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OXYGENATION PRINCIPLES
Michael S. Vinas, MA-HRM
Oxygen 1:4
Oxygen, symbol O, colorless, odorless,
tasteless, slightly magnetic gaseous
element. On earth, oxygen is more
abundant than any other element.
Oxygen was discovered in 1774 by the
British chemist Joseph Priestley and,
independently, by the Swedish chemist
Carl Wilhelm Scheele; it was shown to be
an elemental gas by the French chemist
Antoine Laurent Lavoisier in his classic
experiments on combustion.
Oxygen 2:4
Oxygen composes 21 percent by
volume or 23.15 percent by weight of
the atmosphere; 85.8 percent by weight
of the oceans (88.8 percent of pure
water is oxygen); and, as a constituent
of most rocks and minerals, 46.7
percent by weight of the solid crust of
the earth. Oxygen comprises 60 percent
of the human body. It is a constituent of
all living tissues; almost all plants and
animals, including all humans, require
oxygen, in the free or combined state,
to maintain life.
Oxygen 3:4
Three structural forms of oxygen are
known: ordinary oxygen, containing two
atoms per molecule, formula O2; ozone,
containing three atoms per molecule,
formula O3; and a pale blue,
nonmagnetic form, O4, containing four
atoms per molecule, which readily
breaks down into ordinary oxygen.
Three stable isotopes of oxygen are
known; oxygen-16 (atomic mass 16) is
the most abundant. It comprises 99.76
percent of ordinary oxygen and was
used in determination of atomic weights
until the 1960s.
Oxygen 4:4
Gaseous oxygen can be condensed to a
pale blue liquid that is strongly
magnetic. Pale blue solid oxygen is
produced by compressing the liquid.
The atomic weight of oxygen is
15.9994; at atmospheric pressure, the
element boils at -182.96 C (-297.33
F), melts at -218.4 C (-361.1 F), and
has a density of 1.429 g/liter at 0 C
(32 F).
AIR:OXYGEN RATIOs
AIR
0
1
2
3
4
5
6
7
8
OXYGEN
8
7
6
5
4
3
2
1
0
RATIOFIO2
0:8
1:7
1:3
1:1.67
1:1
1:0.60
1:0.33
1:0.142
8:0
1.00
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.21
Manufacturing of Oxygen
The process of mechanical processing of
Oxygen is a technique known as Fractional
Distillation.
Oxygen is compressed to its Critical
Pressure which converts O2 in the gaseous
state to its liquid state, a pale blue color
with a slight garlic smell.
Oxygen may be stored as a bulk liquid agent
in Thermos type containers or brought up
to just above its Critical Temperature and
stored in high pressure gas cylinders
The lungs resume the process of gas exchange at the AlveolarCapillary level after birth until death.
HEMOGLOBIN/ HEMATOCRIT
The hemoglobin in infant and pediatric patient's has been
surveyed and reported between the ranges of 12.5-22 gm./dL
(Hartley-Winkler). Hemodilutional calculations, however, are
predicated on hematocrit values.
AGE HEMOGLOBIN VALUES
1 Day 18-22 GM/DL
2 Weeks 17 GM/DL
3 Months 10 GM/DL
3-5 Years 12.5-13 GM/ DL
METABOLIC ACIDOSIS
The aerobic Krebs; Citric Acid cycle
is shut down and replaced by the
anerobic Embden-Meyerhoff cycle
which converts Pyruvic into Lactic
Acid. The increased hydrogen ions
affect the respiratory center of the
Medulla Oblongata affecting
increased ventilation. Venous blood
is presented to the AlveolarCapillary membrane, H + HCO3
associates into H2CO3-, Carbonic
Acid, then dissociates into water and
CO2 gas. The Renal Glomerulus
excretes excess H+.
Bubbler Oxygenators
Have a direct gas to
blood interface, thus
causing contact and
complement pathway
activation leading to
activation of C3 and
C5A; pulmonary and
myocardial edema
Oxygen Delivery
CaO2=Arterial Oxygen Content Vol.%
AVERAGE
KG.
METS
5.05
8.25
7.50
6.75
6.00
5.50
5.00
4.75
3.50
05
10
15
20
25
30
35
40
70
2.43
2.36
2.00
1.93
1.71
1.57
1.43
1.36
1.00
VO2
ml./min.
42.5
82.5
112.5
135.0
150.0
165.0
175.0
190.0
250.0
SUMMARY
ECC formulas are essential for proper application of ECC
Oxygenation
It is prudent to maintain normal acceptable clinical Hematology,
Electrolytes and Acid-Base balance for proper Oxygen Transport
Anemia, Acidosis, Electrolyte Imbalances will impair proper
Oxygenation processes