Oxygenation, Blood Glucose, SQ insulin Check-off

Nursing Considerations for Nasal Cannula

assess for dryness of nasal mucosa or behind ears skin breakdown, for flow greater than 4L, add humidity, encourage client to take slow, deep breaths through their nose, least precise

FiO2 and Liters/min for Nasal Cannula

24-48%: 1-2L

32-36%: 3-4L

40-44%: 5-6L

goes up by 4 FiO2/L

Nursing Considerations for Simple Face Mask

do not use for flow rates less than 5L to prevent retaining CO2, not easily tolerated, makes clients feel hot, must be removed for talking/eating/drinking, encourage client to take slow, deep breaths to inhale more oxygen, exact FiO2 is difficult to estimate

FiO2 and L/min for Simple Face Mask

35-60%

5-10L (min of 6)

Nursing Considerations for Nonrebreather Mask (NRB) with reservoir bag

one way valve keeps exhaled air from entering the reservoir bag, reservoir bag is pure oxygen inhaled, inflate reservoir bag 1/2 full prior to application, not easily tolerated, must be removed to talk and drink and eat

FiO2 and L/min for NRB Mask

80-95%

10-15L - keep bag 2/3 full

Nursing Considerations for Face Tent

large, open mask that fits under chin, less reliable for delivering precise FiO2, provides moderate to high aerosol delivery for humidification, usefull for claustrophobic, post-op facial and facial trauma

FiO2 and L/min for Face Tent

24-100%

At least 10L

Nursing Considerations for OxyMask

oxygen flow is mixed with RA, CO2 exits through mask openings, more comfortable, safer, no need for humidity

FiO2 of Room Air

21%

Needle Size for insulin

1/2-5/8"

25-31 gauge

FIO2 and L/min for OxyMask

24-90%

2-15L