RESPIRATORY_101_revi sed

RESPIRATORY 101 : 

RESPIRATORY 101 MEDASSURE INC. Serving the hospice, skilled nursing & and assisted living facilities

OXYGEN BASICS : 

OXYGEN BASICS Ambient air is 21% oxygen & 78 % nitrogen The air from an “E” tank or concentrator is pure oxygen. Oxygen is a colorless and odorless gas Oxygen is classified as a drug, non-addictive

Three types of delivery systems for oxygen : 

Three types of delivery systems for oxygen Oxygen concentrators Liquid oxygen units High pressure cylinders: 1. M6 2. C 3. E

Should patients be afraid of oxygen therapy : 

Should patients be afraid of oxygen therapy Some patients think they will become sedentary and lose independence 1.Oxygen therapy actually improves life by reducing heart strain 2.Decreases shortness of breath 3.Makes exercise and activities easier

OXYGEN SAFETY : 

OXYGEN SAFETY No smoking No oil base lubricants No open flames, stove tops, fire places, candles Let patients know tubing can be a hazard if tripped upon Oxygen does not burn but accelerates any fire

IS YOUR OXYGEN TANK EMPTY : 

IS YOUR OXYGEN TANK EMPTY Keep on eye on the gauge 2000-psi when full, in the green Gauge indicates empty when in the red E-tank on 2 LPM will last four hours at continuous flow C-tank on 2 LPM will last 2 hours at continuous flow M6-tank set on 2 LPM will last 1 hour at continuous flow

APPLYING A REGULATOR : 

APPLYING A REGULATOR If the regulator is not applied properly, serious safety issues can arise An improperly applied regulator will cause a rapid loss of oxygen from the tank Line up two pins with two holes Make sure washer is in place Open the valve

“E” TANKS WITH BUILT IN REGULATORS : 

“E” TANKS WITH BUILT IN REGULATORS Advantages: 1. Less safety issues 2. Easier to transport 3. Regulator built in 4. Easier to carry 5. You do not need an “E” cart with protective collar or neck ring

PULSE DOSE TECHNOLOGY : 

PULSE DOSE TECHNOLOGY USES LESS OXYGEN Will deliver a fixed volume each time the conserver is triggered Some devices are pneumatic and some require batteries Patient must breath nasally Some conservers can be switched to continuous flow

A BETTER UNDERSTANDING OF CONCENTRATORS : 

A BETTER UNDERSTANDING OF CONCENTRATORS Again ambient room air is 21% oxygen Room air is 78% nitrogen The concentrator has two tanks filled with Aluminum Silicate that absorbs nitrogen The storage tank on the concentrator is filled with oxygen,97-98%, when the nitrogen is removed Concentrators flow rates between 1-10 LPM Patients can move around easier with longer lengths of oxygen tubing

TROUBLE SHOOTING A CONCENTRATOR : 

TROUBLE SHOOTING A CONCENTRATOR Is the concentrator plugged in, wall switch on Is the flow on zero LPM Is tubing twisted or pinched Is humidifier bottled attached properly Is the filter dirty

HOME FILL UNITS : 

HOME FILL UNITS Composed of a concentrator on the bottom and fill unit on top Fills a portable C-tank and pulse dose regulator Liter flow of concentrator must not be set past 2 LPM when filling Concentrator can be used by patient while filling portable tank

LIQUID OXYGEN : 

LIQUID OXYGEN Liquid is transferred to a Helios unit along with pulse dose regulator Can last up to two weeks depending on consumption rate Portables fill directly from stationary unit Not always covered by Medicare No power source is needed

USING OXIMETRY : 

USING OXIMETRY The finger pulse oximetry is applied to finger and reads oxygen saturation levels in the tissues The oxygen level should be higher than 90 Having the oximeter allows the patient to have a better feeling of well being. Allows the patients to know what he can and should not do with activities