I’m looking for some advice for my dad. He was recently discharged from the hospital and will be on oxygen temporarily until his clinical picture improves. He lives in a very dry part of the country and has been having terrible nose bleeds, but needs his oxygen. Afrin and topical ointments haven’t helped much.
My idea is to make a bubbler at home: take a jar, fill it halfway with sterile water. Cut two holes in the lid. Cut the nasal cannula tubing in half, put the concentrator side IN the water (so the bubbles go through the water) and the patient side in the jar, above the water line. Seal any leaks around the tubing so it’s air tight. Then set the jar in a warm water bath in a crock pot set on low.
Anyone have a better idea?
Edit: they live in a rural part of Texas that was recently hit by the ice/snow storm. It was a shit show. He was discharged Thursday and they still have not heard from their home care company, concentrator and O2 tanks were sent home from the hospital. They’re on a boil-water alert for their tap water, no bottled water available. 45mins away from closest (shitty) hospital, 90 from a good one. Nothing on amazon is available to be delivered to their area until the 28th at earliest. I’m across the country working in one too. I’m trying to find a solution that’s good enough for now with supplies available either at home or in their very small town.
I set it up for the first time the other day. Sadly, it was for me. Moral of the story: liquid hand sanitizer can splash & burn like hell
New RT here. Doctor ordered 2L NC with 4L simple mask. I don’t get it? Why not just 6L simple mask?
Tomorrow Cindy Lou Who is going to be 32 weeks gestationally, and the doctor is going to start nasal cannula trials to wean her off the cpap. It's only going to be for two hours but I'm absolutely nervous. She has so many spells (usually self recovered), I get that's normal gestationally, but I also feel like that means she's not ready for the cannula.
Also, does anyone else have a fiesty baby that loves pulling out their cpap? Wouldn't the cannula be even easier to pull out?
The main benefit that I get from my CPAP is that the humidified air helps to keep my nasal passage clear. Unfortunately, I have a lot of trouble with the headgear itching, so it's tough to keep my nasal mask on all night.
I'd like to experiment with wearing a much more minimal nasal cannula, of the type usually used with oxygen concentrators. Example: https://www.1800cpap.com/oxygen-nasal-cannula-with-7-tubing . My plan is to set my Dreamstation to a fixed single pressure, and wear the cannula to blow humidified air up my nose. I'll try it out, see how I feel, and measure my SPO2 overnight.
a) Has anyone else tried anything like this; and b) does anyone know how to go about attaching an oxygen-concentrator-style cannula to a CPAP? I am not having much luck finding an adapter.
Yes, I know there are nasal prong masks made for CPAP, but they all come with bulky headgear and are designed to seal within the nostrils. The oxygen concentrator style mask does not seal - the prongs just sort of sit loosely within the nose.
My 1 month old daughter came home with an o2 tank and is currently on it 23/hours a day. As she’s been getting more active the tubes have been irritating her more. She isn’t grabbing at them or anything but she’s moving her head back and forth quiet a bit and it seems to be rubbing her poor nose raw despite the pads keeping the line in place. The pads themselves are also leaving permanent marks on her face that I’m concerned about since she has such delicate skin.
Has anyone else dealt with this? Is their anything I can do to help her? I’m scared her nose might start bleeding if it gets chaffed any more
every few minutes or so she keeps taking it out. does anyone know why or is it one of those things thag just happen
Is it possible to swim laps in a pool with a nasal cannula?
My father loved swimming competitively in his youth, but he is hesitant to even go near a pool now. He wouldn’t be competing in any events, but is there a way for him to swim laps back and forth in a pool with his cannula?
I have a patient who is barely eating and NG tube feeding would be beneficial but the problem is (or maybe not), they are on Opti flow oxygen. Is it possible to provide NG feeding with nasal cannula oxygen such as Opti flow?
Edit: I would prefer to not go the peg route as its a more invasive surgery and im hoping the patient's intake will improve (even though I don't see it happening soon) but now im considering it.
Hello everyone! First off -- this community is amazing! So much love and support. Thanks to everyone here.
I assist with care for my grandmother, who has dementia, as well as COPD. Due to her advanced COPD, she needs to wear nasal cannula for oxygen 24/7. The past few weeks, she has been taking off her oxygen multiple times a night, which is extremely dangerous (and potentially deadly) for her. We have spent a long time talking to her about it and explaining how dangerous it but of course, that has not worked. She was prescribed lorazepam to sleep through the night but was still taking off her oxygen and it made her incredibly weak and out of it so we have since taken her off.
I was wondering if anyone else had faced a problem like this and if you had an advice or suggestions? She does take her oxygen off sometimes during the day but its not a big issue as we can catch it pretty quickly and have her put it back on. We do not have full time care, she is at home with us, so it's been impossible to monitor her all night long -- even when we do manage to catch her and get it back on at night, she always just takes it off again.
Again, any advice/ideas/suggestions would be GREATLY appreciated!!!
Thank you so much.
I could swear that it’s within the scope of practice for an RN to change the O2 flow rate as needed up to 6 L, and change the delivery method. But one of the doctors on my unit has decided we have to get an order to go above 2 L nasal cannula because he thinks that we have a (in his own words!) “Doctor Jr. complex.” And that we will kill patients by over oxygenating and causing them to “drift away.”
Am I crazy to think it’s totally unnecessary for me to call a Dr. at 3am to ask to give my pt 3 L nasal cannula because they desat to 86 when they sleep on 2 L?
My 1 month old daughter is currently on oxygen 23/hours a day and as she’s been getting more active the tubes have been irritating her more. She isn’t grabbing at them or anything but she’s moving her head back and forth quiet a bit and it seems to be rubbing her poor nose raw despite the pads keeping the line in place. The pads themselves are also leaving permanent marks on her face that I’m concerned about since she has such delicate skin.
Has anyone else dealt with this? Is their anything I can do to help her? I’m scared her nose might start bleeding if it gets chaffed any more
I have a patient who is barely eating and NG tube feeding would be beneficial but the problem is (or maybe not), they are on Opti flow oxygen. Is it possible to provide NG feeding with nasal cannula oxygen such as Opti flow?
Edit: I would prefer to not go the peg route as its a more invasive surgery and im hoping the patient's intake will improve (even though I don't see it happening soon) but now im considering it.
