A child is brought to the emergency department with moderate respiratory distress. She has an oxygen saturation of 89% but is awake, alert, and responsive, and is clinging to the mother
The nurse is consulting about appropriate oxygen delivery devices and expresses concern about the patient retaining CO2. Which oxygen delivery device is the most appropriate for this child?
A.
Facial CPAP
B.
Nasal cannula
C.
Oxygen tent
D.
Venturi mask
ANS: D
A Venturi mask can deliver oxygen concentrations up to 40% and is especially beneficial for the patient who potentially will retain CO2. Facial CPAP is invasive and is not warranted for a child in this degree of distress. Nasal cannulae do not have a benefit in CO2 retainers. An oxygen tent will require the child to be taken from the mother, which potentially will increase her agitation and oxygen needs.
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