Drug Cards

Oxygen

Class:
Naturally occurring atmospheric gas.
Mechanism of Action:
Reverses hypoxemia.
Indications:
  • Confirmed or expected hypoxemia.
  • Ischemic chest pain.
  • Respiratory insufficiency.
  • Prophylactically during air transport.
  • Confirmed or suspected carbon monoxide poisoning.
  • All other causes of decreased tissue oxygenation.
  • Decreased level of consciousness.
Contraindications:
  • Certain patients with COPD, emphysema who will not tolerate Oxygen concentrations over 35%.
  • Hyperventilation
Adverse reactions:
Decreased level of consciousness and respiratory depression in patients with chronic CO2 retention. Retrolental fibroplasia if given in high concentrations to premature infants (maintain 30-40% O2).
Drug Interactions
None.
Adult Dosage and Administration
  • Cardiac arrest: 100%.
  • Carbon monoxide poisoning: 100%.
  • Hypoxemia: 10-15 L/ min. via non-rebreather.
  • COPD: 0-2 L/ min. via nasal cannula or 28-35% venturi mask. Be prepared to provide ventilatory support if higher concentrations of oxygen needed.
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Pediatric Dosage and Administration:
Same as for adult with exception of premature infant.
Duration of Action
  • Onset: Immediate.
  • Peak effect: not applicable.
  • Duration: Less than 2 minutes.
Special Considerations:
Be familiar with liter flow and each type of delivery device used.
Supports possibility of combustion.