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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Patient To Stop Breathing After Getting 54% Oxygen Via Venturi Mask?

A patient was admitted to the hospital with chronic obstructive pulmonary disease. His PO2 was 55 and PCO2 was 65. A new resident orders 54% oxygen via the venturi mask. One hour later, after the oxygen was placed, the nurse finds the patient with no respiration or pulse. She calls for a Code Blue and begins cardiopulmonary resuscitation (CPR). Why did the patient stop breathing?

Mon, 10 Apr 2017
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General & Family Physician 's  Response
This patient has CO2 build up and requires gradual removal of CO2 from the system.Hypercapnia increased CO2 will decrease ventilator capacity of a person( hypoventilation) and there by increased respiratory Distress. Even providing just Oxygen is of little help if excess CO2 is not driven out using a BiPAP machine or other ventilator assist devices.
This decreased ventilator drive might have caused the near death of the person.
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What Causes Patient To Stop Breathing After Getting 54% Oxygen Via Venturi Mask?

This patient has CO2 build up and requires gradual removal of CO2 from the system.Hypercapnia increased CO2 will decrease ventilator capacity of a person( hypoventilation) and there by increased respiratory Distress. Even providing just Oxygen is of little help if excess CO2 is not driven out using a BiPAP machine or other ventilator assist devices. This decreased ventilator drive might have caused the near death of the person.