N212 Exam 1 Oxygen and Suctioning Study Guide

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Leon
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310712
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N212 Exam 1 Oxygen and Suctioning Study Guide
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2015-10-31 23:49:03
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N212 Exam Oxygen Suctioning StudyGuide
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N212
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Exam 1
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  1. 1) State the indications for the use of Oxygen
    • a) – O2 in tissue & blood
    • b) –O2 carrying capability of blood
    • c) –Cardiac Output
    • d) +O2 demands
  2. (a) Humidification should be delivered to pt
  3. 3) State 5 safety precautions for oxygen administration (Taylor p1402-03)
    • a) No smoking signs
    • b) Avoid open flames
    • c) Cotton gowns; no synthetics which might build up static electricity
    • d) Remove flammables/oils in area (use water-based products)
    • e) Make sure all equipment is grounded & functioning properly & emits no sparks
  4. 4) State 6 hazards or complications of oxygen therapy (Iggy p545-6)
    • a) Combustion
    • b) O2-induced hypoventilation/ CO2 narcosis
    • c) O2 toxicity
    • d) Absorption atelectasis
    • e) Drying of mucous membranes
    • f) Infection
  5. 5) What is the purpose of pursed lip breathing? (Taylor 1393)
    • a) To prolong exhalation
    • b) Increase airway pressure during expiration
    • c) Decrease amount of airway trapping & resistance
  6. 6) Identify 2 techniques for teaching it (Taylor 1393)
    • a) Close mouth & breath in through nose for count of 3
    • b) Purse lips, like whistle or blow out candle, and breath out slowly through mouth for a count of 7
  7. 7) Who is helped by this type of breathing? (Taylor 1396)
    a) COPD pt especially during exertion & physical activity
  8. 8) Identify and demonstrate the procedure for using an incentive spirometer (Taylor 797)
    • a) Assist pt to upright position
    • b) Exhale as normal, place lips securely around mouthpiece
    • c) Inhale slow & deep as possible
    • d) Hold breath 3-5 sec
    • e) Remove lips & exhale as normal
    • f) Complete exercise 10x/hr while awake
  9. 9) What is pulse oximetry (Taylor 1387)
    a) It is a non-invasive technique that measures the O2 saturation (SpO2) of arterial blood
  10. 10) What it is useful for?
    • a) Useful for monitoring pts receiving O2
    • b) For pt at risk for hypoxia
    • c) For post-op pt
  11. 11) What is a normal range/result?
    a) 95-100
  12. 12) Demonstrate the procedure for using pulse oximetry (Taylor 1389)
    • a) Explain procedure to pt
    • b) Hand hygiene
    • c) Select a site for application of the sensor: index, middle or ring finger, ear lobe or bridge of nose. Last choice is the toe.
    • d) Use proper equipment
    • e) Cleanse site & allow to dry. Remove nail polish if needed
    • f) Apply probe/sensor
    • g) Connect probe/sensor to pulse oximeter
    • h) Rotate q4hr if continuous
    • i) Document findings
  13. 13) What is the purpose of chest physiotherapy (CPT)? Demonstrate (on a partner) CPT (Taylor 1396)
    • a) To help loosen secretions
    • b) To increase the cough to help clear secretions
    • c) To decrease the risk for infection

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