Using a Non-Rebreather Mask for Oxygen Administration

1. Introduction to the Non-Rebreather Mask

Overview:

• The non-rebreather mask is a common device for oxygen administration.
• It is typically supplied in plastic bags and consists of a mask and tubing.

2. Non-Rebreather Mask Components

Key Components:

• The mask is usually flat and can be opened for use.
• A metal piece at the top of the mask helps secure it over the nose.
• Elastic straps ensure a snug fit around the patient's head.
• The mask has inlet ports for oxygen flow and a reservoir bag.
• One-way valves on the mask allow exhalation without rebreathing exhaled air.

3. Setting Up the Non-Rebreather Mask

Assembly and Connection:

• Connect the tubing to the mask; these fittings are typically push-fit.
• Attach the other end of the tubing to the oxygen cylinder valve.
• Ensure that the oxygen flow rate is set to 15 litres per minute.

4. Using the Non-Rebreather Mask

Proper Application:

• If the bag is not fully inflated, prime it by briefly covering the mask's inlet.
• Fit the mask over the patient's mouth and nose.
• Adjust the elastic straps for a secure and comfortable fit.
• Explain the use of oxygen to the patient and gain their consent.

5. Monitoring and Caution

Monitoring Breathing:

• Continuous monitoring of the patient's breathing is essential.
• Ensure the oxygen cylinder is positioned to prevent kinks or damage to the tubing.

6. Special Considerations with Neck Collars

Using the Mask with Neck Collars:

• For patients with neck collars, fit the mask as usual.
• Instead of securing the elastic behind the head, hook it onto designated pegs on the mask.
• Adjust the elastic for a snug fit without compromising neck stability.
• Ensure oxygen management during patient transport to prevent mask dislodgment.

7. Conclusion

Effective Oxygen Administration:

• The non-rebreather mask is a valuable tool for oxygen administration in various scenarios.
• Proper usage and careful monitoring are crucial to ensure patient safety and oxygen effectiveness.