Non rebreather mask

  1. 0
    Lets say you walk into a room and a patient is on a non-rebreather mask, the bag is inflated, but the patient is hooked up to an O2 concentrator that only goes up to 5 Liters and it is on 5 liters.

    When I saw this I switched the patient to a nasal cannula, family agreed this would be much more comfortable and patient can talk better and blow her nose better etc. She is a hospice patient.

    So she had been on the non-rebreather set up all night like this with the 5 liter set up. Patient is dying, has heart disease and MRSA.

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  2. 4 Comments...

  3. 0
    What ever makes the PT more comfortable. I would notify RT is I were you
  4. 0
    I would notify the RT as well. Why was the pt on a NRB to begin with? Generally, pt's are put on a NRB when they require a higher O2 concentration (if this had been the reason they were wearing the NRB, a nasal cannula wouldn't have cut it - but I suspect that the pt was placed on the NRB by someone who didn't really understand what they were doing). As long as the pt was comfortable I don't see a problem with the nasal cannula for them; certainly it's easier on the pt than wearing a NRB (and a NRB should be used at a minimum of 10LPM. I usually just turn the flowmeter on flush).
  5. 0
    Quote from Vtachy1
    Lets say you walk into a room and a patient is on a non-rebreather mask, the bag is inflated, but the patient is hooked up to an O2 concentrator that only goes up to 5 Liters and it is on 5 liters.

    When I saw this I switched the patient to a nasal cannula, family agreed this would be much more comfortable and patient can talk better and blow her nose better etc. She is a hospice patient.

    So she had been on the non-rebreather set up all night like this with the 5 liter set up. Patient is dying, has heart disease and MRSA.
    just remember that it is important to keep our patients with minimal FiO2 q requires not finish it so be patient to avoid complications inecesarias. Greetings ...
  6. 0
    End-of-life care is tricky, but I would have done the same thing.

    Consulting RT is also a great idea. Considering they will be frustrated when they come do an assessment on a patient in a different situation than was signed-off to them and it keeps the line of communication open between you and them for any more consult needs.


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