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Volume 26 Number 4

By Frank Hubbell, DO

Illustrations By T.B.R. Walsh


To be used on anyone who is exhibiting signs and symptoms of hypoxia:


Shortness of breath

Increase or decrease in respiratory rate

– Adult: respiratory rate less than 10 or greater than 30

– Child (1 year – 12 years old): respiratory rate less than 15 or greater than 30

– Infant (0 – 12 months old): respiratory rate less than 25 or greater than 50

Increase in heart rate.

Change in level of consciousness.

Change in skin color: pallor or cyanosis.


 Never, ever withhold oxygen from someone who appears to need it.

The following is needed to provide supplemental oxygen to a patient:

✔  O2 tank

✔  Regulator

✔  Delivery device – O2 mask


 Medical Oxygen Storage Tanks:

Come in various sizes.

Are identified by color– either the entire tank is green or the curved part of the tank, “the shoulder,” is green

Have an identifying yellow, diamond shaped label on the tank that is marked U.S.P. and Oxygen

Full tanks contain 2000 PSI of pressure and must be handled properly.


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Asthma and Rescue Inhalers

September/October 2008  ISSN-1059-6518  Volume 21 Number 5

By Frank Hubbell, DO

Illustrations by T.B.R. Walsh

As described in the feature article, asthma is recurrent (not progressive) and reversible. An asthma attack is caused by allergens that have been inhaled into the airway causing swelling, bronchospasm, and increased mucous production by the bronchioles. This will cause the bronchioles to narrow, producing expiratory wheezing (wheezing on exhalation), which will then cause air to become trapped in the alveoli. Due to the decrease in air movement, and air trapping, asthma patients will complain of a worsening sensation of shortness of breath (SOB)—dyspnea.

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