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6/25/2017

Oxygen:deliverydevices

Oxygen­deliverydevices­OxfordMedicalEducation

OxygendeliverydevicesformedicalstudentfinalsandOSCES

Oxygentherapy

Oxygenisdeliveredfromtapsabovewardbedsat100%concentration

Itisthenputthroughdifferentdevicesatdifferentratestoadjusttheoxygenconcentrationthatthepatientinspires Thepercentageofoxygeninspireddependsontheflowrateandthedeliverydevice

Theflowratecanbesetonthewalltap:itvariesfrom0–15Lperminute

Deliverydevicesworkwithdifferentflowrates.Theyinclude…

Nasalcannulae

Deliver24­30%oxygenNasalcannulae Flowrate1­4L/min(4Lwilldrythenose,2Lismorecomfortable)

Flowrate1­4L/min(4Lwilldrythenose,2Lismorecomfortable)

Usedinnon­acutesituationsorifonlymildlyhypoxic(e.g.saturationsstableat92%inapatientwithoutlung

disease)

(e.g.saturationsstableat92%inapatientwithoutlung disease) Hudsonmask(rarelyused) Delivers30­40%oxygen

Hudsonmask(rarelyused)

Delivers30­40%oxygendisease) Hudsonmask(rarelyused) Flowrate5­10L/min

Flowrate5­10L/mindisease) Hudsonmask(rarelyused) Delivers30­40%oxygen

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Oxygen­deliverydevices­OxfordMedicalEducation

6/25/2017 Oxygen­deliverydevices­OxfordMedicalEducation Venturimask Delivers24­60%oxygen

Venturimask

Delivers24­60%oxygenOxygen­deliverydevices­OxfordMedicalEducation Venturimask Differentcoloursdeliverdifferentrates

DifferentcoloursdeliverdifferentratesVenturimask Delivers24­60%oxygen

Flowrate:Varieswithcolour.Thecorrectflowratetousewitheachcolouritisshownonmask,alongwiththe

percentageofoxygendelivered.

percentageofoxygendelivered. Types: BLUE=2­4L/min=24%O2 WHITE=4­6L/min=28%O2

Types:

BLUE=2­4L/min=24%O2

WHITE=4­6L/min=28%O2

YELLOW=8­10L/min=35%O2

RED=10­12L/min=40%O2

GREEN=12­15L/min=60%O2

VenturimasksareoftenusedinCOPD,whereitisimportantnottoover­oxygenatethepatient.

,whereitisimportantnottoover­oxygenatethepatient. Non­rebreathermask Delivers85­90%oxygen

Non­rebreathermask

Delivers85­90%oxygen

http://www.oxfordmedicaleducation.com/prescribing/oxygen­delivery/

15LflowrateNon­rebreathermask Delivers85­90%oxygen http://www.oxfordmedicaleducation.com/prescribing/oxygen­delivery/ 2/3

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Oxygen­deliverydevices­OxfordMedicalEducation

Bagonmaskwithvalvesstoppingalmostallrebreathingofexpiredair

UsedforacutelyunwellpatientsBagonmaskwithvalvesstoppingalmostallrebreathingofexpiredair Notethatsaturationsshouldbemaintainedat94­98%,not100%.

Notethatsaturationsshouldbemaintainedat94­98%,not100%.

Donotkeeppatientson15Lforlongerthannecessaryasover­oxygenatingforprolongedperiodscanbe

harmful.

harmful. Non­invasiveventilation(CPAP/BiPAP):

Non­invasiveventilation(CPAP/BiPAP):clickhereforhowtostartpatientsonNIV

CPAP(continuouspositiveairwayspressure)

Highpressureair/oxygenwithatight­fittingmask

Positivepressureallthetimetohelpkeepairwaysopen(splitthem)

BiPAP(bilevelpositiveairwayspressure)Usedin acutepulmonaryoedema and sleepapnoea

and sleepapnoea BiPAP(bilevelpositiveairwayspressure)

Highpositivepressureoninspirationandlowerpositivepressureonexpiration

UsedinexacerbationsofCOPDandARDS