LESSON-PLAN-ON-OXYGEN-ADMINISTRATION-FON (1).pdf

This topic consists of Introduction, definition purpose of Oxygen administration

1. LESSON PLAN ON OXYGEN ADMINISTRATION

SUBJECT;- Foundation of nursing
TOPIC:-Oxygen Administration
DATE:
PLACE: First year GNM classroom
DURATION: 1 hour
GROUP: 1st Year GNM
TEACHING METHOD: Lecture, Discussion and Demonstration
A.V AIDS: Black board, PPT presentation
LANGUAGE: English.
NAME OF THE SPEAKER: MS VANDNA PATEL
GENERAL OBJECTIVES:
At the end of the topic the students will be able to gain knowledge about ,
∞ oxygen therapy
∞ oxygen administration
SPECIFIC OBJECTIVES:

on completion of class students,
∞ Explain about indication of oxygen therapy
∞ Discuss about methods of oxygen administration
∞ Discuss about hazards of o2 inhalation
∞ Explain about nursing responsibilities’
∞ Demonstrate the oxygen therapy

2. TIME SPECIFIC
OBJECTIVE
CONTENT ACTIVITIES AV AIDS EVALUATION
TEACHER STUDENTS
05 MIN OXYGEN ADMINISTRATION: -

Patients with respiratory dysfunctions are
treated with oxygen inhalations to relieve
"Anoxaemia' or hypoxaemia (deficiency of
oxygen in the blood). The normal amour in the
arterial blood should be in the range of 80 to 100
mm of Hg. If it falls below 60 mm of Hg,
irreversible physiologic effects may occur.
The cerebral cells receive 20 percent of the
body's oxygen supply and can live only for a few
minutes (5 to 7 minutes) if their O, supply is cut
off. The O, administration treats the effects of O,
deficiency but does not correct the causes.
Lecture cum
discussion
Listening &
participating
Whiteboard What is oxygen
therapy ?
05 MIN Explain about
indication of oxygen
therapy

INDICATIONS:

(1) Cyanosis:- Bluish colour of the skin, nail
beds and mucus membranes, resulting
fromdecreased amount of O2 in the haemoglobin
of blood.
2) Breathlessness or labored breathing- may be
caused by certain diseases such asthma,
emphysema, pulmonary embolism coronary
insufficiencies. as thrombosis and other cardiac
(3) Anaemia:- It is the deficiency of either
quality or quantity of red cells in blood.
(4) Poisoning with chemicals that alters tissues
ability to utilize oxygen eg. cyanide poisoning.
(5) Severe respiratory distress (e.g., acute asthma
or pneumonia)
Chronic obstructive pulmonary disease
Lecture cum
discussion
Listening &
participating
Whiteboard
& PPT
What are the
indication of
oxygen therapy?

3. (7) An environment low in oxygen content eg.
high altitudes
(8) Atelectasis, Pneumenectomy, thoraplosty
(9) Pulmonary Oedema, chest trauma

(10) Acute myocardial infarction (heart attack)
etc
(1) Short-term therapy, such as post-anesthesia
recovery
(12) Shock and circulatory failure.
(13) Haemorrhage and air hunger.
(14) Patients under anesthesia.
(15) Patients who are critically ill.
(16) Psychologically induced breathlessness.
(17) Asphyxia.


10 MIN Discuss about
methods of oxygen
administration
METHODS OF OXYGEN
ADMINISTRATION:

Oxygen can be administered by nasal
cannula, mask, and tent. Hyperbaric oxygen
therapy involves placing the patient in an airtight
chamber with oxygen under pressure.

(1) Oxygen by nasal catheter- The nasal catheter
is inserted into the nostril reaching up to the
uvula and is held by adhesive tapes. The catheter
does not interfere with the patient's freedom to
eat, to talk and to move in bed. Flow of 1 to 4
liters of O, will be sufficient to maintain the
concentration of 22 to 30% O₂.

2) Oxygen by Mask:- O, mask covers the
patient's nose and mouth. Masks advantageous
Lecture cum
discussion
Listening &
participating
Whiteboard
& PPT
Which are the
methods used in
oxygen therpy?

4. for those patients who are unable to breathe
through the nose. Flow of 86 liters of O₂ will
maintain the concentration of 25 to 60% O₂
A. SIMPLE FACE MASK: rate of 5 to 10
L/minute can deliver oxygen concentrate from 40
to 60 percent with a simple face mask.
B. PARTIAL REBREATHER MASK: A
partial rebreather mask uses a reservoir to
capture some haled gas for rebreathing. Vents on
the sides of the mask allow room air to mix with
any It can deliver oxygen concentrations of 50
percent or greater
Oxygena
C. NONREBREATHER MASK: A
nonrebreather mask has one or both side vents
closed to the mixing of room air with oxygen.
The vents open to allow expiration but remain
closed inspiration. The reservoir bag has a valve
to store oxygen for inspiration but does not al
entry of exhaled air. It is used to deliver oxygen
concentrations of 70 to 100 percent Whe patient
is using a partial rebreather or nonrebreather
mask, ensure that the reservoir is net allowed to
collapse to less than half full.
D. VENTURI MASK: A Venturi mask is
used for the patient who requires precise
percentages of oxygen, such as the patient with
chronic lung disease with CO2 retention. A
combination of valves and specified flow rates
determines oxygen concentration.It fits lightly
over the nose and mouth. Oxygen flowing at a
high velocity in the form of a et through a narrow
orifice to the base of the mask creates negative
pressure, entraining atmospheric air through the
perforations in the face piece.

5. 3) OXYGEN TENT:
Consists of a canopy over the patients bed
that may cover the patient fully or partially and it
is connected to supply of oxygen.
Certain advantages and disadvantages for using
an oxygen tent.
a) It provides an environment for patient with
controlled O, concentration,regulation and
humidity control.
b) It allows freedom for free movement in bed.
c) Create feeling of isolation.
d) It requires high volume of O, (10 to 12 litre
per minute).

e) There is increased chances of fire. f) It
requires much time and effort to clean and
maintain a tent.

CARE OF O, CYLINDER :

1) Always use cylinder of metal case to prevent
danger of falling and breaking
2) O, cylinder should be placed at head end of
the bed.
3) Any source of fire should be kept away from
cylinder for fear of fir
4) O, cylinder should be placed at cool
temperature.
5) When cylinder is empty, always mark i.e.
"empty' and send for filling.
6) Inspect the apparatus at frequent intervals and
make sure for its good working
7) To test any leakage in the regulator, soap
leather may be used.

6. 10 MIN Discuss about
hazards of o2
inhalation

HAZARDS OF O, INHALATION:

1) Infection
2) Combustion (fire) - O, supports combustion
3) Drying of the mucus membranes of the
respiratory tract
4) O, toxicity
5) Atelectasis
6) Oxygen induced apnea
7) Retrolental fibroplasia
8) Asphyxia


Lecture cum
discussion
Listening &
participating
Whiteboard What are the
hazars of oxygen
inhalation?
05 MIN Explain about nursing
responsibilities’
NURSE'S RESPONSIBILITY FOR
ADMINISTRATION OF OXYGEN :
1) Check the name, bed number and other
identification of the patient.
2) Check the diagnosis and the need for O,
therapy.
(3) Check the doctors order for the initiation of
the therapy, the dosage etc.
4) Check the doctors order for specific
precautions regarding the movement of the
patient.
5) Assess the patient for any sign of clinical
analysis eg.: cyanosis.
6) Check the patients' vital signs.
7) Check the results of arterial blood gas
analysis.
8) Note any signs of pulmonary dysfunction.
9) Check the patients mental state and the ability
to follow instructions.
10) Check the articles available in the unit.
Check O, cylinder for its accessories and their
working condition.
Lecture cum
discussion
Listening &
participating
Whiteboard
& PPT
What are the
nursing
responcibilities
during oxygen
administration?

7. 20 MIN Demonstrate the
oxygen therapy
PROCEDURE :

Articles


Articles A Tray Containing:

a) Nasal catheter/cannula/O, mask
app/disposable
type in a covered cylinder.
b) Water soluble lubricating jelly.
c) Adhesive tape.
d) A bowl of water.
e) Swab sticks and normal saline.
f)No smoking indication.

Oxygen cylinder with stand, central supply O,
with a flow meter, humidifier/connecting tubing.

STEPS OF PROCEDURE :

STEPS-

1) Wash hands,
2) Attach Cannula/catheter mask to O₂ tubing &
humidified O, source adjusted
to prescribe flow rate.
3) Place tips of cannula into the patients nares. If
mask apply snuggly to face. 4) Check
cannula/equipment every eight hours..
5) Keep the humidifications jar filled at all times.
Demonstration
cum
discussion
watching &
participating
Whiteboard How to perform
oxygen therapy?

8. 6) Observe the patients nares & superior surface
of both ears and skin.
7) Check the O, flow rate & the physicians
corders every 8 hours.
8) Wash hands before removing the O, mask or
tube.
9) Inspect the patient for relief of symptoms
associated with hypoxia.
10) Record procedure in the nurse's record.

AFTER CARE OF THE PATIENT & THE
ARTICLE:

Stay with patient. –
keep the patient warm & comfortable. –
Evaluate the patients progress by observing the
vital signs/symptoms.
Watch the patient for any deteriorating symptoms
after the removal of o, inhaletion
- record date & time.
- requests for an arterial blood gas analysis..
Take all articles to utility room.
- clean nasal catheter with cold water, then warm
soapy water & finally with clean water. Boil,
store and send them for sterilization.


05 MIN BIBLIOGRAPHY

BT Basavanthappa,nursing foundation fo koob
txeT srehsilbup lacidem srehtorb eepyaJ yb
dehsilbup"(p) LTD page no:

Lecture cum
discussion
Listening &
participating
PPT

9. CP Baveja, " gnisrun rof ygoloiborcim fo koob
txeT "5th edition2005 publised by arya
publishing company page no: 52

potter and perry,s,of nursing latnemadnuf fo
koob txeT" published by elsevier page no:483
Rajendra prasad seervi abhishek soni " Text book
of nursing foundation. lacidem srehtorb eepyaj
yb dehsilbup "

publishers.no page:

Sr.Nancy, FO ECITCARP DNA SELPICNIRP "
NURSING" VOL. 1published by N.R.
Publishiung house page no:

Valsamma joseph and susmma varghese, gnisrun
publications frontline foundations" published by.
Page:-