Respiration and Pulse oximetry
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Transcript of Respiration and Pulse oximetry
Respiration and Pulse oximetry
Presented by : Sanaa AL-Sulami Teacher Assistant Nursing Department
Outlines : Learning objectives Respiration definition
The Rate of Respiration Types of breathing patterns. Breath Sound
Purpose of Respiration Assessment of respiration Implementation of
respiration Evaluation and Documentation of respiration Define
pulse oximetry Purpose the pulse oximetry Assessment and
implementation of pulse oximetry Evaluation. Objectives: Define the
respiration
List the purpose and rate of the respiration Describe the type of
breathing and breathingsound. Assessment and implementation of
therespiration. Documentation and evaluation of respiration.
definition and list the purpose of pulse oximetry. Assessment and
implementation of pulseoximetry. Evaluation and Documentation.
Respiration Is the exchange of oxygen and carbon dioxide between an
organism and its environment i.e. intake of oxygen and output of
carbon dioxide The Rate of Respiration:
Average respiration rates at rest are: infants, 3440 per minute
children five years of age, 25 per minute older children and
adults, 1624 per minute Respirations are quiet, slow, and shallow
when the adult is asleep, and rapid, deeper, and noisier during and
after activity. Types of breathing patterns:
Hyperventilation Increase amount air inside lung characterized by
prolong & deep breath associated anxiety Hypoventilation
Reduction in the amount of air in lung characterized by shallow
respiration Breath Sound Stridor Stertor Wheeze Bubbling
A shrill , harsh sound heard during inspiration with laryngeal
obstruction Stertor Snoring or sonorous respiration usually due to
partial obstruction of upper airway Wheeze Continuous high pitched
musical occur on expiration & inspiration Bubbling Gurgling
sound heard as air passes throw moist secretion in respiration
tract PURPOSE OF RESPIRATION:
To acquire baseline data against which futuremeasurement can be
compared. To monitor abnormal respiration and respiratorypatterns
and identify changes. To monitor respiration following the
administrationof a general anesthetic or any medication
thatinfluences respiration. To monitor clients at risk for
respiratoryalterations Assessment: Skin and mucous membrane
color(e.g. cyanosis or pallor)
Position assumed for breathing. Signs of cerebral anoxia (e.g.
irritability ,restlessness ) Chest movement Activity tolerance
Chest pain Dyspnea Medication affecting respiratory rate
Preparation: Equipment: Watch with a second hand or
indicator.
Determine the client's activity schedule and choose a suitable time
to monitor the respiration. Implementation: hand washing. provide
for client privacy.
Placed hand on chest or observed chest riseand fall and count the
respirations rate. Noted relationship of inspiration toexpiration.
also noted depth and effort ofbreathing. Counted respirations for
one minute or 30seconds and multiplied by 2. Observethe respiration
for depth bywatching the movement of the chest implementation:
7-Observe the respiration for regular orirregular rhythm. 8-Observe
the character of respiration thesound they produce and effort they
require. 9-Washed hands. Evaluation: Documentation
Compared respiratory rate with previous recordings. Documentation
Therespiratory rate, depth ,rhythm ,and character on the
appropriate recorded. PULSE OXIMETRY: Purpose Equipment
Non-invasive measurement of oxygensaturation Normal % Purpose To
measure arterial blood oxygensaturation Equipment Nail polish
remover as needed Alcohol wipe Sheet or towel Pulse oximeter
Assessment: The best location for a pulse oximetrysensor based on
the client's age and physical condition . The client's overall
condition including risk factors for development of hypoxemia and
hemoglobin. Vital signs ,skin and nail bed color, and tissue
perfusion of extremities as baseline data. Adhesive tape allergy.
Implementation: Documentation Explain procedure Wash hand
Provide privacy Clean the site with alcohol swab before applyingthe
sensor Apply the sensor & connect Put right finger position
Attach the sensor cable to connection Inspect & remove location
of sensor Documentation Thank you for your attention