OXYGEN

LOGO

therapy

Dr. Ravinder Narwal MPT

Cardiopulmonary MPT-Ortho
Dr. RAVINDER
NARWAL
CARDIORESPIRATORY
Physiotherapist
LOGO

PHYSIOTHERAPY
ADJUNCTS
Oxygen therapy

For over 200 years oxygen therapy has often

been used and sometimes misused
(Hough 2001)
Oxygen therapy

Oxygen therapy is the administration

of oxygen as a medical intervention, which
can be for a variety of purposes in
both chronic and acute patient care.
Oxygen is essential for cell  metabolism,
and in turn, tissue oxygenation is essential
for all normal physiological functions.
Oxygen therapy

Room air only contains 21% oxygen, and

increasing the fraction of oxygen in the
breathing gas increases the amount of
oxygen in the blood. It is often only required
to raise the fraction of oxygen delivered to
30–35% and this is done by use of a Nasal
canulla.
Oxygen therapy

When 100% oxygen is needed, it may be

delivered via a tight-fitting face mask, or by
supplying 100% oxygen to an incubator  in
the case of infants. Oxygen can be
administered in other ways, including
specific treatments at raised air pressure,
such as HBOT.
 OXYGEN therapy
history:

 Joseph Pristley
 An element of Oxygen
was officially discovered
in August 1774
 OXYGEN therapy
3 BASIC ESSENTIAL IN LIFE

Oxygen

Add Your
Water Title

Food
 OXYGEN therapy
history:

 Joseph Pristley
 An element of Oxygen
was officially discovered
in August 1774
 OXYGEN therapy
history:

Antoine- Laurent Lavoisier

 1775
 Oxygen: acid producer,
identified as an element
Objectives
Objectives

 1.Understand Definition & the indications

for oxygen therapy

 2.Identify and understand the use of

different oxygen delivery systems

 3.Implications for humidification

Objectives CONT.

 4.Living cells must be fuelled with oxygen

in order to survive!

 5.The respiratory system functions to

supply oxygen to the cells and remove
carbon dioxide from the tissues
Objectives CONT.

 6.How much oxygen is in the air?

 7.Illness and injury increase tissue oxygen

demand
 OXYGEN therapy
Definition:

Oxygen
 Element, gas, and drug
Oxygen therapy
 Is the administration of oxygen at
concentrations greater than that in
room air to treat or prevent
hypoxemia.
Indications for oxygen therapy

Indication for oxygen therapy

A.Respiratory B. Cardiac compromise C.Neurological deficits

compromise
1. Decreasing the work of 1.Decreasing o CVA
breathing myocardial work o Spinal injuries
o Documented hypoxemia o Chest pain
o Coma
Alveolar Hypoventilation
o Shock
o Shunt o Severe trauma
o Decreased Ambient o Tachycardia
o Post Surgical
Partial Pressure of
oArrhythmias
Oxygen
o Hypoxia
o Diffusion Defect
Indications for oxygen therapy

 Respiratory compromise
 Increased respiratory rate-Tachypnoea
 Patient reports feeling short of breath
 Bluish color to lips or nail beds -Cyanosis
 Hypoxemia- Restlessness or disoriented
behavior
 Partially obstructed airway-Respiratory
wheezing heard while working with the patient
 Emergency Medicine –CPR,Shocks
 Oxygen therapy -
Indications
 Hypoxaemia (PaO2<8KPA,O2 ≤ 55mmHg
or SaO2 ≤ 88%)
 Acute or chronic respiratory condition
 Pre and post suction
 Optimise oxygen delivery
 OXYGEN therapy
What is hypoxia and types
Hypoxia
 a condition of insufficient oxygen anywhere
in the body from the inspired gas to the
tissue.
Types of Hypoxia
 Hypoxemic hypoxia
 Circulatory hypoxia
 Hematological hypoxia
 Demand hypoxia
 Histotoxic hypoxia
 OXYGEN therapy
ٍٍSigns & Symptoms
 Tachypnea, dyspnea, hyperpnoea
 Tachycardia, dysrhythmias, pulse change,
hypertension
 Anemia, polycythemia
 Restlessness, disorientation, lethargy
 Cyanosis, digital clubbing
Indications for oxygen
therapy
 Cardiac compromise
 Chest pain
 Shock
 Tachycardia
 Arrhythmias
 Hypothermia
Indications for oxygen
therapy
 Neurological deficits
 CVA-Convulsion
 Spinal injuries
 ComaSevere trauma
 Routinely Short term, post operative
Aims of oxygen therapy
Oxygen Therapy

The provision of therapeutic oxygen is required

whenever hypoxemia occurs, i. e. reduced O2 in
the blood stream.
With a target level of 94-98% in most patients, or
88-92% in COPD patients
Aims of oxygen therapy

 to increase PaO2 to acceptable level with

concentration of oxygen

 to decrease respiratory rate and work of

breathing

 Hypoxaemia with high PaCO2

- 24% initially
- careful monitoring with regular ABG’s
Goal of oxygen therapy
 LOGO
Dr. Ravinder Narwal