Our veteran clinicians share their tips for success for oxygen therapy
Braxton has been a Registered Respiratory Therapist for 3 years and serves Apria's respiratory and CPAP patients in the Idaho region. Outside of work, Braxton enjoys trimming and shoeing horses for the public, training his own horses, and competing in local horse shows & ranch roping events.
Q. It says that it’s not advised my oxygen concentrator be outside in the cold for “too long” but what is too long? And what if I have to go outside, how do I get around this?
A. Generally, oxygen concentrator and portable oxygen concentrator manufacturers do not recommend the devices be used for long periods of time below 50 degrees Fahrenheit. Using these devices in cold temperatures can decrease the oxygen concentration levels and reduce battery life if applicable.
I would recommend using portable oxygen tanks, while also keeping in mind to limit the time spent outside so you don’t breathe in cold oxygen that could be irritating or damaging to your airway.
If you still need to use your oxygen concentrator, make sure to limit the amount of time you use it in the cold weather. Quick trips, (10-20 minutes) like going to the grocery store or bank are okay because the device isn’t exposed to cold temperatures for too long. If you need to go outside, do not go without your oxygen.
Q. I’m on oxygen therapy and sometimes I’ll lose my breath while just sitting still, why does that happen?
A. It is possible that you are not receiving the proper amount of oxygen to effectively treat your hypoxemia (low levels of oxygen in your blood, which can cause your shortness of breath). Check your tubing and nasal cannula to make sure there are no kinks or tears. Check your machine to make sure it is functioning and connected to a grounded wall outlet.
If everything is okay with the machine and tubing, try taking slow, deep breaths, this is often called diaphragmatic breathing. Begin by sitting up straight, inhaling slowly through your nose, and exhaling slowly out of your mouth. This will help to reduce anxiety and increase oxygen levels. It can be a good idea to have an oximeter around so that you can check your oxygen saturation at any time. If these methods don’t reduce your breathlessness, contact your doctor.
Q. I'm getting sores on the inside tip of my nose where the cannula sits. The cannula often sticks to this sore. What can I do?
A. First, make sure the nasal cannula is properly orientated in your nose. The curved prongs should face down when placed inside the nose.
You can also use water-based lubricants to moisten the inside of your nose to reduce dryness and sores. Do not use petroleum-based products as there is a potential fire hazard. Another way to help is a humidifier could be added to your oxygen therapy to relieve dryness and sores from your nasal cannula. Contact your local Apria for options on getting a humidifier.
It’s also possible that the nasal cannulas do not fit your nose properly and you may need a different size or style. Soft pronged nasal cannulas are often more comfortable for patients. Contact your local Apria for nasal cannula options.
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