Domiciliary Oxygen Therapy by Dr. Saman Kularathne

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What is a safe lower Oxygenlevel in acute COPD?OxyHaemoglobin Dissociation CurveIn acute COPDpO 2 above 6.7 kPaor 50 mm Hgwill prevent deathSaO 2 above about 85%(Keep SpO 2 ≥88% to allow foroximeter error and ensure PaO2>85% )SaO 2PaO 2mmHgMurphy R, Driscoll P, O’Driscoll R Emerg Med J 2001; 18:333-9This guideline recommends a minimumSp02 of 88% for most COPD patients
Recommended target saturationsThe target ranges are a consensus agreement by theguidelines group and the endorsing colleges andsocietiesRationale for the target saturations is combination ofwhat is normal and what is safeMost patients 94 - 98%Risk of hypercapnic respiratory failure 88 – 92%**Or patient specific saturation onAlert Card
Page 1: Dr. Saman Kularatne
Page 5 and 6: Oxygen content in tissues depend on
Page 7 and 8: • Factors Influencing transmissio
Page 9 and 10: When to give oxygen ?
Page 11: Aims of emergencyoxygen therapy•
Page 23 and 24: Pulse Oximetry• Non-invasive - es
Page 25 and 26: Normal Range for Oxygen saturationN
Page 27 and 28: Cautions For Oxygen Therapy• Oxyg
Page 29 and 30: Oxygen Delivery Systems• Low flow
Page 31 and 32: Nasal Cannula• Comfortable, conve
Page 33: Venturi Masks• Most reliable and
Page 36 and 37: 100% Non-Rebreather• Delivery per
Page 38 and 39: Partial Rebreather Mask• Consists
Page 40 and 41: Mechanical Ventilation• Allows ad
Page 42 and 43: Oxygen Flow MeterThe centre of the
Page 44 and 45: Oxygen therapy 2008 onwardsCritical
Page 46 and 47: Prescribe to targetBTS Recommendati
Page 48 and 49: Yes - aim for SpO 2 88-92% orlevel
Page 50 and 51: Titrating Oxygen up and down.This t
Page 52 and 53: Oxygen use in Pregnancy• illness
Page 54 and 55: Exposure to high concentrations ofo
Page 56 and 57: Benefits of LTOT• To prolong life
Page 58 and 59: •Other possible indicationsinclud
Page 60 and 61: • Long-term continuous oxygen the
Page 62 and 63:
• At assessment, the patient’s
Page 64 and 65:
Continuous oxygen therapy (at least
Page 66 and 67:
Intermittent or ambulatoryoxygen th
Page 68 and 69:
Intermittent or ambulatoryoxygen th
Page 70 and 71:
Oxygen therapy is not indicatedfor
Page 72 and 73:
Initiation of oxygen therapy• Bef
Page 74 and 75:
Dangers of LTOT• (serious hyperca
Page 76 and 77:
Advantages and disadvantages of ava
Page 78 and 79:
Advantages and disadvantages of ava
Page 80 and 81:
Delivery to the patient• All pati
Page 82 and 83:
Summary• Oxygen is a treatment fo
Page 84 and 85:
Summary - Continuous oxygentherapy
Page 88 and 89:
What happens at 9,000 metres(approx
Page 90 and 91:
Oxygen use in palliative care• Mo
Page 92 and 93:
Oxygen prescriptionodel for oxygen
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Domiciliary Oxygen Therapy by Dr. Saman Kularathne

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