Oximeters
2023:
Oximeters are an important tool that lets me know my
approximate Spo2 (blood oxygen level).
I like to keep my Sp02 between 92% and 96% at
rest and when exerting or playing pickleball I prefer not to go
below 80%. I have an
oximeter with me most of the time and use it regularly.
If I tried to stay in the often recommended
Sp02 of 88% to 92% I would be sitting on the couch
instead of staying active.
I need 3 LPM at rest and up to 10 LPM when active.
It is easier to stay active if I am getting the oxygen I
need.
2019:
At the beginning of 2018 I had 6+ LPM of ambulatory oxygen
available to me. More if
I wanted but it would severely limit the amount of time I could be
active. Around this time I began using 3 LPM at rest and didn’t
hesitate to turn my home concentrator up to 5 LPM.
At this time I was happy if my Sp02 stayed in the
low 90s at rest and when I was exerting or playing tennis I could go
to the high 70s to low 80s.
I needed to stop and do pursed lip breathing to bring my
blood oxygen level up.
At times I would stop any activity and let my heart rate drop from
the high 130s-low 140s to somewhere around 115.
I had an oximeter with me at all times and used it
frequently. It was a
struggle to stay active but using the oximeter made it possible.
2015:
Started supplemental oxygen in Sept. 2014.
Bought an Inogen One G3 (with 4 settings) two months later.
In Nov. 2014 I took a walk
test, at a slow walk and it
took 3 LPM to keep my Sp02 in the mid-80s.
The G3 could not provide me the equivalent of 3 LPM.
The G3 did not come close to
providing the oxygen I needed.
With my home concentrator I could keep my Sp02 in
the low 90s while sleeping, at rest and doing light choirs around
the house. Tennis,
traveling, shopping, basically doing anything I struggled to get the
oxygen I needed. I
either need to sit on the couch or allow my blood oxygen levels to
drop into the 70s and 80s for short periods of time.
For four years the struggle to stay active got harder and
harder.
2010:
or earlier began using an oximeter to monitor my Sp02
and breathing techniques to keep my blood oxygen levels
higher. It kept me
working and out of the hospital.
Sometime after 2010 I
went to Silver City, Idaho (about 6,200 ft. elevation) to camp for a
night. I took my Sp02
before I went to bed, and was in the mid to high 70s.
With pursed lip breathing I
could bring it up to the high 80s, but it
would plumet when I was breathing normally.
I was afraid to go to sleep.
Didn’t know if I would wake up.
I woke my daughter and she broke camp up while I sat in the
car with the heater on.
On the way home my Sp02 started to climb and by the time
I got home (2,200 ft. elevation) my Sp02 was back to
normal (low 90s). The
oximeter may have saved my life, or at least a trip to the emergency
room.
I have often heard
and read that people with COPD should
keep their blood
oxygen level between 88% and 92%.
If I had to keep my Sp02 between 88%
and 92% I would not be able to get off the couch!
I had to drop below a Sp02 of 88% before my Dr.
would write me a prescription for oxygen.
At that time it did not take much exertion to drop me well
below 88% . A few months
after being prescribed supplemental oxygen during a walk (slow walk)
test I needed 3 LPM to keep me in the mid-eighties.
Moving around would have taken 5+ LPM to keep me in the high
eighties and when I stopped moving may have went above 92%.
A range between 88% to 92%
wasn’t workable for me then and still isn’t.
In the real world I don’t believe keeping a Sp02
between 88% and 92% is realistic for anyone.
If I had to keep my Sp02 between 88%
and 92% I would not be able to get off the couch!
It would take constant LPM adjustments or severely limit my
activity and lower my quality of life.
Constantly monitoring blood oxygen levels and adjusting LPMs
is not a workable solution and lowering my quality of life is
not acceptable.
Talk to your
Physician about your blood oxygen levels
and when you should be
worried and contact him!
Don’t panic about an oximeter reading that is
scary while active! It
could be a bad reading because of cold fingers, tension, poor finger
placement, low batteries, etc… Get
another reading and if it is still low use belly breathing
(Diaphragmatic breathing) or pursed lip breathing to bring your
blood oxygen level up. If
you can’t bring it up it may be time to contact a medical
professional. It is also
good to have a second oximeter in case one goes bad.
All oximeters are not the same.
I picked a model I liked years ago and have stayed with it so
I would get consistent readings.
Different brands have different algorithms.
One I had gave me good
reading while I was in the 90%+ range but when I dropped below 90%
the oximeter would start giving me readings in the low 80s.
A couple others I had would start beeping when I got in the
low 90s. Irritating.
Find one you like and stick with it.
Use the oximeter when at rest, active and
exercising to find your normal blood oxygen readings for each.
If blood oxygen levels trend up it shows things are going
well. Keep doing the
same. I blood oxygen
levels trend down try to understand why they are down.
You are the only one who lives with your COPD 24-7, the more
you know about what helps and what doesn’t you will be better able
to take care of yourself.
THIS PAGE IS A WORK IN PROGRESS
UNDER CONSTRUCTION
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These are my thoughts and experiences, not medical advice.
Gerald(Skip) Miller