Oxygen Therapy for Artificial Airway

1.  Assess patient's respiratory status, airway patency, and ABG results or SpO2.
2.  Review medical order for delivery method, flow rate, and duration of oxygen therapy.
3.  Perform hand hygiene, don gloves and goggles, and consider use of barrier gown.
4.  Attach T tube or tracheostomy collar to large-bore oxygen tubing and to humidified room air or oxygen source, if indicated.
5.  If oxygen is ordered, adjust flow rate to 10 L/min or as ordered, adjust nebulizer to proper FiO2 setting, and attach T tube or tracheostomy collar to endotracheal or tracheostomy tube.
6.  Monitor patient's response to changes in oxygen flow rate with pulse oximetry.
7.  Ensure that T tube does not pull on endotracheal or tracheostomy tube. Observe for secretions within T tube or tracheostomy collar. Suction as necessary.
8.  Observe oxygen tubing frequently for accumulation of fluid. If fluid is present, drain tube away from patient. Discard fluid in proper receptacle.
9.  Set up suction equipment at patient's bedside.
10. Remove gloves and goggles. Perform hand hygiene.
11. Observe patient for decreased anxiety, improved LOC and cognitive abilities, decreased fatigue, absence of dizziness, decreased respiratory rate, improved color, improved oxygen saturation and ABG levels, and return to baseline vital signs.
12. Observe position of oxygen delivery device to ensure that it is not pulling on artificial airway