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Home Oxygen Therapy
by: Donnell Cushman, BSRT, RRT
Oxygen use in the home has become common place with new
Medicare benefits and private insurance reimbursement. The most
commonly used oxygen delivery system used in the home is the oxygen
concentrator. An oxygen concentrator is an electrically operated
device that draws in room air, separates the oxygen from the other
gases in the air and delivers the concentrated oxygen to the patient.
The concentrator acts like a strainer. It traps oxygen and releases
the other gases (mostly nitrogen) back into the room air. This process
goes on continually until the oxygen inside the unit is highly concentrated.
The air which the patient receives from the concentrator is more
the 90% oxygen.
There are several different models and sizes of oxygen concentrators
available on the market today. However, all models have the same
basic parts: a power switch to turn the unit on and off, a flow
selector that regulates the amount of oxygen the patient receives,
an alarm system that alerts the patient if the power is interrupted
and, if prescribed, a humidifier unit that allows the oxygen to
be moisturized so it will not dry out to the patient's nose, mouth
and throat.
The oxygen is delivered to the patient through a nasal
cannula or face mask. The tubing on the cannula or mask is attached
to the outlet on the humidifier unit. Sometimes, an extra length
of tubing may be attached between the concentrator and the nasal
cannula or face mask. This will allow the patient to move about
at a farther distance from the concentrator.
It is very important that the patient use the oxygen dosage
prescribed by their physician. Using too much oxygen or too little
can have harmful effects. Most states require the patient concentrator
to be checked by a factory trained technician at least once a month.
Other states including Tennessee require the patient to be visited
by a Respiratory Care Practitioner certified by that state on a
monthly basis.
The patient should feel completely confident in using the
home oxygen system prescribed by their physician. The equipment
company responsible for delivering the concentrator to the patient's
home should provide the patient with easy, step-by-step instructions
on how to operate and care for the concentrator in the home. The
patient also should be given the 24 hour number of the equipment
company in the case of an emergency.
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