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If all statistics on the prevalence of lung disease were combined, it would rank as the #3 killer in America. Among the diseases which kill one out of seven Americans are lung cancer, COPD (chronic obstructive pulmonary disease), asthma, sarcoidosis, pulmonary hypertension, influenza, and pulmonary fibrosis. ( Women's Health.gov)
Several of these diseases in their later stages are treated with oxygen therapy. At the point where an individual can no longer maintain a blood saturation level of 90% or greater, the physician will prescribe oxygen. The normal level is 95-97%; below 90% is called hypoxemia. Some insurance companies will cover oxygen therapy if the SP02 (Saturation of Peripheral Oxygen) is as low as 88%, others at 90%. One's physician will make the decision, as a prescription is required to receive oxygen therapy.
A detailed oxygen prescription indicates:
- the oxygen dose (liters per minute, or lpm),
- the number of hours per day that oxygen therapy is required,
- the dose required during exercise,
- the oxygen supply system: concentrator, compressed gas cylinder, or liquid oxygen reservoir, and
- the delivery device: nasal cannula, demand-flow device, reservoir cannula, or transtracheal oxygen catheter.
Types of Oxygen Available to Patients
The three commonly used forms of oxygen available for home-care are:
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