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If the Oxygen Saturation Is Below 90 Percent, What To Do?


Jakarta

Oxygen saturation is an important thing to pay attention to in COVID-19 patients. In patients who are self-isolating (isoman), oxygen saturation levels can be measured using an oximeter. So, what is the minimum number of oxygen saturation? What to do if the oxygen saturation is below 90 percent?

General Chairperson of the Indonesian Lung Doctors Association (PDPI), dr Agus Dwi Susanto, SpP(K), FISR, FAPSR explained that in addition to symptoms of shortness of breath, oxygen saturation is one of the objective parameters to determine whether or not oxygen supplementation is necessary.

If the oxygen saturation is less than or equal to 93 percent, oxygen supplementation should be given, for example using an oxygen tube in the case of an isoman patient.

“If it is less than or equal to 93 percent, oxygen supplementation should be given. It’s just that for this oxygen the method of administration varies. Some are oxygen cylinders, some are masks, some are high pressure to a ventilator. It really depends on the severity of the lack of oxygen,” explained Dr. Agus at detikcom, Tuesday (6/7/2021).

In COVID-19 patients, if the oxygen saturation is below 90 percent, then the degree of oxygen deficiency of the patient is considered severe and requires hospital treatment.

“The method of giving oxygen cylinders is only at home if possible as first aid can be done at home if it is available, but immediately go to the hospital. In this case of COVID, if the patient already needs oxygen, it means he has a severe degree. This patient cannot be treated at home . Must be in the hospital, “he continued.

Try the proning position

If oxygen saturation is detected low, Dr. Agus recommends a proning position as the first step. When the body is in a supine position, the lung function in the back tends not to be optimal because of the pressure behind it.

However, it is emphasized that the proning position must be accompanied by oxygen supplementation and hospital treatment if the saturation does not return to normal.

“The prone position in conditions like this is recommended to open the back areas so that the lung area at the back occurs maximally so that oxygenation increases,” explained Dr. Agus.

Here’s what to do if the oxygen saturation is below 90 percent:

  1. Don’t panic
  2. Take a good breath
  3. Try prone position
  4. Give oxygen if available
  5. Check saturation again
  6. If it is still low, go to the hospital immediately

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