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Not to be photocopied Patient Information Author: Pulmonary Physiology and Sleep Medicine Produced and designed by the Communications Team Issue date Dec 2013 - Review date Dec 2016 - Expiry date Dec 2017 This information can be provided in a different Version 1 Ref no. PILCOM1386 Blood Oxygen Assessment language or format (e.g. large print or audio cassette) on request. What is a blood oxygen assessment? This is a blood test that measures the levels of oxygen and carbon dioxide in your blood, so that oxygen can be prescribed safely and appropriately. Why am I having this test? This is a smokefree Trust. Smoking is not allowed in any of our hospital The test is to assess your response to oxygen therapy and, if you need it, to determine the correct and safe dose for longer-term oxygen therapy. Your blood samples are analysed for oxygen content, which shows how much oxygen is taken into the blood while breathing normal air and then after a period of breathing oxygen. buildings or grounds. Why might I need longer-term oxygen therapy (LTOT)? Oxygen is an important gas in the air that we breathe. In some patients with chronic lung disease, the low level of oxygen in the blood can put the body under stress, particularly the heart and brain. The Trust will not tolerate aggression, intimidation or Oxygen therapy increases the amount of oxygen that flows into the lungs and the blood stream. Giving oxygen for at least 15 hours a day has been proven to reduce this strain by increasing the amount of oxygen that these organs receive. LTOT is given via an oxygen concentrator installed in your house. violence Important Information The blood oxygen assessment must be performed when your condition is stable and you are not being treated for a chest infection. If you are unwell leading up to the time of your appointment, please telephone the department or your hospital doctor’s secretary, as it may be necessary to rearrange your appointment. Before the procedure, to achieve the most accurate results please note the following requests: Basildon University Hospital Nethermayne Basildon Essex SS16 5NL 01268 524900 / 0845 155 3111 z Please continue to take all medications as normal. z Please do not wear nail varnish to your appointment. Minicom 01268 593190 Patient Advice and Liaison Service (PALS) 01268 394440 E [email protected] W www.basildonandthurrock.nhs.uk Page 1 of 2 What will the test involve? The blood test takes place while you are sitting comfortably in an armchair. A sample of blood is taken from your wrist or ear lobe and analysed. If the oxygen levels are satisfactory the test may stop there. Otherwise, you will be asked to breathe oxygen for 30 minutes. The oxygen is given through nasal cannula (small tubes placed under the nose). Afterwards a second blood sample is taken and analysed. Occasionally, a third sample may be needed after a further 30 minutes of oxygen. The assessment may take a while so we recommend you bring something with you to read and a snack. Will the test hurt? You may feel some discomfort or sharpness when the blood is being taken, and you may experience some bruising of the wrist area afterwards. If you do have any worries about the test you can speak to the Physiologist (highly skilled practitioner who performs a wide range of routine and highly complex diagnostic tests) who will be happy to discuss any concerns with you. Who can I contact for further information? Pulmonary Physiology and Sleep Medicine, Level A, The Essex Cardiothoracic Centre, Basildon, SS16 5NL Tel: 01268 524900 ext 4033. Thank you for reading this leaflet. References: Flenly DC, Medical Research Council Working Party (1981) Long-term domiciliary oxygen therapy in chronic hypoxic corpulmonale complicating chronic bronchitis and emphysema. Lancet, 1, 681-686 Nocturnal Oxygen Therapy Trial Group (1980) Continuous or nocturnal oxygen therapy in hypoxaemic chronic obstructive lung disease: a clinical trial. Ann Intern Med, 93, 391-398. Page 2 of 2