunusualnoise
takecorrectiveaction
Learntoturnoffoxygenincaseofafireemergency
Cylinderoxygenshouldbesecuredinabaseor
chainedtoacarrierorthewall
http://www.aerospecialties.com/images/detailed/0/001507
_2-Bottle_O2_Hnd_02.jpg

6. 6
Discontinuing an
Oxygen Cylinder
Followyourfacilitypoliciesforcleaningandstorageofoxygen
cylindersafteruse
Beforestoringanoxygencylinderyoumustturnofftheoxygen;a
certainamountofoxygenwillremaininthegauges
Bleedthegaugebyturningofftheoxygensupplyfromthecylinderto
theflowmeterbyturningthevalveontop;thenturntheflowmeteron.
Althoughthecylinderisoff,theflowmeterwillrisemomentarily;then
theliterflowwilldroptozero.ThisensuresthatallthefreeO2is
removedfromthegauges

7. 7
Use of Oxygen in an Emergency
Inanemergencyhighconcentrationsofoxygenare
necessary
Aconcentratorwillnotdeliveranadequateamount
ofoxygenforemergencies;theycannotdeliverflows
over5L/min
Mostfacilitieshavesmall,portable
cylindersforemergencypurposes
Oxygenmaybedelivereddry,usinganonrebreather
mask

9. Pulse oxymeter:

10. Pulseoxymeter:
quick, non-invasive method that estimates the arterial blood oxygen
saturation
it is used in patients in the perioperative period, postoperative care

12. Value of tissue oxygenation :
Normal range 95-100 %
May be acceptable in chronic disease conditions 85-89 %
Abnormal less than 80%
Life threateningbelow 70%

13. Oral airway:
Thesimplesttypeofartificialairway,
preventsobstructionofthetracheabydisplacement
ofthetongueintotheoropharyynx.

17. Using thecorrectsize of airway:
Determinetheproperoralairwaysizebymeasuringthe
distancefromthecornerofthemouthtotheangleofthe
jawjustbelowtheear

18. Endotrachealortrachealairway:
Ashorttermartificialairwaytoadminister
mechanicalventilation
Relieveupperairobstraction
Protectagainstsaspiration
Clearsecretion.

22. Tracheostomy Collar

23. Whentracheostomy:
If the patient requires long-term assistance
from an artificial airway

28. Diagnosing
•IneffectiveAirwayClearance
•IneffectiveBreathingPattern
•ImpairedGasExchange
•ActivityIntolerance
•Etiologyofothernursingdiagnoses
■Anxiety
■Fatigue
■Fear
■Powerlessness
■Insomnia
■SocialIsolation

29. Nursing Implications
Nursing diagnoses: hypoxemia or hypoxia
Ineffective breathing pattern
Impaired gas exchange
Anxiety
Risk for injury (related to oxygen hazards)

35. Evaluating
• Collect data to evaluate effectiveness of interventions.
• If outcomes not achieved, explore reasons before modifying the care
plan
■Review client perceptions and symptoms, medications, and
treatments
• If outcomes not achieved, explore reasons before modifying the care
plan
■Inquire about exposure to URI, other factors
■Ask about sleep, rest, assistive devices, assistance with ADL,
nutrition