Why is too much oxygen a danger to COPD patients!
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- Опубликовано: 3 окт 2024
- Video request to clarify why too much oxygen is dangerous to COPD patients. Please comment and subscribe!
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Been struggling to understand the "why" behind this concept, but this video cleared it up entirely. Best explanation I have found. Thanks!
Glad it makes sense!!!
Na
I was really struggling with why too much oxygen was a bad thing for those pt's. You explained this perfectly- Thank you!
So well explained!!!! I'm a 2nd year medical student studying for the boards and could not find a concise explanation of this anywhere - thank you so much :)
I literally lost my mum 2 days ago through this they give her hours to live, she shocked us all and recovered.
Hi, same with COPD, pulmonary emphysema and pleural fibrosis, daily oxygen, but in Romania you die for days and no one cares, I had gotten sick because I had almost fallen down and no one cares
Due to the low saturation of 91.93, you are always dizzy, have a headache, tight eyes, chest, back, always with blue skin, how is your mother with saturation and what treatment is she taking?
???
Huh? You lost your mum yet she recovered
I’m confused you lost ur mum two days ago but she recovered? Was she resuscitated
Second year student nurse here, beginning placement on an Acute Respiratory Medicine ward tomorrow - this has been incredibly helpful and very well explained! Thank you!
Awesome! Best wishes!
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@Aries Justice Instablaster :)
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watching this 5 years later and its still very helpful lol. thanks!
I needed this ! Thank you. I feel like its a constant fight with some coworkers to get them not to blast patients with oxygen. I do not even care to have ppl sating at 100% unless its on their own but not because of high oxygen supplementation.
I have severe emphysema, so what you just explained makes great sense to me.
how do you feel, how are you with the saturation with dyspnea on rest and exertion? I also have COPD, pulmonary emphysema and pleural fibrosis
@@dc.pentrumesteri4893 my saturation at rest is around 94 but drops to 88 or lower under exercise.
hi, thanks for the answer, I've had COPD for 3 years, pulmonary emphysema and pleural fibrosis plus ankylosing spondylitis and I can't anymore because of chest pain, ribs and thorax. My lungs are destroyed, I have total
Nu ai dureri de piept,spate coaste nimic? La mine dreptul am proporție de 80 %stangul 60% pielea albăstruie palidă amețeli vedere Orban din cauza oxigenari ,dat an Romania la mine murim cu zile iar la voi am văzut acele valve Zepfiri .
and the swollen chest that emphysema has enlarged the lungs with all the ribs
Best way I have heard this explained yet! Thanks!
I try! Thanks for watching and for the kind comment!
@@RespiratoryCoachlate question: can people build up oxygen tolerance
Thank you so much! somehow I got this turned around in my head and your explanation was specific, simple, and perfectly cleared it up for me. Thanks.
WHAT???? All that just went over my head.
😐
@@ruthgraterol681 Me too!
Mine also!
So happy that I found this video, it helped me to finally understand this. Thank you !
Thanks Sir!! Was struggling to understand this concept. Got it cleared now.
Happy to help! Thanks for watching!
What about patients who suffer from Asbestosis and pilmonary fibrosis. Is too much oxygen also damaging for their lungs. I remember doctors telling me that less oxygen is sometimes a better choice when you are not under any stress, but if you move or walk you should increase the flow.
We need more of this! Thank you!
thank you for explaining it in a easier and more interesting way! !
That helped a great deal. Thank you and god bless you.
I have COPD emphysema and this did clearly helped me to understand why one doesn't have more oxygen apply to their oxygen tank at home because it is not necessary and we'll just you explained it perfectly
My mom was copd too. She feels shortness of breathing in a range of spo2 90-94 .
Hi , great explanation, I have COPD and emphysema and asthma, I can't have oxygen at home if I have an exasperation I have to go to hospital. Ive been diagnosed 11 years now , I've had pulmonary problems and white masses and punomia and Haemophilus influenza which isnt a flu =HIB for short , and because I have COPD I get HIB back a lot .
I did start taking blackseed oil back in 2015 & at the time I had punomia and a shadow on my lung and within 1 month it had cleared up. Blackseed oil can be bought easily now or even just the seeds ( blackheads or onion seeds) their called , 10 of those tiny / small things a day and they really help . Also Cloves 2 a day , this helps clean your body , then u can make Garlic water , 1 clove of garlic crushed for the Alycin, let it sit till cool enough to drink , u could also add honey Turmeric and ginger and a touch black pepper . & lemon . This is known as natures antibiotic and it really does work . Breath Easy.
hi i also have bpd emphysema pulmonary and pleural fibrosis plus ankylosing spondylitis are std 3, 4 i have been taking foster and ventolin treatment since 2020 and i have had no benefit since bad year worse
Black seeds is black cumin oil ?saturation at rest93 at high exertion 88 mixed chronic bronchitis with emphysema
@@dc.pentrumesteri4893 Hi sorry for taking so long to answer your just appeared now, I'm on forstair and spireva , I was so so ill this past couple of years and since getting haemophilus =HIb, I haven't been the same since ,.
I looked into natural cures because of the amount of antibiotics, and learned loads , if u do take the supplements, ie blackseed oil, or just the seeds , what sold me it back in 2015 it actually said, cures all bar death
At the time I really thought I was at deaths door . Happy New Year .💐
@@dc.pentrumesteri4893 Yes it is from the same family , my doctors dont tell me much I have to research everything, I had a white mass back in March 2022 it was found , after 2 xray,s and 2ct scans , it wasn't till I had the CT scan with contrast the mass was highlighted.
@karenmcardle142 What was your daily dose (doses) with the black seed oil? Or did you take the seeds? How did you take the cloves? And, how are you doing now?
I get it sort of. I will listen again till I do. Thank you.
Wow, so clear, THANKS!
Thank you so...much for your explanation that helped me to understand this tough issue.
Thank you for explaining this in clear terms
I guessed this myself earlier today. I have COPD. Thanks for the confirmation. And no, I don’t know the mumbo jumbo but I get the jest of it.
very well explained. thank you
You just changed my life
This is fantastic. Thank you.
Thanks for watching, Christa!
Very helpful information Sir ❤
Thank you for explanation.
Amazing explanation. Thank you!
Thanks for watching and for leaving the kind comment.
I am on an oxygen machine for 16 hours a day. I haven't understood your message. I know you have made me understand with your technical terms but I don't have any idea of them. Thanks, anyway, for your warnings. I also do yoga breathing. Hopefully, it is helpful.
Wow, did not understand very many words in this video
Husband has drug induced ILD. He is obese, frustrated and thinking he will always be on O2 now. This video made me feel there is hope for him. Currently at 38 percent lung function. We were able to halt lung inflammation after withdrawal of heart meds and other prescription medications. ARDS 3x left him with some fibrosis, but I dont think it is enough to explain poor O2. Pulmonogist is good, but she does not cover the same information as you. I wish we could see you.
Good explanation, nice work
Now i fully understand why no oxygen..
Absolutely love your videos man. Thank you so much.
I would love to hear if he ever does chats or live seminars he sounds terrific Marion
so basically, co2 retainers, the 02 needs to remain low because the co2 can't be expelled normally thus respiratory acidosis occurs
Thank you
what would be a contraindication of oxygen besides COPD patients?
perfect explanation!!!!
Great video man ..thank you so much ❤
All love my man. Thanks for watching and kindly commenting.
Ok. So my dad has stage 4 COPD. He retains CO2. He went hospital they said you need to turn his oxygen down to 1-2 liters. He has been at 4 liters for 8 months. He is hallucinating and has been for about 3 months. I have been trying to wean him down. His breathing has been even worse after weaning him down to 3 liters. It’s been 1 month on 3. The hallucinating has gotten so bad.
This is not medical advice specific for your father, or anyone else. You should always seek medical guidance from a licensed physician. When it comes to COPD and oxygen administration. The goal is to provide enough oxygen to maintain an oxygen level at the patient's baseline level of normal (typically around 60 mmHg or 88-92% on a pulse oximeter). The difference between 2, 3, or 4 liters of O2 via nasal cannula are not the detrimental levels of oxygen that this video was referencing. In regards to percentages of oxygen. 2 liters = approx. 28%, 3 liters = approx. 32%, and 4 liters = approx. 36%. Hope this helps to provide a small portion of clarity. Best wishes to you and your Dad.
@@RespiratoryCoach ISn't 88% damaging to lungs and brain tissue?????
@@TheJennflip Good Lord I hope not, if so I need to stop moving at all . I stay around 98% @ 21/2 liters. It drops ( plummets really) when I am up and about. So if I’m walking across my house I stay at 80-86 and if I get too low it takes longer to get up and also costs a panic attack .
@@TheJennflip.no
My mom was copd .The doctor told us to take off oxygen mask to breathe exercise. But in a range of 90-94 she feel like shortness of breathing. I don't understand what is good or what's not.
I lost my mam to this last year 57 she had copd and co 2 retainer they had her on the highest of oxygen went into respiratory failure type 2 having seizures then coma ..then her 2 lungs collapsed ....I'm an only child 36 now with my mam .
My sister recently died suddenly in her sleep while on a home oxygen concentrator machine and the level was on 3and a half instead of 2 and the police or ambulance service didn't even look at that they just put it as COPD , your thoughts would be muchly appreciated
Great video! Much appreciated
This is so complicated the explanation makes sense but there's the debate on whether it's this or whether it's the H- effect or the VQ mismatch so in summary it's probably all three things it's not just one answer I really try to get one answer but different sources are saying the same thing that this gentleman is saying in addition to the other 2 theories just know all three and get to know your patient because everyone is different
HELP! my wife is in ICU she has COPD they have her on a over-sized noise canula at 60 liter at 75% when I visited tonight they had her on a face mask at 12 liters at the same time. and when I protest the amount of oxygen there giving her they threaten to kick me out of the hospital.
Thankyou so much for your explanations. Although it is very difficult for me to understand medical terms you are using. I would really like to understand what you are talking about because I was diagnosed COPD 2-1/2 years ago with emphysema and pulmonary fibrosis (don't know exact meaning) and I'm on oxygen therapy use of oxygand 24/7 with 3- litres oxygen. Also taking 2 medications for my lung a d I'm 76 years old.
Hi I know this is quite old but hoping I can still get an answer
I have severe copd
Recently had type 2 respiratory failure with raised co2 levels I had arterial blood test
I didn’t have any ventilation or anything like that in fact I was pretty shocked when the hospital gave me a yellow card in case I ever had to call for emergency
I had pneumonia which I was being treated with antibiotics and steroids
Two days before being discharged from the hospital I cought covid and haven’t been able to breath like I did before going into hospital
I got breathless on excursion yes and had to do things slow but now, after a few step I’m really breathless, Iv lost my mobility almost
So, I took the advise of the docs and quit smoking after 50 yrs, I’m almost at 7 wks smoke free and went cold Turkey
Will my co2 levels change and be normal now I don’t smoke or
will they alway be raised because of copd
Is there anything more I can do other than quit smoking and doing my breathing exercises
I get air hunger very often and find sticking my nose in a mug of steam to try and keep my nose free of being stuffy helps with the inhaling with nose and not mouth
I also put warm salt drops u my nose which defines helps my blocked nose
So clear thanks man👌
Im just chillin and have a vast curiousity for everything and i had this question. I found your vid and watched it thru. Perfect explination i fully understand it now makes total sence. Just wanted to.say thank you for this..
Great video. I had someone with COPD who somehow measured 100% saturation without oxygen therapy, and it was affecting her breathing. How would this happen?
I’m on oxygen, no one told me to keep it at 2 liters before I went home after I was sent home after a stay at the hospital.
A year or so later I got sick and felt like I couldn’t breathe so I turned it up.
I eventually went to the hospital and
Into intensive care I overdosed on oxygen and now a machine was breathing for me and they told my husband I didn’t have a good chance. The icu nurses and Dr.s saved my life I was in icu for 5 days . Thank goodness I don’t remember it.
Thank God you are better. Hope you're doing much better. God bless you 🙏💟
hi, are you with bpoc and how are you with saturation at rest and with effort?
@@dc.pentrumesteri4893 bpok ?
On 2 liters I’m around 90-94 resting .
Effort- low 80’s
I’m having problems getting it back up today but normally it goes up pretty quickly if I sit still.
My heart rate jacks really high now too where it didn’t used too.
Thanks for the answer, as well as me who also has bpoc pulmonary emphysema and pleural fibrosis plus ankylosing spondylitis sd3,4 chest pains and hellish ribs and 46 years 8 months 22 days
@@dc.pentrumesteri4893 😁
explained it in such an awesome way. too goood. thanks a lot 😄
Most welcome 😊
It helps a lot, thank you very much 😊
Glad it helped and thanks for watching!
It seems like the additional oxygen would contribute to them having troubles breathing because it creates more carbon dioxide for them to get rid of
And that's the problem with that disease process is they can't get rid of carbon dioxide correctly so you give them more oxygen they need to expel more CO2. So is like how is it helpful to even give them oxygen when it's going to create more CO2?
Given wrong amounts of Oxygen can cause a person to have high carbon dioxide in blood
I nearly died from too much. I get why you might restrain a patient but it seems cruel to not sedate them for comfort. I was terrified and felt very abused, mis-used, and the contempt the hospital staff showed for me was awful.
Hi.. I had some more question. Not sure I get that answer here. My father died few days ago most probably covid new variant. He was strong enough to fight but couldn't survive at last moment. The thing happened that he was COPD patient and before many times in hospital or at home he sometimes denied to take oxygen supplement rather loved to breathe naturally so sometimes I didn't gave forecefully oxygen supply before and he became well many times. Few days ago his oxygen level went below normal range suddenly 50% and with oxygen supplement 70-78%. In ICU he was forcefully given oxygen through long pipe when also didn't get required level then they gave forcefully life support that time oxygen saturation was 86%. He didn't want to take that mechanical oxygen supply. Here is my question that was that forcefully oxygen supply a cause for the death of my father as I said he didn't like some time oxygen supplement. One more thing he tried to remove those things so doctor bind both his hand. So another question was that death because of fear as well? He was ol whole day with that saturation but when in ICO he just live 2-3 hours. Please answer me
I’ve a very similar experience with my grandmother who passed over a month ago. Would you like to discuss our concerns in private?
@@aidaselman6879 Sorry to hear about your loss! I know its painful. How K connect? Maybe I can share something!
I idk I just read your post and wanted to tell you this one shed
tears for you.
Here we are talking about 100% o2 therapy, for copd patients we should be giving 02 less than 90-94%.
What if that COPD patient wheezing would albuterol with 8lpm o2 be appropriate if spo2 is 92 already ,what about BIPAP would it be appropriate for chronic copd retainer
It depends on the details and assessment findings of the patient. Please refer all specific careplan questions to a physician for medical guidance.
Please say there’s another video with a better explanation?
How much wine you had before this video😂
😅😅😅I don't drink wine! I wonder the same thing though when I see a clip of it.
My sats at rest are 95%, when I start walking after 2 mins they drop to 85% and another 2 mins 80% . Recently being given a small oxygen concentrator at 2l/min for when I walk only and for recovery after walking. Takes 5 mins for me to get back to 95% without oxygen and 1.5 mins with oxygen. Once I'm back to 95% oxygen is to be switched off.
sal, you can't stop oxygen therapy even if you have values over 94 96, otherwise your lungs will get tired, damage to the lungs, and I also have COPD, severe emphysema, two lungs, a proportion of 85 in the lungs
@@dc.pentrumesteri4893 Plese explain that. damage if over 94 w supp o2
Sir. I credit you for helping me get of oxygen post covid. Was on it for 8 months post cov. 2021. You gave knowledge No doctor would. So I tried it. 2 years later. Still here.
I do have lung damage.
What causes feel like cant inhale good. Like its not going though lungs... Just blowing them up n down.
Does scarring fell this way??
Thanks!
Why does it matter? Does the patient feel better off oxygen?
Very well explained
Thank you so much
Thank you very much sir 😊
You're very welcome, Asif. Thank you for watching and commenting!
What you talkin about Willis?
How do they know, then, if they're getting too much oxygen? My husband's got an elevated hemi- diaphragm, and it's made the bottom right lobe not be able to breathe. His C02 levels have come down but is still high.
Very good explanation! Thank YOU!
You are welcome! Thank you for watching and commenting!
How much time does it take for their respiratory drive to decrease? How about if the only option is to give them a 10 minute breathing treatment on oxygen flow meter?
Thank you
Great! I love this guy!
it helped a great deal, thank you
It’s a top notch video❤
What if you have peripheral neuropathy, does it interfere with with the functioning of peripheral chemoreceptors? Does chronic COPD cause peripheral neuropathy?
I’m COPD they say end stages I’m on oxygen with one liter I have 30% lung function and I am loosing all will to move I am so tired all the time I think because of medication but that aside I know they can barely hear the air moving inside me .what can I do to help myself I feel like my pulminologist 6 years ago wrote me off and I should be gone by now .But I’m here I’m up from 15% to 30 but I’m really getting worn out now I’m 67 otherwise good health
hello, how are you with the saturation, what treatments she and I are destroyed with bpoc pulmonary emphysema and pleural fibrosis plus ankylosing spondylitis are with oxygen from
I have been on oxygen for 3 years and with a saturation of 90 at night and 92.93 during the day, my chest hurts like hell because of emphysema of the lung or it is swollen and painful, my skin has turned blue.
hello, I'm the same way, maybe it's worse bpoc pulmonary emphysema and pleural fibrosis plus ankylosing spondylitis that ankylosed my entire chest and thorax to the point where I can't breathe anymore,
When I can't sit on my stomach for good minutes with my hands behind my back and flex my legs at my buttocks, I get a little strength to walk and it helps, believe me
Get a lung exercisor aerobika, palliative care program, God bless you
Depression of the respiratory drive is NOT the primary driver of oxygen induced hypercapnia in patients with COPD. The dampening of the hypoxic vasoconstriction and worsening VQ mismatch is the primary mechanism.
Absolutely! ruclips.net/video/T7R3Z4sW76o/видео.html
Please speak in plain terms so non medical people can understand also. I have mo idea what you just said.
Thank you for watching and taking the time to provide me with valuable feedback. I appreciate you!
Update: Thank you. ❤ I just got out of the hospital. They helped translate your explanation. I appreciate all of you.
Co2 increase results in a resp acidosis. increase In bicarb is metabolic alkalosis (kidney)low co2 is resp alkalosis. Low bicarb is metabolic alkalosis.
My COPD is not a problem when I'm sitting - My COPD is not a problem when I exercise on the eliptical for one hour (with Albuerteral). But Walking two blocks or up stairs is a big, big problem. What is going on here with me?
it's the other way around for me, I can't do more than 5 minutes on the Elliptical, but I can walk, on good days I walk 2 km, but I don't always have bpoc
What will happen if we try to correct bicarb or co2 level in copd patients?
Hi! We will disrupt their defined state of normalcy or homeostasis! Thanks for watching and commenting!!!
Great one thankyou👏👏
Yay! Im waiting for this. Thanks a lot
thankyou - Chronic CO2 retainer, Aim for their baseline = higher than normal PaCO2, mild hypoxia, high Bicarb, pH normal 7.35 - 7.39 If an attempt is made to get normal values The result = O2 toxicity/CO2 narcosis
Hello, I have COPD, pulmonary emphysema and pleural fibrosis, I am from Romania, and the hospitals in Romania are dying at their door and you are not aware of it, and the usual tests for COPD are only done in the hospitals
Only state hospitals do it, and I would like to do an arterial blood gas test, but in private hospitals there is no such thing, the serum bicarbonate that can help because the analysis means that it is low, or mare
hey, i have a question? what if due to severe lung damage and low oxygen saturation level(like around 70%), the heart is under pressure to pump more and gets damaged as well, do you think in this scenario as well we should limiting the oxygen? thank you for answering in advance
If you over saturate the pt and they go up to like 98% and stop breathing then wouldn’t their spo2 go down and they start breathing again and it’s like up and down?
I was on "2" - 2 1/2 for 15 years only at night while sleeping - it got to be too much!! I would remove my mask without even knowing it because it was too much. So I'm on "1" now and much better. I can't use the cannula's.
helpful. thank you
Thank you 🙏🏼
Wow never knew the other side exist.. do you think same thing might happen in covid patients?
COVID-19 is an acute pathology, thus any interruption in ventilation will be responded by Central Chemoreceptors.
amazing video was a great help
i think this is happening to me now, ive been on oxygen for more than a week and now im struggling to remove it
On oxygen 3 weeks..I thought was fairly imperative to be up around 94-95-96%---you say 88-92??? Is not88% damaging to lungs brain cells??? Hope you see this!!!
Hello and thanks for watching. To clarify, I don't say 88-92%, that's what much of the research data states as target ranges for individuals who live with chronic hypercapnia and chronic hypoxemia. I would recommend you to follow your oxygenation targets ordered by your physician.
well, at a saturation lower than 94 it is already the problem because the body was not used to such low oxygen that as a person eats a loaf of bread at one meal and the second meal you give a slice of bread already s
awesome explanation man
Thank you for watching and commenting!!
How long does it usually take for this to happen if they are receiving high o2? What about if the patient is getting a svn treatment through o2, how long would it take to depress their respiratory drive?
Oxygen toxicity result by overcorrection of o2 in form of high flow.oxygen is a drug has to be used with caution.o2 radicals are cytotoxic and results in pulm.edema.
Is a C02 level 40 should I be concerned?
Not generally, because 40 is normal. But maybe your patient is chronic and lives at 60, then why are they hyperventilating? So no and maybe.
I respectfully disagree.
This is my thought:
If a patient is in the 50/50 club they have adjusted their bicarb.
Pt gets pneumonia and starts breathing faster due to low PaO2. Their CO2 comes down from their normal. For them the CO2 of 45 is hyperventilating.
We give them O2 and their CO2 increases back to their "normal". But because the HCO3 lags behind the PH drops.
This fools us. We think we are knocking out their drive. No. We are letting them get back to "their normal".
Done many brochs on COPD pts. Turn up the O2 and they don't stop breathing. Only once have I seen O2 knock out a patient's drive. I went up and down with the O2 several times to be sure. One patient.
This would be an easy study to prove if we were knocking out COPD pts without an acute process (maybe someone needing a lung biopsy) Bronch them and adjust FiO2 up and down.
I've read there are some people who ONLY have a hypoxic drive and they don't necessarily have COPD. Just a freaky thing.
Hi! I agree this is definitely my most controversial video and perhaps topic in RT. I too have only seen this a few times in my career. However, having seen it at least once, in my humble opinion, makes it a real concept that we must be aware of. Others argue that it's not a hypoxic drive, but rather the Haldane effect, and others blame it on a changing V/Q ratio. It doesn't matter to me what the cause is, but rather that we should be judicial in administering oxygen to this group patients, and really all, considering it's a drug.
And yes, keeping in mind a COPDers levels of normal is the key to proper management.
And also yes, if this theory applies to COPDers because of CO2 retention, then it must also apply to all chronic patients who end up living at a state of chronic ventilatory failure, ie pulmonary fibrosis, cystic fibrosis, morbid obesity hypoventilation, etc. So yes, the approach to this theory, that we've both witness, despite rarely, should probably reconsidered how it is taught didactically, as well applied clinically.
Thank you for this discourse. I appreciate you watching and commenting with your thoughts.
The reason why I came to this video is because I'm trying to understand the process and it's hard because their studies that show all three things the VQ mismatch the h effect the breathing drive has changed to compensate so I'm just confused it's probably all three that explains this issue regarding the administration of oxygen. Even oxygen can cause increase carbon dioxide given to the wrong patient I guess that's why I failed in RN school because really it's just a sum of things it may not just be the one thing all three theories are probably correct depending on the individual it's important to really understand all three I think an integrate that into patient care.
Trying to understand, you want chronic retainers to stay mildly hypoxemac to keep breathing and stay alive so that their chemoreceptors tell them to keep breathing. What about the cognitive damage by hi CO2 in the brain in chronic retainers? And what is the use of high flow oxygen in the range of 60-70L/min range?