Pneumothorax Identify those patients at greater risk for development of a pneumothorax Implement protocols to decrease risk of pneumothorax in high risk patients Observe for: sudden, sharp chest pain difficult, rapid breathing abnormal chest movements on the affected side Nursing interventions include: Notify physician, follow physician's orders for patient management Chamber should not be decompressed until preparations are made for emergency decompression of pneumothorax Document assessments. Report patient assessment outcome to hyperbaric physician of: Monitor patient during HBO2 and document signs and symptoms of central nervous system oxygen toxicity including: elevated body temperature history of steroid use history of oxygen seizures high risk factors as appropriate Numbness and twitching Ringing in the ears or other auditory hallucinations Potential for oxygen toxicity Signs and symptoms will be Vertigo seizures related to delivery of recognized and promptly Blurred vision 100% oxygen at an increased addressed. Seizing patients will Restlessness and irritability atmospheric pressure suffer no harm. Nausea (Note: CNS oxygen toxicity can ultimately result in a seizure.) Change 100% oxygen source to air for patient if signs and symptoms appear and notify the hyperbaric physician. Protect patient during seizure. Potential for inadequate therapeutic gas delivery related to delivery systems and patient’s needs/limitations. Assess the patient’s condition, needs, and limitations for the best suited gas delivery systems: Monitor the patient’s response to the oxygen Signs and symptoms of inadequate delivery system, including ability to oxygen delivery will be recognized tolerate chosen system. and reported promptly. Assist the hyperbaric technician with the delivery system, as appropriate. head hood for children with facial deformities, or per patient preference (
Pneumothorax Identify those patients at greater risk for development of a pneumothorax Implement protocols to decrease risk of pneumothorax in high risk patients Observe for: sudden, sharp chest pain difficult, rapid breathing abnormal chest movements on the affected side Nursing interventions include: Notify physician, follow physician's orders for patient management Chamber should not be decompressed until preparations are made for emergency decompression of pneumothorax Document assessments. Potential for oxygen toxicity seizures related to delivery of 100% oxygen at an increased atmospheric pressure Signs and symptoms will be recognized and promptly addressed. Seizing patients will suffer no harm. Report patient assessment outcome to hyperbaric physician of: Monitor patient during HBO2 and document signs and symptoms of central nervous system oxygen toxicity including: elevated body temperature history of steroid use history of oxygen seizures high risk factors as appropriate Numbness and twitching Ringing in the ears or other auditory hallucinations Vertigo Blurred vision Restlessness and irritability Nausea (Note: CNS oxygen toxicity can ultimately result in a seizure.) Change 100% oxygen source to air for patient if signs and symptoms appear and notify the hyperbaric physician. Protect patient during seizure. Potential for inadequate therapeutic gas delivery related to delivery systems and patient’s needs/limitations. Signs and symptoms of inadequate oxygen delivery will be recognized and reported promptly. Assess the patient’s condition, needs, and limitations for the best suited gas delivery systems: Monitor the patient’s response to the oxygen delivery system, including ability to tolerate chosen system. Assist the hyperbaric technician with the delivery system, as appropriate. head hood for children with facial deformities, or per patient preference (
Standards-of-Care.docx