CO Dangers, Dr. D. Penney



CO Dangers


BLOOD CARBON MONOXIDE DETERMINATION BY BREATH ANALYSIS

Method: The victim inhales ambient air, holds his/her breath for 20 seconds, then expires about 1/2 of his/her breath before inflating the balloon to a diameter of about 5 inches.


Shown at right is the Breath Analyzer Module (BAM) which attaches to the top of a CO monitor. The balloon holding the exhaled breath is in BLUE.

Note: The proper calibration and zeroing of the CO monitor normally requires the use of special gas mixtures containing respectively, 1) exact known concentrations of CO, and 2) no CO.


Reading: The CO monitor does not read out blood CO directly - this is done through use of a GRAPH (below, left) or a CHART/TABLE (below, right).

The horizontal scale is in parts per million (ppm) carbon monoxide as measured by the CO monitoring unit in the exhaled air in the balloon. Blood carboxyhemoglobin (COHb) concentration (or saturation) is read from the vertical scale by projecting up from the CO conc. to the heavy oblique line, and then left horizontally to the COHb scale.

For example, 100 ppm CO read from the CO monitoring unit would represent 15%-16% COHb. Normal COHb concentration for non-smokers is usually in the range 0.4% - 1.5%. Smokers usually have higher COHb concentrations depending on when the last cigarette(s) was smoked, etc.

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Relationship of expired carbon monoxide (CO, ppm) to blood carboxyhemoglobin (COHb, %). The handy conversion table at right can be used for quick reading (Thanks to Bacharach).


Note: modified from the Bacharach, Institute of Technical Training manual, 1999


For more on CO uptake

...... last changed 08/16/00


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