A COPD patient is being assess in the hospital for readiness to be discharged home. The respiratory therapist is in charge of establishing the appropriate oxygen flow rate by nasal cannula to be used at home. The patient maintains an SpO2 of 90% on 2 L/min at rest, and 86% during ambulation. Which of the following recommendation would be most appropriate? A. 1 L/min during sleep, 2 L/min all other times B. 1 L/min at rest, 2 L/min during ambulation C. 2 L/min at all times D. 2 L/min at rest, 3 L/min during exertion {Ans: D. 2 L/min at rest, 3 L/min during exertion For COPD patients who need supplemental oxygen, 1-2 L/min or 24-28% is appropriate while at rest. However, if the patient is participating in any kind of exercise or pulmonary rehabilitation program that requires activity, additional flow may be provided during the activity only. Increasing flow does not actually increase the FIO2 for the patient, especially if they are on a nasal cannula. When the patient engages in exertion, they typically increase their tidal volume and inspiratory flow rate. In doing so, they entrain more air through their nose and lower their FIO2. Thus, an