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Oxygen delivery
is a function of the
following
relationship:
Oxygen
delivery=
Arterial O2
content (Cao2) X
Cardiac output
adequate ventilation
- efficient gas exchange in lung level
- adequate circulatory distribution
Failure of any of these 3 elements
results in tissue hypoxia.
to minimize cardiopulmonary
workload associated with
compensatory response to
hypoxemia.
Range
80
100 mmHg
60 79 mmHg
41 59 mmHg
41 below
Level
Normal
Mild Hypoxemia
Moderate
Severe
Ventilatory depression
*COPD patients
- Fio2 >50%
*O2 toxicity
*Absorption atelectasis
*Fire hazards
*Retinopathy of prematurity
- Bacterial contamination
*Humidification system
OXYGEN DELIVERY
Pressure Regulator
Flowmeter
Low flow Reservoir system
Nasal cannula
Nasal catheter
system
Transtracheal Catheter
Simple mask
High flow
Blending
Have
-cost
-provide
Elastic
Bolero
style
The
is
The
Advantages
easy to use,
comfortable, patient may eat and
talk, low cost device, disposable,
Disadvantages
obtrusive
appearance, not practical for acute
care, *
End
it is a low flow,
variable
performance
device that
incorporates a
small gas
reservoir, and the
Fio2 varies with
changes in the
patients
respiratory status.
design is
similar to the
simple mask
with the addition
of a large
volume plastic
reservoir bag
Air entrainment
Blending system
Include:
Air-Entarinment Mask (AEM)
Air-Entrainment Nebulizer
Flow
range
24 - 50%
FiO2
stability
Fixed
FiO2
Blue
Yellow
White
Green
Pink
Orange
24%
28%
31%
35%
40%
50%
Lpm
2
4
6
8
8
12
Aerosol face
masks,
Tracheostomy
masks, Tee
pieces(Briggs
adapters),
Face tents may
be used with
these
nebulizers.
Flow
Should provide output flow of at least 60 L/minute
FiO2 range
21 - 100%
FiO2 stability
Fixed
Advantages
Full range of FiO2s
Disadvantages
Requires 50 psi air and O2, Blender failure or
inaccuracy common
Best use
Patients with high minute volumes needing high F iO2s
Flow
12 - 15 L/minute
FiO2 range
40 - 50%
FiO2 stability
Variable
Equipment:
1. A complete pediatric mist tent
with nebulizer unit, a fan, and drain
bottle.
2. Mist tent canopy.
3. High-pressure oxygen hose, about
6 feet in length.
4. Oxygen or air flowmeter.
5. Two liters of sterile water.
6. Oxygen analyzer for monitoring
oxygen concentrations.
Purpose:
1.
Indications:
1.
Contraindications/hazards/Complications:
Flow
> 7 L/minute
FiO2 range
21 - 100%
FiO2 stability
Fixed
Are
Flow
8 - 15 L/minute
FiO2 range
40 - 50%
FiO2 stability
Variable
O2 DEVICE
Fio2
Flow(L/min.)
Nasal catheter
.28-.45
1-8
Nasal cannula
.40-.44
1-6
Simple mask
.40-.60
5-10
Partial Rebreathing .60-.80
>10
Nonrebreathing
.90- 1
>15
Venturi mask
.24, .28
Variable Fio2
Mist tent
.21-.50
>10-15
Incubator/Isolette low,variable
<8, titrate Fio2
END..