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When to administer?
difficulty breathing
Shortness of breath
Signs / symptoms of hypoxia
O2 saturation below 92%
Delivering medication
NOT when an open flame is present
3 methods?
NRB Non rebreather mask 12-15 LMP
Nasal cannula 2-6 LPM
BVM Bag valve mask 25 LPM
NRB Non rebreather mask
12-15 LPM
Nearly 100% efficiency
Primary method for high flow rates unless patient actively vomiting or unable to tolerate
Assemble
Pre-fill reservoir bag by covering valve inside
Apply mask
Tighten nose and green strap so it’s snug, instruct patient to breathe normally
Nasal cannula
2-6 LPM
Use if NRB not tolerated, patient actively vomiting, NRB would hinder patient assessment
Assemble system and attach device
Tip of cannula in nostrils, pointed along nose shape
Tubing behind the ears, slide plastic ring to secure under chin
BVM Bag Valve Mask
‘Above 28 or below 8’ breaths per minute
Deliver gently over span of 1s, only until chest rise
1 breath every 5-6s