Many COPD patients have no history of smoking. What you are asking is whether high levels of oxygen are indicated for those with chronic lung pathologies. Regardless of WHY the patient is in distress, withholding oxygen to someone with demonstrated critically low oxygen levels does more harm than good. There are many confusing and contradictory statements made about oxygen delivery and many are based on bad assumptions.
To simplify the story:
1) one should have a means of determining low blood oxygen levels;
2) aim for a blood oxygen level of 90-94% or so;
3) just because you are delivering 100% oxygen in the mask doesn't mean that the patient is receiving 100% to the bloodstream (i.e. a 24% mask can deliver "too much" oxygen and a 100% mask may not deliver enough depending on their condition);
4) the conventional non-rebreather mask only delivers 55-60% oxygen at the best of times, proven by research;
5) most textbooks are not research and often quote oxygen levels using no references that support those claims (thereby perpetuating the myth);
6) the worst possible thing one can do is with-hold oxygen to someone demonstrating critically low blood oxygen levels...deliver what you can to get them to 90-94%.
A non-rebreather mask may not deliver enough oxygen to a patient as their condition worsens. Therefore, as long as you can demonstrate a "need" for oxygen, a non-rebreather mask may be perfectly acceptable and occasionally insufficient.
partial rebreather mask with attached with 1L reservoir bag that saves 1/3 of exhaled air, while rest gets out via ports covered with one-way valve. This allows patient to rebreathe some of the carbon dioxide, which acts as stimulator of breathing.
A nonrebreather mask (NRB) should have an oxygen flow rate of at least 10 liters per minute in order to deliver the maximum oxygen concentration.
The oxygen delivery device that provides the highest concentration of oxygen is the non-rebreather mask, which can deliver oxygen concentrations of up to 90-95%. This mask is used in situations where a high concentration of oxygen is needed, such as during severe respiratory distress.
COPD patient
As long as the patient needs it to improve oxygenation. The liter flow can be increased to 15L/min with a non-rebreather but if that's not sufficient the patient may need a cpap or bipap machine or even possible intubation.
There are numerous barriers; some more effective and safe than others. Short answer is 3 types; a mask, a non-rebreather mask, and a BVM. The older microshield and other types without a 1-way valve should no longer be used. At least, you want a CPR mask that has a 1-way valve. The next better would be the CPR mask with the O2 connection (and1-way valve). As you get more into the clinical setting, a non-rebreather and BVM would be the other types.
The best way to administer oxygen to a child in moderate respiratory distress is through a nasal cannula at a flow rate appropriate for the child's age and condition. Monitoring the child's oxygen saturation levels and adjusting the flow rate accordingly is important. Seek medical help if the child's condition does not improve.
nonrebreather more precise and delivers higher concentration Partial Rebreather Mask - Conserves oxygen - Can be administered in concentrations of 40-60% using flow rates of 6-10L - This is useful when oxygen concentrations must be raised - Cannot be used with a high degree of humidity - Not recommended for COPD patients - Should NEVER be used with a nebulizer Non-Rebreaqthing Mask - High concentrations of oxygen can be administered accurately - Oxygen flows into bag and mask during inhalation - Valves prevents expired air from flowing back into bag - Cannot be used with a high degree of humidity
The oxygen flow rate for a partial rebreather mask typically ranges from 8-15 liters per minute. This ensures an adequate supply of oxygen for the patient while allowing for some exhaled air to be rebreathed. The specific flow rate may vary depending on the patient's condition and needs.
A non-rebreather oxygen mask is commonly used with a reservoir bag. It is designed to deliver high concentrations of oxygen to patients in critical situations, such as respiratory distress, trauma, or severe hypoxia. The mask features a one-way valve to prevent exhaled air from mixing with the oxygen in the reservoir, ensuring that the patient receives nearly 100% oxygen. This makes it an essential tool in emergency care and acute medical settings. When selecting oxygen masks with a reservoir bag, it is important to consider high-quality, medical-grade options. I personally recommend ECONOMED, which offers a variety of oxygen masks and other medical supplies suitable for professional healthcare providers. Their wide range of products ensures that medical professionals can find the right equipment to meet the needs of their patients, while ensuring safety and efficiency in care.
The acronym NRB stands for "Non-rebreather mask". These are used in medical emergencies where the patient requires urgent oxygen therapy, as the mask allows higher concentrations of oxygen to enter the body.
Do not change any of the CPR steps for a quad patient. Having supplemental oxygen, using a BVM, or non-rebreather mask would be helpful.