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Licensed to: iChapters User MEDICAL GAS SUPPLY EQUIPMENT • 49 Figure 1-43 A graph illustrating usable and nonusable oxygen during continuous flow delivery. (Courtesy Puritan Bennett Corporation, Lenexa, KS) that can participate in gas exchange), oxygen is conserved when these devices are compared to continuous flow oxygen delivery devices. Since these devices deliver a minimal flow of dry gas, humidification requirements are eliminated. These devices are most commonly used in the home setting, where oxygen conservation can result in substantial cost savings. When initially setting up an oxygen system on ambulatory patients, it is helpful to perform an exercise oximetry study with both continuous flow and demand pulse flow oxy- gen systems to insure adequate oxygen saturation. Not all patients will be able to maintain adequate oxygen saturations during demand pulse flow delivery. Therefore, it is important to adjust the demand pulse oxygen delivery flow rate to meet the patient’s needs during exercise, as documented by oximetry. Some patients with severe pulmonary disease may not tolerate demand pulse flow oxygen delivery systems at all. In these patients, continuous flow oxygen systems are required to maintain adequate oxygen saturations. Figure 1-44 A graph illustrating usable and nonusable oxygen during pulsed demand flow delivery. (Courtesy Puritan Bennett Corporation, Lenexa, KS) Copyright 2005 Thomson Learning, Inc. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part.