When preparing to administer oxygen to a patient with cystic fibrosis who is in respiratory distress, an Advanced Emergency Medical Technician (AEMT) should consider the following:
Patient history: Cystic fibrosis is a genetic disorder that primarily affects the lungs, causing mucus buildup and making it difficult to breathe. AEMTs should be aware of the patient's medical history, including any prior respiratory infections or exacerbations, as well as their usual respiratory status.
Oxygen delivery method: There are several methods for delivering oxygen, including nasal cannulas, masks, and high-flow oxygen systems. The AEMT should choose the appropriate delivery method based on the patient's needs and the severity of their respiratory distress.
Oxygen flow rate: The AEMT should ensure that the oxygen flow rate is set appropriately for the patient's needs. In general, patients with cystic fibrosis may require higher oxygen flow rates than patients without this condition due to their impaired lung function.
Monitoring and assessment: The AEMT should continuously monitor the patient's respiratory status and adjust the oxygen delivery as needed. They should also assess the patient's level of consciousness, vital signs, and any other signs of distress.
Potential complications: Administering oxygen to patients with cystic fibrosis can have potential complications, such as oxygen toxicity or carbon dioxide retention. The AEMT should be aware of these risks and monitor the patient closely to avoid any adverse effects.
In summary, when preparing to administer oxygen to a patient with cystic fibrosis who is in respiratory distress, the AEMT should consider the patient's medical history, choose the appropriate oxygen delivery method and flow rate, monitor and assess the patient closely, and be aware of potential complications.