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