Oxygen therapy

Question 1

What are the critical illnesses that are also treated under the severe guidelines?

Answer 1

• Cardiac arrest or ressuss
• Major trauma/head injury
• Shock
• Servere sepsis
• Anaphylaxis
• Status epilepticus
• Ketamine sedation

Question 2

What conditions fall under chronic hypoxaemia and how would you treat it?

Answer 2

• COPD
• Neuromuscular disorders
• cystic fibroisis
• Bronchiectasis
• Sever kyphoscoliosis
• Obesity

Treat with nasal (2-6L) or face mask (5-10) titrate to 88-92% sats

Question 3

What conditions get 10-15L via re-breather regardless of their SpO2 reading?

Answer 3

• Toxic inhalation exposure
• decompression illness
• cord prolapse
• postpartum haemorrhage
• shoulder dystocia
• cluster headache

Question 4

What are the 2 types of poisons to be aware of and what SpO2 level should we aim for with them?

Answer 4

• Paraquat - herbacide
• Bleomycin - cancer treatment

85-88%