III. The Procedure (Oxygen Therapy)
III. The Procedure (Oxygen Therapy)
III. The Procedure (Oxygen Therapy)
Mission: To provide quality education to La Trinidad, Benguet “The College of nursing is committed to
enhance food security, sustainable provide a strong academic and
communities, industry innovation, climate
www.bsu.edu.ph/ 422- 2127 professional foundation for the practice
resilience, gender equality, institutional of nursing.”
development and partnerships.
Now that you’ve familiarized yourself with the different parts of the oxygen delivery system as well the
different oxygen modalities, it’s time to commence the oxygen therapy. This procedure would only cover the
most commonly used oxygen modalities that you would encounter in the hospital namely the face mask, nasal
cannula and face tent (for pediatric patients).
A. PREPARATION
1. Determine the need for oxygen therapy, and verify the order for the therapy. You must have
performed baseline assessment (refer back to the checklist on assessing for respiration and
oxygenation status). Remember that some patients such as COPD patient who have high levels
of carbon dioxide have to maintain hypoxemia to breathe. This case might need consult with
attending doctor or respiratory therapist for specifics of the therapy.
2. Perform hand hygiene and make sure equipment are also prepared:
Flow meter
Humidifier
Distilled water / PNSS/ Sterile Water
Tape (optional)
Padding for the elastic band
Nasal Cannula with tubing, Face-mask, Face Tent
3. Prepare the patient and significant other. Instruct the patient on why oxygen is being
administered. Remind him/her that it is not harmful when safety precautions are observed.
Position the client to semi-Fowler’s position. This promotes maximal lung expansion. For
restrictive lung diseases such as COPD, High Fowler’s is more appropriate to ease DOB and
exertion.
B. PERFORMANCE
1. Prior to beginning the procedure, introduce yourself and verify the client’s identity either by
asking his/her name and birth date or referring to the patient name and bed number. Reiterate
why the therapy is necessary and how the patient can participate. Discuss that the effect of the
therapy can be used in planning care and management.
2. Perform Hand Hygiene
3. Provide for client privacy, if appropriate
4. Set-up the oxygen equipment and the humidifier.
Attach the flow meter to the wall outlet or tank. The flow meter should be in the off
position
Fill the humidifier bottle
Attach the humidifier bottle to the base of the flow meter.
Attach the prescribed oxygen tubing and delivery device to the humidifier
5. Turn on the oxygen at the prescribed rate and ensure proper function.
6. Apply the appropriate oxygen delivery device:
Nasal Cannula Face Mask Face Tent
❖ Put the cannula over ❖ Guide the mask toward ❖ Place the tent over the
the client’s face with the client’s face, and client’s face, and
the outlet prongs fitting apply it from the nose secure the ties around
into the nares and the downward. the hand.
tubing hooked around ❖ Fit the mask to the
the ears contours of the client’s
Vision: A PREMIER UNIVERSITY delivering
world-class education that promotes
Benguet State University “Excellent nursing education that
provides graduates with self-direction,
sustainable development amidst climate
change. COLLEGE OF NURSING competence and compassion.”
Mission: To provide quality education to La Trinidad, Benguet “The College of nursing is committed to
enhance food security, sustainable provide a strong academic and
communities, industry innovation, climate
www.bsu.edu.ph/ 422- 2127 professional foundation for the practice
resilience, gender equality, institutional of nursing.”
development and partnerships.
Mission: To provide quality education to La Trinidad, Benguet “The College of nursing is committed to
enhance food security, sustainable provide a strong academic and
communities, industry innovation, climate
www.bsu.edu.ph/ 422- 2127 professional foundation for the practice
resilience, gender equality, institutional of nursing.”
development and partnerships.
Make sure that safety precautions are being followed. Involve the patient’s watcher.
9. Document findings in the client record
REFERENCES
Bates' Visual Guide to Physical Examination. (n.d.). Examination of Thorax and Lungs [Video].
YouTube. https://www.youtube.com/watch?v=NCIf7WJDWd8
Berman, A. T., Snyder, S., & Frandsen, G. (2015). Kozier & Erb's fundamentals of nursing:
Concepts, process, and practice (10th) edition. MACMILLAN HEINEMANN
Perry, A. G., & Potter, P. A. (2017). Mosby's pocket guide to nursing skills and procedures - E-
book. Elsevier Health Sciences.
Recommending approval:
Mission: To provide quality education to La Trinidad, Benguet “The College of nursing is committed to
enhance food security, sustainable provide a strong academic and
communities, industry innovation, climate
www.bsu.edu.ph/ 422- 2127 professional foundation for the practice
resilience, gender equality, institutional of nursing.”
development and partnerships.