Therapy Questions with Accurate
Answers
Oxygen application /administration :
By Blood Gas values - ANSWERS- Administer O2 of PaO2 is below 80 mmHg (adult) --
unless COPD
-Any ER patient with breathing difficulty -- start on oxygen until further investigation
-Patient exhibiting chest pain -- start on O2 until further evaluation
Oxygen application / administration :
Visual / Bedside signs - ANSWERS-Cyanosis
-Tachycardia
-confusion
-Anxiety
-Low oxygen saturation (pulse ox)
-Lethargic, sleepy
Appropriate Levels of Oxygen:
Adult therapeutic Level - ANSWERS-30-60% (40-50% is better)
-if patient is COPD, never start on less than 30% (40% is better)
During and emergency you should always give _______% of oxygen. -
ANSWERS100%
Appropriate level of oxygen for a COPE patient should be between - ANSWERS24-30%
True or false
Given a choice in the appropriate range, you should start with the lower FIO2. -
ANSWERSTrue
True or False.
Oxygen is a drug and therefore should be kept at the lowest possible therapeutic dose. -
ANSWERSTrue.
If PaO2 is 110 mmHg , LOWER THE FIO2 OR PEEP
Oxygen Titration Up - ANSWERS1.Increase FIO2 ( if hypoxic) by 10 % until at 60%
2. Once at 60%, you need to add PEEP (if on a ventilator) or CPAP or BIPAP
3. Keep adding PEEP in 5 cm H2O increments until PaO2 is in desired range or until
you witness negative cardiac response (decreased C.O. etc)
4. If PEEP is at its limit (then increase FIO2 above 60%