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hello everyone I am Shekinah Aquino
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maranga and today I am going to perform
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oxygen therapy Administration via nasal
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cannula return demonstration
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oxygen therapy is the administration of
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supplemental oxygen to help people with
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lung diseases or breathing problems get
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the oxygen they need for their body to
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function supplemental oxygen is
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indicated for people who have hypoxemia
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because of impaired oxygen diffusion
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across the respiratory membrane
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hyperventilation or significant lung
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tissue loss as a result of tumors or
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surgery
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people who have severe anemia blood loss
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or other illnesses where there aren't
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enough red blood cells or hemoglobin to
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deliver oxygen may also require oxygen
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supplementation
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now for the preparation phase the first
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thing to do is to check and verify the
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doctor's order this is done to ensure
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that we are going to administer the
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right medication or treatment to the
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right patient for the correct reason the
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primary care provider who prescribes the
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oxygen therapy will also include or
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specify in the order the concentration
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the method of delivery and depending on
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the method the litter flow per minute
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next we'll have to perform a respiratory
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assessment to establish a baseline data
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if data is not readily available so what
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we would want to do is to inspect the
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color of the patient's skin and mucous
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membranes whether the whether cyanosis
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is present in inspect for presence of
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mucus or sputum production and impedance
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of airflow observe for the patient's
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breathing patterns if the patient is
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experiencing the kidney or bradynia
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which are abnormally rapid or slow
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breathing patterns also observe the
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patient's chest movement and chest wall
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configuration listen for the long sounds
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and watch out for other irregularities
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it is also very important for us to
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determine the patient's Vital Signs
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especially the pulse rate and
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respiration rate along with its death
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and Rhythm and if diagnostic studies are
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available we should also check that such
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as
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um
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cbcs
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oxygen saturations abgs x-ray results or
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pulmonary function tests next we'll have
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to assist or we'll have to prepare the
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patient and the support people first to
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have to assist the patient to a
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semi-fowler's position for this position
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permits easier chest expansion hence
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easier breathing okay sir I am going to
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raise the head of your bed slightly so
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that you will be in a moderate high back
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rest position
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okay after doing that explain that
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oxygen is not dangerous when safety
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precautions are observed and inform the
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patient and they support people of the
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precautionary measures they have to
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follow taking safety precautions is
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crucial when receiving oxygen treatment
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or oxygen therapy because while oxygen
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cannot burn or explode on its own it
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does facilitate combustion and more
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frequently people are unaware of its
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presence because it does not have a
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taste smell or color that is why client
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education is highly significant also
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precautionary signs saying no smoking
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oxygen in use should be placed on the
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door or on the foot or head of the bed
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or on the oxygen tank or somewhere where
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it could be easily seen by everyone
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especially by visitors so they become
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aware and take caution so here is our no
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smoking sign oxygen use
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okay also remind the
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um people or the visitors about these
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precautions okay ma'am sir since our
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patient is going to receive oxygen
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therapy I would like to remind all of us
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that lighting or smoking cigarettes
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inside is strictly prohibited it is
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against the hospital policy and it is
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very it is very dangerous because it
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could cause fire and explosion of the
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oxygen tank also I encourage you not to
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use volatile or flammable materials such
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as oils greases alcohol after and
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acetone near our patient and our
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electrical electrical devices such as
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our phones and earpods or anything that
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needs to be
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um that needs to be plugged in should be
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in good working conditions so that
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short-circuited Sparks are avoided for
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the same reason that it could cause
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fires and explosion now for emergency
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cases we have are fire extinguishers of
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standby and and I hope all of us are
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clear on this and I thank you all in
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advance for following this safety
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protocols
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now the preparation phase is done I am
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going to proceed with the performance
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proper of the
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um administration of oxygen therapy now
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for this part the first thing to do is
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to introduce myself to my patient verify
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my patient's identity explain the
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procedure to the patient why is it
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important and how he can participate and
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discuss the effects of oxygen therapy be
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used in planning further care or
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treatment
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good morning sir I am shikaina maranga I
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am your student nurse today how are you
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doing
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okay
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um do you know where you are can you
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tell me your name and birthday
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okay
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um so as per your doctor's order
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um we'll be giving you a supplemental
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oxygen we have noticed that your oxygen
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saturations are quite below normal and
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so we are going to try and correct that
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by giving you oxygen you don't have to
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worry you just have to relax we'll be
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using nasal cannula this procedure it
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will not hurt at all
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um and it will not restrict your ability
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to eat or speak or to move but I still
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encourage you to move more carefully to
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avoid
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um accidentally removing the nasal
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cannula that we'll be placing inside
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your nostrils do you have any questions
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okay after that I am going to perform
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hand hygiene and observe other infection
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prevention procedures to deter the
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spread of microorganisms and to protect
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my patient and myself from infection and
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cross-contamination
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okay now after doing that I am going to
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provide privacy for my client to
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preserve his dignity and integrity by
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closing the door or curtains
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foreign
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this will also provide some comfort for
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the patient as well next I am going to
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proceed with setting up my oxygen
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equipment and humidifier so in
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healthcare settings there are two ways
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in which oxygen can be supplied it could
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either be through portable systems such
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as cylinders or tanks or it could be
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through a wall outlets but for this
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return demonstration I am going to be
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utilizing an oxygen tank
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here
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so I what first thing to do is to
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connect the flow meter to the oxygen
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tank it should be in the off position so
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here is the flow meter
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so this flow meter is a device that is
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used to measure or control the flow of
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oxygen from the oxygen distribution unit
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which is our oxygen down to our oxygen
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user
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if needed we'll have to have a
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humidifier bottle pre-filled with
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distilled or sterile water depending on
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agency protocols and it should be
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prepared prior to coming to the
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patient's bedside so this is the
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humidifier bottle
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and this humidifier will be placed below
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the flow meter gauge
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so that the oxygen will first pass
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through the water pick up vapor and then
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through the prescribed oxygen tubing of
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the patient
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so this is important because sometimes
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when we administer oxygen this could
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cause drying and irritation of the nasal
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mucosa and to prevent that we have this
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humidifier
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now after doing that I am going to
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connect my prescribed oxygen tubing and
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delivery device to the humidifier so
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there's a lot of types of oxygen tubing
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and delivery device but for today I'll
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be using the nasal cannula
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okay so this nasal cannula is the most
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common and inex inexpensive type of or
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device used to administer oxygen it is
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easy to apply it does not restrict the
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patient's ability to eat or speak it is
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relatively comfortable it is it permits
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some freedom of movement and it is well
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tolerated by clients now this nasal
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cannula delivers relatively low oxygen
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concentration at 24 to 45 percent with
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flow rates of two to six liters per
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minute
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I am now going to connect this um
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tubing into the humidifier
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okay after having everything connected
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um next thing to do is to turn on the
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oxygen and ensure proper functioning so
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um there the oxygen must be flowing
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freely through the tubes there should be
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no Kinks
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um in the tubing and the connections
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should be airtight and there should be
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bubbles forming or appearing in the
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humidifier as the oxygen flows through
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and you should feel the oxygen coming
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out of the cannula Outlets okay so I'm
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going to turn on my oxygen
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and then feel for the
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oxygen coming out of the outlets to the
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back of my hand
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okay and after doing that after ensuring
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that it is functioning properly we can
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now proceed with
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um
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having the oxygen at the prescribed flow
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rate so our flow meter has a ball inside
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which will float when the oxygen is
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turned on so the line for the prescribed
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flow rate should be in between the ball
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so for this demonstration our flow rate
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is at 2 liters per minute
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okay now that we're done setting up the
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equipment
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um next thing to do is to appropriately
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apply this nasal cannula to our patient
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so what we're going to do is to put the
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cannula over a patient's face with the
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uh Outlet prongs into the nears and the
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tubing hooked around the ear so as you
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can see or as you can observe our
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um the cannula Outlets has a slight
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curve in it so this should be placed
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into the layers like this okay so proper
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um fitting of the cannula into the nails
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will ensure correct and accurate
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administration of oxygen
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okay sir I am now going to place this
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cannula into your nostrils
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okay after placing the cannula into the
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nears
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um if the tubing wouldn't stay in place
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we can tape it to the patient's side of
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the face to keep it steady and secure
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and we could also Pat the tubings over
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the areas of the face and the ears to
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avoid skin irritation caused by friction
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of the tubing against the skin
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and we're done for that part okay sir so
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um is the cannula comfortable is it too
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tight or too loose okay
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um just relax I encourage you to breathe
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through your nose and then out through
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your mouth so that you can get the
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maximum amount of oxygen that we are
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trying to give your body okay and just
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relax I am going to stay here with you
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to monitor your condition
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now I am going to proceed with the
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assessment phase first we'll have to
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assess the patient's Vital Signs level
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of anxiety color ease of respirations
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and provide support while the client
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adjusts to the device so we should also
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take note for any signs of respiratory
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distress such as the kidnia nasal
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flaring use of accessory muscles when
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breathing and dyspnea
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and then next we'll have to assess the
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patient every 15 to 30 minutes depending
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on the client's condition this is also
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done to assess the effectiveness of the
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oxygen therapy we'll have this as the
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client regularly for clinical scientific
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hypoxia of tachycardia confusion
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um dyspnea restlessness and cyanosis
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which refer to happen we'll have to
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check first if our oxygen tubing is
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still connected to our flow meter or if
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our flow meter is still at the
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prescribed flow rate or maybe somebody
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stepped on the tubing and disconnecting
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it to the flow meter or if our oxygen
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has been accidentally turned off
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now we should also check for our
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patients oxygen saturation and arterial
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blood gas results if they are available
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to monitor if the condition of the
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patient has improved remained or
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declined next we'll have to proceed with
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the assessment of the cannula we'll have
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to assess the patient's snares if
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encrustations or irritations are present
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so if there is any we can provide
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immediate treatment and relief so
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looking at my client I don't see any
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signs of infrastrations or irritations
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next is to apply a water-soluble
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lubricant as required to soothe the
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membranes of the patient so here I have
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a nasal lubricant this is uh for you we
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have we need to apply this to your nasal
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area so that we can maintain its
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moisture and avoid irritation and drying
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is it okay
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next we'll have to inspect the areas of
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the skin of the patient especially the
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ears for any signs of irritation so if
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there is any we can fad the tubing or
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place pads over those areas
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next we'll have to check on the
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equipment regularly we'll have to check
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the flow rate and the level of water are
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remaining on the humidifier to every 30
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minutes or every time we are providing
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care for the patient this is done so
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that we can ensure that we are
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administering the accurate concentration
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of oxygen continuously and that moisture
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inside the nasal Migos membranes are
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maintained and then after that we also
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should should check if everyone
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especially the visitors are following
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these safety protocols we have just
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mentioned earlier and then we are going
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I am going to perform hand hygiene and
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Aftercare of the equipments that I use
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to deter the spread of microorganisms
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okay and then lastly I am going to
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document the procedure that I have just
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executed this is done to help the
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multi-disciplinary team offer excellent
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care appropriate documentation
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accurately reflects nurses evaluations
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uh changes in clinical status care given
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and other important patient information
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that is all for today thank you all for
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listening and watching I hope you all
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have a good day
