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Asked by BarristerArt6851

Patient Information
Jessica Fong is an active 30 year old who was involved in a motor vehicle accident. She sustained a closed head injury, and a fractured right tibia and fibula, which required an ORIF (Open Reduction and Internal Fixation). Her other injury is a perforated bowel. She has had a laparotomy and loop ileostomy formation. After surgery she developed a paralytic ileus.
Medical/Surgical Issues:
• Closed head injury
• # right tib/fib – ORIF now using a walking frame
• NGT (Nasogastric tube) – for paralytic ileus
• Loop ileostomy
• Surgical abdominal wound
 

 

Q1

Jessica’s SpO2 drops to 87% on room air (RA). The doctor has prescribed 6L/min of oxygen therapy.
a) What device would you use to deliver this oxygen? Hint:it is not an oxygen concentrator 

 

Q2

C) Given that oxygen is considered as a medication, what are the 6 rights of oxygenation you would check before applying oxygen for Jessica?

1,hint: right pateint

2,

3,

4,hint: right flow rate 

5,

6,hint:right delivery device 

 

Q3

You have applied the oxygen therapy. Provide three (3) nursing interventions you may initiate at this time to promote oxygenation for Jessica. hint: it is not chest physical therapy,nasal cannula or extubation
 

Q4

It is decided to continue oxygen therapy for Jessica. What are 2 (two) further nursing interventions you would initiate for long term oxygen therapy?

SCIENCE
HEALTH SCIENCE
NURSING
HLTENN 005

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