Which is not an indication of oxygen administration?

Appeared in: AIIMS Bhopal NO - 2018 (Shift-1st)

Explanation

Eutocia is the medical term for a normal, uncomplicated labor and delivery.
As a normal physiological process, it does not inherently cause hypoxemia (low blood oxygen) or require supplemental oxygen.
Oxygen therapy is a medical treatment for conditions involving or risking hypoxemia, which is not a feature of eutocia.

Option A: Poisoning, particularly with agents like carbon monoxide, is a primary indication for high-concentration oxygen therapy to counteract the substance's effect on oxygen transport.
Option B: Chest injuries frequently compromise respiratory function, leading to hypoxia. Therefore, oxygen administration is a standard and necessary intervention.
Option C: Supplying oxygen is a fundamental component of cardiopulmonary resuscitation (CPR) to ensure that the blood being circulated by chest compressions is oxygenated.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Indications for Oxygen Therapy as background academic context rather than a clinical decision trigger.
A nurse's primary role in oxygen therapy is to administer it as prescribed, monitor the patient's response (via pulse oximetry and clinical signs), and watch for complications.
Oxygen is a drug; unnecessary administration can be harmful (oxygen toxicity), particularly in certain conditions like COPD or in neonates. Always verify the indication and target saturation range.
What if? If a patient in 'eutocia' (normal labor) develops signs of fetal distress (e.g., abnormal fetal heart rate), the situation changes. Oxygen administration (typically via a non-rebreather mask) may then be initiated as part of intrauterine resuscitation measures, but the labor is no longer considered uncomplicated 'eutocia'.

How to Approach the Question

First, identify the keywords in the question: 'NOT' and 'indication of oxygen administration'. This signals that you are looking for the option that is an exception or does not belong.
Second, evaluate each option against the core principle of oxygen therapy, which is to treat or prevent hypoxia (insufficient oxygen in the body).
For each option, ask yourself: 'Is this a condition where the body's oxygen supply might be compromised?'
Analyze the options: Poisoning (like CO) impairs oxygen transport. Chest injury impairs breathing. CPR is performed when breathing/circulation stops. These all clearly indicate a need for oxygen.
Evaluate the final option, 'Eutocia'. If you know this means 'normal birth', you can deduce that a normal physiological process does not inherently require medical intervention like oxygen.
Conclude by selecting the option that does not fit the criteria for needing supplemental oxygen.

Concept Tested & Keywords

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E6 Nursing Brunner Adult Health 3SA Vol 2 Part 3 p. 130-132

E6 Physiology Guyton 4SAE Part 2A p. 95-97

E6 Nursing Fundamentals Taylor p. 739-741

Practise the full AIIMS Bhopal NO - 2018 (Shift-1st)

Attempt every question from this paper in a timed mock, then review the full solution for each one.