Home oxygen: Difference between revisions
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=== Criteria in Ontario === |
=== Criteria in Ontario === |
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* If SpO<sub>2</sub> |
* If SpO<sub>2</sub> ≤ 90% on room air at rest, then perform ABG on room air at rest (off oxygen for 30 minutes) |
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** ABG may be waived for end-of-life palliative care, or if patient chooses to self-pay ($300-400/month) |
** ABG may be waived for end-of-life palliative care, or if patient chooses to self-pay ($300-400/month) |
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** If SpO<sub>2</sub> >91% but desaturates on exertion, can skip ABG and perform independent exercise assessment |
** If SpO<sub>2</sub> >91% but desaturates on exertion, can skip ABG and perform independent exercise assessment |
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* Eligible based on ABG results: |
* Eligible based on ABG results: |
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** PaO<sub>2</sub> |
** PaO<sub>2</sub>≤ 55 mmHg |
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** PaO<sub>2</sub> 56 to 60 mmHg, if one of the following: |
** PaO<sub>2</sub> 56 to 60 mmHg, if one of the following: |
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*** [[Cor pulmonale]] |
*** [[Cor pulmonale]] |
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*** Exercise limited by hypoxemia and documented improvement with supplemental oxygen |
*** Exercise limited by hypoxemia and documented improvement with supplemental oxygen |
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*** Nocturnal hypoxemia |
*** Nocturnal hypoxemia |
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** PaO<sub>2</sub> >60 mmHg, if also has SpO<sub>2</sub> |
** PaO<sub>2</sub> >60 mmHg, if also has SpO<sub>2</sub> ≤ 88% during independent exercise assessment |
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[[Category:Medications]] |
[[Category:Medications]] |
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Latest revision as of 14:12, 30 September 2022
Management
Criteria in Ontario
- If SpO2 ≤ 90% on room air at rest, then perform ABG on room air at rest (off oxygen for 30 minutes)
- ABG may be waived for end-of-life palliative care, or if patient chooses to self-pay ($300-400/month)
- If SpO2 >91% but desaturates on exertion, can skip ABG and perform independent exercise assessment
- Eligible based on ABG results:
- PaO2≤ 55 mmHg
- PaO2 56 to 60 mmHg, if one of the following:
- Cor pulmonale
- Persistent erythrocytosis
- Pulmonary hypertension
- Exercise limited by hypoxemia and documented improvement with supplemental oxygen
- Nocturnal hypoxemia
- PaO2 >60 mmHg, if also has SpO2 ≤ 88% during independent exercise assessment
