Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do? - page 23

I got a call to go see one of my HH patients, who I am very familar with, because the family reported that her/his 02 sats were hanging in the 70's all day and even though she/he was not SOB they... Read More

  1. by   chip193
    Quote from jill48
    It never ceases to amaze me that so many medical people (nurses,emt's,etc.) are oblivious to the fact that you cannot turn the O2 up on a COPD patient. I would have told the emt's to get out of the patient's room and don't touch his O2, or anything else for that matter. I would tell them I'm not comfortable letting you take my patient. Then I would have reported the emt to his/her employer, and whatever board governs them.
    It never ceases to amaze me how many nurses are oblivious to the fact that less than 5 percent (some studies put it at about 0.5%) of patients with COPD are actually on hypoxic drive.

    Is it better to kill off brain cells through hypoxia?
  2. by   jill48
    Quote from EricEnfermero
    Jill,

    We're both shocked at the level of misunderstanding regarding COPD and hypoxic drive, but we're shocked on opposite ends of the argument. The hypoxic drive theory has been progressively taking a well-documented beating in the literature over at least the last ten years. We know it doesn't affect very many COPD pts. When it does, it generally takes hours - far longer than the typical EMS transport. See the 'Prehospital Care' section of the link below for one example of a well-reasoned argument in favor of not withholding O2.

    http://www.emedicine.com/emerg/topic99.htm
    Dear Eric, thank you so much for the article. It was a real eye-opener and I have now seen that all is not black and white. :blushkiss
  3. by   stunt
    just registered to say that this has been one of the most interesting medical discussions i've ever read. i actually read every post, took a couple hours.

    i'm also very impressed at how reasonable and civil everyone has been throughout the discussion (with the exception of the "no means no" people-- wrong, there are exceptions). i'm glad i found this forum. while not a nurse, i'm a emt working towards paramedic and there's definitely a lot of knowledge to pick up here.
  4. by   DutchgirlRN
    Thank You Stunt and welcome to All Nurses! We usually can have a fairly civil discussion. Sometimes, me included, some of us get really fired up, but all in all this is a wonderful place to learn!

close