If hypoxemic per SpO2 ABG Assess for long term O2 tx indications SpO2 88 or PaO2 55 mmHg w or w o hypercapnia 2x in 3wk or sat 88 or PaO2 55 60 mmHg w pulm HTN edema suggesting CHF or hct 55 Prescribe O2 for severe resting hypoxemia A

By rray, 22 February, 2024
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If stable COPD w only moderate resting exercise induced desaturation no benefit to O2 A
If placed on long term O2 titrate to keep sat 90 re evaluate at 60 90 days w pulse ox ABG
Air travel If resting sat 95 w 6 min walk sat 84 air travel OK however severe hypoxemia in air travel may occur despite sea level sat C
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<b>If hypoxemic per SpO<sub>2</sub>/ABG:</b> Assess for long-term O<sub>2</sub> tx indications: SpO<sub>2</sub> ≤88% or PaO<sub>2</sub> ≤55 mmHg w/ or w/o hypercapnia 2x in 3wk, or sat 88% or PaO<sub>2</sub> 55-60 mmHg w/ pulm HTN, edema suggesting CHF, or hct >55%. Prescribe O<sub>2</sub> for severe resting hypoxemia [A].