Pediatric- Patient BaggingRegister Today!
- by kdavispn Jul 14, '12Hello nurses! I need to know the rationale for not bagging a patient with a concentrator. This is just FYI info for me. Thanks in advance.
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- Jul 14, '12 by marycarneyCould you explain what you are asking a little better? I'm not sure what you mean by 'not bagging' - DNR or something else?
- Jul 14, '12 by frankie,RNdo you mean for oxygen flow?
- Jul 14, '12 by tothepointeLVNYou mean hooking up the O2 condensor to the bag and using that for the oxygen source. We are happy to help but we need to narrow down the question a little bit.
- Jul 14, '12 by kdavispnOk. I was told by respiratory, that when bagging the patient, you never hook the bag up to an 02 concentrator. So my question is, what is the rationale for this? I don't bag with a concentrator, but I wondered why you wouldn't, that's all.
- Jul 15, '12 by tothepointeLVNI'm always wary of the word never. Was this made as a sweeping statement or for a specific patient? The two things I can think of off the top of my tired head is to keep the FiO2 % at a certain level or perhaps more simply not wasting the time hooking it up in an emergency situation.
Vent patient? Trach patient?
- Thank you ladies. I found the answer. Respiratory was saying during respiratory arrest don't use a concentrator. That you have to use a tank. I was fine with this, but i wanted to know the rationale to help it stick in my brain. It was a test question.
- Apparently, you can't use a concentrator if your patient is in cardiac arrest because the oxygen flow rate is not high enough.
- She was saying for both.. Trach and vent period. And I pulled a procedure manual for using a concentrator online, it stated:
They should NOT be located by the Resuscitation trolleys or in casualty departments. Patients who require high levels of oxygen such as acute asthmatics or in the event of cardiac/respiratory arrest should be treated with high flow oxygen either via an oxygen cylinder or piped oxygen( see oxygen clinical protocol)
- Jul 15, '12 by tothepointeLVNIt's a lot easier to crack open a tank in an emergency too and the condensors usually only go up to 10L. I've worked with patients that have had two hooked together to get 15L for a regular situation but that took some time to hook up correctly.
Unless of course the tank is in the closet.