Check before giving

A normal or high pulse-oximeter reading may be misleading with smoke/carbon-monoxide exposure.
Do not mistake oxygen delivery for correction of apnea or inadequate ventilation.

Use in OCEMS

Used for hypoxia and in selected smoke/CO exposure, resuscitation, and diving-related pathways.
SpO₂ alone cannot assess ventilation; use respiratory effort and available capnography alongside oximetry.

Indication / route	Dose & limits
General I-15 oxygen therapy	High-flow mask (preferred; I-15 lists 10 L/min) or nasal cannula at 6 L/min, as tolerated, for suspected hypoxia/SpO₂ below 95% and specified exposure indications.
COPD respiratory distress — SO-M-035	The initial NC option is 2 L/min. Do not withhold oxygen in severe hypoxia/distress; prepare to assist ventilation.
Chronic home oxygen	I-15 lists maintenance of the home flow rate; acute distress still requires assessment and treatment under its standing order.

Pediatric respiratory orders use high-flow mask or nasal cannula/direct blow-by at 6 L/min as tolerated when SpO₂ is below 95%.
Support inadequate ventilation with BVM as indicated. The adult COPD-specific 2 L/min wording is not a pediatric default.

SO-P-035 uses oxygen according to respiratory status and oxygen saturation, not an mg/kg formula. Assist inadequate ventilation with BVM.

Weight	Treatment trigger	Delivery
Any pediatric weight	Room-air SpO₂ below 95% under the respiratory order	High-flow mask or nasal cannula/direct blow-by at 6 L/min, as tolerated

Select the device and flow specified for the condition and reassess tolerance, work of breathing, oxygenation, and ventilation.
For cardiac arrest, use the resuscitation airway/ventilation pathway. For CPAP, check age, contraindications, pressure, and monitoring separately.