O2 conversion

1
Oxygen Titration Guidelines
DECREASING
INCREASING
O2 conversion Cannula to mask Approximate 1LPM
24 2LPM 28 3LPM 30 4LPM 33 5LPM
36 6LPM 40
Patient
Patient
SpO2 86-90
SpO2 lt85
OFF O2 Room Air
On O2 SpO2 gt 90
Increase O2 by 2 LPM to a max of 6LPM
Increase O2 by 4 LPM
Check patient q shift. O2 at rest should be gt
90 and with activity gt88
? O2 1LPM for SpO2 90-95 ? O2 2LPM for SpO2
95-99
Repeat SpO2 after 5 minutes
Repeat SpO2 after 5 minutes
Repeat SpO2 after 5 minutes
If O2 sat gt 90 leave pt. on RA If O2 sat lt 90
resume O2 protocol
SpO2gt 90 then repeat above until patient is off
O2
SpO2 lt 90 Return to the O2 setting where the
patient met the titration goal.
If SpO2 lt 90 repeat above
If SpO2 ? gt90 -monitor
If SpO2 ? gt 90 -monitor
Call RT if SpO2 lt 90
Nasal cannulas can only increase to a total of 6
LPM O2. After that refer to the guidelines for O2
Therapy Delivery Devices Consult RT for any
patient with lt90 saturation on 50 FM, nasal
moustache O2 therapy for patients experiencing
chest pain can be discontinued when chest pain
disappears with no further sats required
UOHI/2004/28/04