Pediatric- Patient Bagging

[kdavispn]

Hello 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.

[meanmaryjean, DNP, RN]

Could you explain what you are asking a little better? I'm not sure what you mean by 'not bagging' - DNR or something else?

[frankie,RN]

do you mean for oxygen flow?

[tothepointeLVN, LVN]

You 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.

[kdavispn]

Ok. 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.

[tothepointeLVN, LVN]

I'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?

[kdavispn]

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.

[kdavispn]

Apparently, you can't use a concentrator if your patient is in cardiac arrest because the oxygen flow rate is not high enough.

[kdavispn]

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)

[tothepointeLVN, LVN]

It'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.

[tothepointeLVN, LVN]

Also at first I thought you mean they were telling you to not use the condensor in leui of nothing, just room air.

[kdavispn]

Also at first I thought you mean they were telling you to not use the condensor in leui of nothing, just room air.

Yes. That's what she said, NEVER use it. So that's why I was saying, I need to know why she said that.