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Hypoxemia

by Amy Scholten, MPH

• Definition • Causes • Risk Factors • Symptoms • Diagnosis • Treatment • Prevention
En Español (Spanish Version)
 

Definition

Hypoxemia is a low level of oxygen in the blood. It lowers the amount of oxygen that reaches organs like the heart, kidney, and brain. It can be mild or severe. When severe it can affect heart and brain function.

 

Causes    TOP

Hypoxemia may be caused by:

  • Problems getting oxygen into the lungs—such as with asthma
  • Trouble moving oxygen from the lungs to the blood—such as with lung damage or disease
 

Risk Factors    TOP

Things that raise the risk of hypoxemia are:

  • Heart or lung problems
  • Sleep apnea
  • Places with high altitude
  • Taking certain medicines
 

Symptoms    TOP

Symptoms of hypoxemia may be:

  • Headache
  • Fast breathing
  • Fast heartbeats
  • Restlessness
  • Confusion
 

Diagnosis    TOP

The doctor will ask about symptoms and past health. A physical exam will be done. Some signs like blue-ish nails or skin may mean low oxygen levels.

Oxygen levels can be tested with:

  • Pulse oximetry—a sensor placed on the finger
  • Blood tests

Breathing tests may also be done to check how well the lungs work.

 

Treatment    TOP

The goal is to raise oxygen levels in the blood. Some may need emergency care right away. Others may need a change in their care plan.

The main treatment will be oxygen therapy. Oxygen may be given through a mask or a tube just under the nose. Oxygen may be needed:

  • Short term—until problems have passed
  • Long term and daily—for conditions like COPD
 

Prevention    TOP

Not all hypoxemia can be prevented. Some people are at risk due to certain conditions. They may reduce their risk by following their care plan.

RESOURCES:

American Lung Association
http://www.lung.org

Centers for Disease Control and Prevention
http://www.cdc.gov

CANADIAN RESOURCES:

College of Family Physicians of Canada
https://www.cfpc.ca

Health Canada
https://www.canada.ca

REFERENCES:

Hypoxemia—approach to the patient. EBSCO DynaMed website. Available at: https://www.dynamed.com/approach-to/hypoxemia-approach-to-the-patient. Accessed August 5, 2021.

Hypoxemia. Cleveland Clinic website. Available at: https://my.clevelandclinic.org/health/diseases/17727-hypoxemia. Accessed August 5, 2021.

Luks AM, Swenson ER, et al. Acute high-altitude sickness. Eur Respir Rev. 2017;26(143):160096.



Last reviewed July 2021 by EBSCO Medical Review Board Dan Ostrovsky, MD
Last Updated: 8/5/2021

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