吸氧注意事项-王娟.ppt

Partial Rebreathing Mask 優點 FiO20.6 能保存從生理死腔吐出之氧氣 可加熱加濕 缺點 流速不足會導致二氧化碳再吸入 患者產生恐怖感 妨礙進食吐痰 眼睛乾燥與刺激 嚴重呼吸困難者，可能造成每分鐘換氣量不足 FiO2: 60%~80% ; O2: 8~15 L/min 低流量面罩 Typical low flow mask. This mask is ideal for providing high concentrations of oxygen (40-60%). The flow rate of oxygen required to achieve an approximate FiO2 is shown on the mask packaging Venturi 優點 提供正確氧氣濃度 可避免氧氣太高造成之呼吸抑制 不同接頭有不同氧氣濃度(24,28,31,35,40, 50%) 缺點 面罩太緊會不舒服 患者產生恐怖感 妨礙進食吐痰 眼睛乾燥與刺激 　 1、Venturi 面罩法 是一种特殊设计的供氧面罩，利用氧射流产生的负压从面罩侧孔带入一定量的空气，以稀释氧气．达到规定氧浓度的要求，吸入氧浓度可按需调节并能保持稳定。适用于严重的呼吸衰竭病人。 每个阀有不同的固定的氧浓度 High flow oxygen mask and series of venturi valves. The flow rate of oxygen required to provide a fixed concentration of oxygen is shown on each valve  Non-rebreathing mask 優點 可提供超過80%的氧氣 有一單向瓣膜防止吐出之空氣混入 缺點 面罩太緊會不舒服 患者產生恐怖感 妨礙進食吐痰 眼睛乾燥與刺激 易造成二氧化碳滯留 FiO2: 80%~90% ; O2: set to prevent collapse of bag Rebreathing and anaesthetic type oxygen masks Partial rebreathing masks incorporating non-rebreathing valves and reservoir bags are not in common use but can provide concentrations greater than 60% at low oxygen flow rates. In cardiac or respiratory arrest, tight fitting anaesthetic-type masks can achieve 100% oxygen, but prolonged use risks oxygen toxicity and reabsorption atelectasis. 非重复呼吸面罩The Non Rebreathing Mask provides a high concentration of oxygen and the reservoir bag allows for adequate oxygen to be available to meet the unpredicted patient’s breathing pattern and tidal volume. It is mainly recommended for Paramedic and Accident Emergency departments. Delivery of 99% to 100% Oxygen Concentration High Concentration at a Flow Rate of 15 LPM Flexible Plastic Mask with Elastic Head Strap Incorporated Oxygen Resevior Bag Oxygen Tubing Supplied and Pre-Connected Latex Free （5）机械通气给氧法：即用各种人工呼吸机进行机械通气时，利用呼吸机上的供氧装置进行氧疗。可根据病情需要调节供氧浓度（21%～100%）。 Copyright ?1998 BMJ Publishing Group Ltd. Bateman, N T et al. BMJ 1998;317:798-801 No Caption Found 无创辅助通气Non-invasive assisted ventilation Supplemental o