oxygen saturation level

Jessica's Mom · #1 02-23-2003, 03:00 PM

Hi everyone,
Jessica has been doing well but her sats are lower when she is sleeping? Doing the day they are at 100%? When she falls asleep, her sats drop to 97 and stay between 95 and 97 then after she has been asleep for awhile, like from 9

0pm to 12

0am, they go up to 100%, any idea what might be going on? Are these sat levels okay? Jessica doesn't have a gtube or NG tube, she takes her formula from a bottle, she has recently begun to eat stage 1 baby food, just very small amounts, but could this be causing it, until her stomach digests the baby food? Right now she is napping, and her sat is 95, this bothers me? Should it? Or is this okay, now it is 96?
Thanks,
Denise
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cariaad · #2 02-23-2003, 06:06 PM

I think it's an individual thing, Alli sats anywhere from 93 to 100 while sleeping and this is considered ok by all her drs. We dont have a moniter any longer or O2 in the house. Deb

indiemum · #3 02-24-2003, 01:46 AM

Sometimes Indie will drop as low as 93% in a deep sleep. She usually is between 97 and 100 all of the time. I don't worry about it. I also think that "normal" kids (I hate that term) but anyway, don't have an o2 monitor so who knows what the real variants are. Indie has been 91 and 92 and still pink, although I don't like her to hover that low for too long. I think you are fine personally but always trust your gut.

Kelly

christyw · #4 02-24-2003, 05:33 PM

To share my experience, Gaithy had pulmonary hypertension when she was a smaller preemie, and even with that, the pulmonolgist ordered to keep sats at or above 95%. So you probably have no cause to worry. Gaithy went thru a long time of satting 100% while awake, but only 95-96% while asleep. Now she's usually at 100% or 99 all the time, which I love to see, but it's not a requirement. In fact, I don't get too worried unless the sats get around 93% (except when she's awake - if her sats were that low awake, there would be reason for me to worry because it's totally unusual). Sometimes if she gets choked up in the night her sat will drop to 91-93 and I'll just let it go for fifteen minutes or so and it comes back up on it's own. I personally would definitely not worry about 96-97%. Also, whenever Gaithy has to go into Ambulatory Surgery (for ear tubes, bronchs, etc...) they check kids for a sat of 97%, and as long as it's 97%, they are happy.

christy

Laurie · #5 02-26-2003, 01:32 PM

We have been told that 92 and above are fine, and that sats can be lower when asleep than when awake. Evan has BPD (chronic lung disease) and is on O2 all the time, so we expect a sat drop now and again. We turn up his O2 or suction when we see sats of 92-93, but we don't consider him to be in danger at this point, just working a little harder. Also, remember that the pulse ox is reading the sats in an extremity - sats of the vital organs will be higher. Good luck.

christyw · #6 02-26-2003, 09:38 PM

To add on to Laurie's comment - about the sats being taken in an extremity - this of course is true, and we used to put the pulse ox around gaithy's whole foot, until she was too large and then we went to the toe. If the area is too fat/large the reading won't be as good because it's that light that causing the sensor to read. And, I've noticed if gaithy's feet are cold the sat might "read" a little low (her feet get really cold all the time&#33

but I'll but socks on her or maybe her little slippers and the sat reading will rise.

christy