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POLL - Oxygen titration in your unit

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by MaxAttack MaxAttack (Member) Nurse

MaxAttack has 3 years experience and works as a ICU RN.

6,253 Visitors; 280 Posts

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Oxygen!

  1. 1. What range of oxygen saturation does your unit typically target?

    • 94-98%
      2
    • 97-100%
      1
    • I want 100%
      0

3 members have participated

I'm doing some background research on oxygen targets. I'm writing an article based on my experiences and was interested in what everyone else actually sees.

For those curious, I'm used to seeing an order that says something like "Titrate to maintain SpO2 > 94%" but in practice will see 99-100% on the monitors more often than not.

Edited by MaxAttack

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4,771 Visitors; 297 Posts

Depends on the patient. There are many factors.

But if you're asking about a standard order, we don't have one. The physician writes an order to "titrate oxygen to maintain a saturation of at least X," and X varies per the patient's condition and situation. 

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1 Follower; 11,701 Visitors; 1,301 Posts

If someone can maintain sat of 92 or better, there isn't a need for oxygen. 

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MaxAttack has 3 years experience and works as a ICU RN.

6,253 Visitors; 280 Posts

I agree.  

But know 92% would get most people I work with squeamish, and regardless of the specific minimum, most patients would get oxygen until the sats read 99-100%.

The units I've worked on have been very liberal with oxygen, but it sounds like it might be a local thing?

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1 Follower; 11,701 Visitors; 1,301 Posts

Quote

I agree.  

But know 92% would get most people I work with squeamish, and regardless of the specific minimum, most patients would get oxygen until the sats read 99-100%.

The units I've worked on have been very liberal with oxygen, but it sounds like it might be a local thing?

I might ask why they're uncomfortable with that. Seems kind of irrational. The consequences of excessive oxygen administration are very well documented for anyone that would care to look. 

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