Method
of
Oxygen Inhalation
1. Nasal catheter
2. Nasal cannula
3. Mask
i. Venturi mask
ii. Partial rebreather mask
iii.Non rebreather mask
iv.Aerosol mask
4. Tent method
5. Hood method
Nasal catheter
❖Most common method of O2 inhalation.
❖4-6 F size catheter
❖2% xylocaine
❖Clean both nostril with 1% soda bicarbonate
before insert nasal catheter.
❖Flow rate: 1-4 Lit/min
❑Position:
• Rose position: Where patient lying on back (as
supine) and head in hyper extended.
• High fowler’s position: Where head end of bed
elevated at 75-90 degree angle.
❖X-ray for assess accurate placement of nasal
catheter.
❑Procedure:
Tip of nose to ear lobe
Apple xylocaine on tip of nasal catheter
Insert catheter in left nostril
Insert catheter till uvula
Placement check by X-ray
❑Advantage:
• Prevent risk of leakage of O2.
• Catheter produce low flow rate of O2.
• 22-30% O2 concentration delivered to patient.
Nasal cannula
❖Also known as nasal probe.
❖1.5 cm length, 2 probe are apply in nose.
❖Cannula use in minor respiratory problem of a
patient.
❖Use in chronic respiratory disease. (COPD)
❖Nasal cannula use long time for O2 inhalation.
❑Position:
• Semi fowler’s or low fowler’s: Head end of the
bed elevated at 30 degree angle.
❖Nasal cannula is the commonest method of O2
inhalation use for a patient who is anxious.
❖Flow rate: 1-6 Lit/min
❖In COPD patient 1-2 Lit/min
Venturi mask
• Venturi mask provide accurate concentration of
O2 to patient.
• Provide high concentration of oxygen from 24-
60% at 2-15 liter per minute.
• This device uses different size adaptors
(according to color code) to deliver a fixed Fio2.
Partial rebreather mask
• Small quantity of CO2 again inhale by mask
after exhale.
• 70 to less than 90% O2 concentration delivered
to client.
• Partial rebreather mask is provided in toxicity of
O2 by higher concentration on mask.
Non rebreather mask
• Also known as higher concentration mask.
• This mask provide 100% concentration of O2 to
patient.
• Flow rate: 15 lit/min
• 2 lit capacity of reservoir bag of O2 use with non
rebreather mask.
Aerosol mask
•Provide higher humidity oxygen to the
patient.
•Used in facial burn patient.
Tent method
• Made of plastic material because plastic are not
absorb the oxygen.
• Tent use for burn patient.
• Flow rate: 6 lit/min
• 2% acetic acid use for disinfection the tent.
Hood method
• Use for neonate or infant.
• An oxygen hood covers only the head of the
infant.
• Flow rate: 1.5 lit/min
Complication with Oxygen inhalation
❑Fire:
• Due to leakage of higher concentration of oxygen.
• RACE is priority nursing action after observe fire in
patient unit.
➢R: Rescue (remove causality of patient)
➢A: Alarm
➢C: Confine (close door and window to pass out the
air)
➢E: Extinguisher
❑Retrolental fibroplasia:
• Formation of fibrosis in retinal blood vessels of a
premature/newborn child where child can be
blind.
• Cause is higher concentration of oxygen.
❑Atelectasis: collapse of lungs alveoli.
❑Induced apnea: Temporary stoppage of
respiration due to imbalance between CO2 and
O2 concentration in blood or O2 toxicity by
higher concentration mask.
• Apnea normal is 10-15 seconds, if apnea one
minute it means fail/injury to medulla oblongata.
