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ROL DE ENFERMERIA OXIGENOTERAPIA

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ROL DE ENFERMERIA OXIGENOTERAPIA

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Created by

Edith Carolina Giron Guaca
Edith Carolina Giron Guaca
Colombia

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ROL DE ENFERMERIA OXIGENOTERAPIA
 

ROL DE ENFERMERIA OXIGENOTERAPIAOnline version

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by Edith Carolina Giron Guaca
1

"Soy un sistema de bajo flujo, puedo entregar hasta 6 L/min y permito que el paciente hable y coma. ¿Quién soy?"

2

"Tengo bolsas laterales y válvulas unidireccionales para evitar la reinhalación de CO2. Puedo entregar FiO2 cercanas al 90-100%." ¿Quién soy?

3

Instrucciones: Analiza si la conducta de enfermería es Correcta o Incorrecta Caso A: Un paciente con EPOC exacerbado llega con saturación de 84%. El enfermero decide colocarle una máscara de reservorio a 15 L/min inmediatamente.

4

Se utiliza un humidificador con agua estéril para una máscara simple que está funcionando a 8 L/min.

5

Don Alberto, 72 años, antecedente de EPOC (GOLD Grado 3). Ingresa por aumento de disnea, expectoración purulenta y somnolencia.Signos Vitales: FR: 28 rpm, FC: 110 lpm, SpO2: 82% (aire ambiente). Gases Arteriales Iniciales:pH: 7.28 PaCO2: 60 mmHg (Elevada/Hipercapnia) PaO2: 52 mmHg (Baja/Hipoxemia) HCO3: 28 mEq/L ¿Cuál es el dispositivo de oxigenoterapia más adecuado para iniciar el tratamiento de Don Alberto y por qué?

Explicación

En pacientes con EPOC, el exceso de oxígeno puede suprimir el impulso respiratorio hipóxico y causar narcosis por CO2. Se debe iniciar con Canula nasal o Venturi para controlar la FiO2 meta (88-92%).

El oxígeno es un gas seco e irritante; flujos altos requieren humidificación para evitar lesiones en la mucosa.

En pacientes con EPOC e hipercapnia, el objetivo es una saturación meta de 88-92% el sistema venturi permite dar una FIO2 exacta y evita que suba más la PaCO2.. Un exceso de oxígeno (como el de la opción A) puede empeorar la retención de CO2.

 
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