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Summary

In this informative video, Dr. Ardi Pramono, an anesthesiologist, explains the purpose and procedure of oxygen therapy. He discusses the necessary tools such as nasal cannulas, NRMs, and oxygen tanks, as well as the steps for administering oxygen to patients. Emphasizing safety, he highlights the importance of using sterile equipment and monitoring oxygen levels with an oxymeter. Dr. Pramono also demonstrates proper techniques for attaching nasal cannulas and NRMs, ensuring comfort and effectiveness for patients. The tutorial concludes with a reminder to carefully monitor patients' oxygen levels during therapy.

Takeaways

• 😀 Oxygen therapy is a method of administering additional oxygen to patients using a higher concentration than the surrounding air.
• 😀 Proper sterilization of all equipment is essential, and only new or properly sterilized tools should be used.
• 😀 Common tools for oxygen therapy include a nasal cannula (for up to 5 liters per minute), NRM (non-rebreather mask, up to 10-15 liters), and an oxymeter to monitor oxygen levels.
• 😀 For patients with abnormal oxygen levels, an Ambu bag with a face mask or intubation with an endotracheal tube may be required.
• 😀 Oxygen tanks should be checked before use to ensure they are properly filled, indicated by the green area on the meter.
• 😀 The oxygen flow should be adjusted according to the patient's needs, with NRM requiring 10-15 liters per minute and nasal cannula requiring 2-5 liters.
• 😀 When setting up the NRM, it is important to inflate the bag fully before placing it on the patient.
• 😀 When using a nasal cannula, it should be set at 2-3 liters per minute or up to 5 liters maximum, and positioned carefully in the patient's nostrils.
• 😀 Always turn on the oxygen supply before placing the device on the patient to avoid causing discomfort or trauma.
• 😀 Monitoring the effectiveness of oxygen therapy should be done using an oxymeter to ensure adequate oxygenation of the patient.
• 😀 The procedure should be done gently, with the patient being asked about comfort levels, and the devices should be adjusted for a secure fit without leakage.

Q & A

What is the purpose of oxygen therapy?

Oxygen therapy is a method of providing additional oxygen to patients, using a concentration higher than the ambient air, to support their breathing and improve oxygen saturation levels.

What equipment is needed for oxygen therapy?

The essential equipment for oxygen therapy includes sterile and new devices like a nasal cannula or NRM (Non-Rebreather Mask), an oxygen tank, an oxymeter to monitor oxygen levels, and possibly an Ambu bag with a face mask for emergency cases.

Why is it important to use sterile and new equipment for oxygen therapy?

It is crucial to use sterile and new equipment to avoid infection or complications that could arise from using previously used or unsterilized devices.

What is an NRM, and how is it used for oxygen delivery?

An NRM, or Non-Rebreather Mask, is a device used to deliver oxygen at high flow rates (10-15 liters per minute) to patients. The mask is connected to an oxygen source, and the bag is inflated before it is placed on the patient’s face.

How do you adjust the flow of oxygen when using an NRM?

The oxygen flow is adjusted using the oxygen tank’s regulator. For NRM, a flow of 10 liters per minute is typically set, which can go up to 15 liters per minute based on the patient’s needs.

What is the correct way to attach an NRM to a patient?

After setting the oxygen flow, the NRM mask is connected to the oxygen source, ensuring the bag is inflated. Then, the mask is securely placed over the patient's nose and mouth and tightened for a proper fit.

How is oxygen delivered using a nasal cannula, and what is the maximum flow rate?

A nasal cannula is used to deliver oxygen through the nostrils at a flow rate of 2 to 5 liters per minute. The oxygen flow should be adjusted before placing the cannula on the patient.

What precautions should be taken when using a nasal cannula?

Ensure the oxygen flow is set before placing the nasal cannula on the patient. The cannula should be positioned correctly in the patient’s nostrils, and the oxygen supply should be monitored throughout the treatment.

What is the role of an oxymeter in oxygen therapy?

An oxymeter is used to monitor the effectiveness of oxygen therapy by measuring the patient’s oxygen saturation levels. It helps ensure that the patient is receiving adequate oxygen.

When should an Ambu bag be used in oxygen therapy?

An Ambu bag is used for patients who are unable to breathe adequately on their own. It is used with a face mask to deliver oxygen manually and should be used in emergency situations.