Pulse Oximeters and Oxygen Concentrators: What to Know (2024)

Giving yourself too much or too little oxygen can be dangerous. Talk with your doctor about safely using pulse oximeters and oxygen concentrators at home.

Subscribe to Email Updates

Español中文한국의TagalogTiếng Việt

To survive, we need oxygen going from our lungs to the cells in our body. Sometimes the amount of oxygen in our blood can fall below normal levels. Asthma, lung cancer, chronic obstructive pulmonary disease (COPD), the flu, and COVID-19 are some of the health issues that may cause oxygen levels to drop. When the levels are too low, we may need to take extra oxygen, known as oxygen therapy.

One way to get extra oxygen into the body is by using an oxygen concentrator. Oxygen concentrators are medical devices required to be sold and used only with a prescription.

You should not use an oxygen concentrator at home unless it has been prescribed by a health care provider. Giving yourself oxygen without talking to a doctor first may do more harm than good. You may end up taking too much or too little oxygen. Deciding to use an oxygen concentrator without a prescription can lead to serious health problems, such as oxygen toxicity caused by receiving too much oxygen. It can also lead to a delay in receiving treatment for serious conditions like COVID-19.

Even though oxygen makes up about 21 percent of the air around us, breathing high concentrations of oxygen may damage your lungs. On the other hand, not getting enough oxygen into the blood, a condition called hypoxia, could damage the heart, brain, and other organs.

Find out if you really need oxygen therapy by checking with your health care provider. If you do, your health care provider can determine how much oxygen you should take and for how long.

What do I need to know about oxygen concentrators?

Oxygen concentrators take in air from the room and filter out nitrogen. The process provides the higher amounts of oxygen needed for oxygen therapy.

Concentrators may be large and stationary or small and portable. Concentrators are different than tanks or other containers supplying oxygen because they use electrical pumps to concentrate the continuous supply of oxygen that comes from the surrounding air.

You may have seen oxygen concentrators for sale online without a prescription. At this time, the FDA has not approved or cleared any oxygen concentrators to be sold or used without a prescription.

When using an oxygen concentrator:

  • Do not use the concentrator, or any oxygen product, near an open flame or while smoking.
  • Place the concentrator in an open space to reduce chances of device failure from overheating.
  • Do not block any vents on the concentrator since it may impact device performance.
  • Periodically check your device for any alarms to make sure you are getting enough oxygen.

If you are prescribed an oxygen concentrator for chronic health problems and have changes in your breathing or oxygen levels, or have symptoms of COVID-19, call your health care provider. Do not make changes to the oxygen levels on your own.

How are my oxygen levels monitored at home?

Oxygen levels are monitored with a small device called a pulse oximeter, or pulse ox.

Pulse oximeters are usually placed on a fingertip. The devices use beams of light to indirectly measure the level of oxygen in the blood without having to draw a blood sample.

What do I need to know about pulse oximeters?

As with any device, there is always a risk of an inaccurate reading. The FDA issued a safety communication in 2021 informing patients and health care providers thatalthough pulse oximetry is useful for estimating blood oxygen levels, pulse oximeters have limitations and a risk of inaccuracy under certain circ*mstancesthat should be considered. Multiple factors can affect the accuracy of a pulse oximeter reading, such as poor circulation, skin pigmentation, skin thickness, skin temperature, current tobacco use, and use of fingernail polish. Over-the-counter oximeters that you can buy at the store or online do not undergo FDA review and are not intended for medical purposes.

If you are using a pulse oximeter to monitor your oxygen levels at home and are concerned about the reading, contact a health care provider. Do not rely only on a pulse oximeter. It also is important to keep track of your symptoms or how you feel. Contact a health care provider if your symptoms are serious or get worse.

To get the best reading when using a pulse oximeter at home:

  • Follow your health care provider’s advice about when and how often to check your oxygen levels.
  • Follow the manufacturer’s instructions for use.
  • When placing the oximeter on your finger, make sure your hand is warm, relaxed, and held below the level of the heart. Remove any fingernail polish on that finger.
  • Sit still and do not move the part of your body where the pulse oximeter is located.
  • Wait a few seconds until the reading stops changing and displays one steady number.
  • Write down your oxygen level and the date and time of the reading so you can track any changes and report these to your health care provider.

Be familiar with other signs of low oxygen levels:

  • Bluish coloring in the face, lips, or nails;
  • Shortness of breath, difficulty breathing, or a cough that gets worse;
  • Restlessness and discomfort;
  • Chest pain or tightness;
  • Fast/racing pulse rate;
  • Be aware that some people with low oxygen levels may not show any or all of these symptoms. Only a health care provider can diagnose a medical condition such as hypoxia (low oxygen levels).

Reporting Problems with a Device

If you experienced a problem or injury that you think may be related to a pulse oximeter or oxygen concentrator, you can voluntarily report it through the FDA’s MedWatch program.

Pulse Oximeters and Oxygen Concentrators: What to Know (2024)


What are the disadvantages of an oxygen concentrator? ›

But there are a few drawbacks to oxygen concentrators. The main one is the need for a constant power supply. You'll need to have a battery backup or a power generator in case of an outage. Older models may be louder than an oxygen tank.

What are the symptoms of too much oxygen from a concentrator? ›

Symptoms include pleuritic chest pain, substernal heaviness, coughing, and dyspnea secondary to tracheobronchitis and absorptive atelectasis, which can lead to pulmonary edema. Pulmonary symptoms typically abate 4 hours after cessation of exposure in the majority of patients.

How many hours a day should I use my oxygen concentrator? ›

How long should you be on an oxygen concentrator? It depends on why you need supplemental oxygen. Most people must use supplemental oxygen for at least 15 hours every day.

What are the side effects of supplemental oxygen? ›

Oxygen therapy is generally safe, but it can cause side effects. They include a dry or bloody nose, tiredness, and morning headaches. Oxygen poses a fire risk, so you should never smoke or use flammable materials when using oxygen.

What should you not do with an oxygen concentrator? ›

Do not use the concentrator, or any oxygen product, near an open flame or while smoking. Place the concentrator in an open space to reduce chances of device failure from overheating.

Is it safe to sleep in a room with an oxygen concentrator? ›

Now you may wonder: can you sleep with a portable oxygen concentrator? The answer is yes and people who already use an oxygen sleeping machine have noted several significant benefits for their health and wellbeing.

When should I stop using oxygen concentrator? ›

Some people with chronic conditions need supplemental oxygen for life, while others need it temporarily until they recover from an acute (short-term) illness. You should follow your healthcare provider's instructions. Depending on your specific health needs, you may need oxygen therapy 24 hours a day.

Why am I short of breath but my oxygen saturation is good? ›

Shortness of breath does not always indicate that you are hypoxic. In other words, your level of dyspnea, or air hunger, does not always correlate with your oxygen saturation. This means that you can be short of breath, even extremely short of breath, even in the presence of normal oxygen saturation.

What are the long term effects of oxygen use? ›

High concentrations of oxygen, over a long period of time, can increase free radical formation, leading to damaged lungs. It can cause a spectrum of lung injuries ranging from mild tracheobronchitis to diffuse alveolar damage.

What is life expectancy for someone on oxygen 24/7? ›

The median survival time was 1.9 years (IQR, 0.7 to 4.0 years). Main causes of death included respiratory disease (68%), cardiovascular disease (20%) and cancer (6%). In the cohort, 539 (24%) patients were prescribed LTOT 24 h/day, 1,231 (55%) were prescribed 15 h/day and 470 (21%) had other daily durations prescribed.

Is 2 liters of oxygen a lot? ›

Your doctor will prescribe the level of supplemental oxygen you need. The level is prescribed in liters per minute (LPM) and typically is between 1 to 10 liters per minute, with 2 LPM being common at first. The LPM oxygen flow rate of 2 indicates that 2 liters of oxygen should flow into the patient's nose in 1 minute.

Which is better oxygen cylinder or oxygen concentrator? ›

The size difference between a 1-litre oxygen cylinder and a 5-litre oxygen cylinder significantly impacts their respective prices. Considering the size and portability factors, oxygen concentrators offer greater convenience and ease of use than bulky oxygen cylinders.

Is bottled oxygen better than a concentrator? ›

While an oxygen concentrator may be considered to be better than an oxygen tank when considering its long-term use, choosing between the two is still a matter of preference. Weighing in the things to consider in choosing between the two and getting to know more about the two medical devices is important to do.

Why might someone use an oxygen cylinder instead of an concentrator? ›

One of the most distinct advantages of oxygen tanks is that they take advantage of the pressurized oxygen within them to operate. By releasing the oxygen at one of several flow rate options, oxygen tanks are able to operate without requiring the use of a battery or electrical outlet.

Which one is better, an oxygen cylinder or an oxygen concentrator? ›

The size difference between a 1-litre oxygen cylinder and a 5-litre oxygen cylinder significantly impacts their respective prices. Considering the size and portability factors, oxygen concentrators offer greater convenience and ease of use than bulky oxygen cylinders.

Top Articles
Latest Posts
Article information

Author: Arielle Torp

Last Updated:

Views: 6598

Rating: 4 / 5 (61 voted)

Reviews: 84% of readers found this page helpful

Author information

Name: Arielle Torp

Birthday: 1997-09-20

Address: 87313 Erdman Vista, North Dustinborough, WA 37563

Phone: +97216742823598

Job: Central Technology Officer

Hobby: Taekwondo, Macrame, Foreign language learning, Kite flying, Cooking, Skiing, Computer programming

Introduction: My name is Arielle Torp, I am a comfortable, kind, zealous, lovely, jolly, colorful, adventurous person who loves writing and wants to share my knowledge and understanding with you.