NCMB312 RLE (pulse oxi, spirometry, nebul) Flashcards
One of the most commonly employed monitoring modalities in the critical care setting.
Pulse Oximetry
A good indicator of the oxygen status of a person especially HYPOXEMIA
Pulse Oximetry
low levels of oxygen in your blood
Hypoxemia
low levels of oxygen in your body tissues.
Hypoxia
Pulse oximetry sites
Soles and Palm, Earlobe, toes, fingertips, forehead
in more rare cases, wherein the digits and ear are inaccessible, a pulse oximetry reflectance probe may be attached -, making sure that it is placed away from a major vessel
low across the forehead and just right above the eyebrows
3 types of oximeter
handheld oximeter, tabletop oximeter, wrist-worn oximeter
pulse oximeter probes that are used on the palm and soles utilize a - instead of the ones that are clipped
wrap sensor
good as the fingers as a pulse oximeter measuring site and helpful in detecting problems in arterial blood flow such as in lower extremity arterial disease
toes
most accessible segment of the body for pulse oximetry
fingertips
low oxygen in the brain
cerebral hypoxia
cerebral hypoxia 02 sat
85% below
normal oxygen saturation of the peripheral blood
95-100%
hypoxemia percentage
below 95%
evaluated & treated if percentage is
90%
by shining which lights through a translucent part of the body and measuring the ratio of light reflected and light absorbed by oxygenated & deoxygenated hemoglobin
infrared & red light
incentive spirometry is also referred to as
Sustained Maximal Inspiration (SMI)
A component of Bronchial Hygiene Therapy
Incentive Spirometry
it measures how well you lungs fill up with each breath
Incentive Spirometry
helps exercise your lungs to help keep your alveoli inflated
Incentive Spirometry
air sacs where oxygen & carbon dioxide are exchange (gas exchange)
alveoli
collapse of a lung
atelectasis
conditions predisposing to the development of pulmonary atelectasis
- upper abdominal surgery
- thoracic surgery
- surgery in patients w/ chronic obstructive pulmonary disease (CPD)
Indications of Incentive Spirometry
- presence of conditions predisposing to the development of pulmonary atelectasis
- presence of pulmonary atelectasis
- presence of restrictive lung defect associated with quadriplegia/dysfunctional diaphragm
contraindications of Incentive Spirometry
- if the patient cannot be instructed or supervised to assure appropriate use of the device
- if the patient cooperation is absent or patient is unable to understand or demonstrate proper use of the device
- patient unable to deep breathe effectively
materials in incentive spirometry
- incentive spirometer
- pillow
- comfortable place to sit
the process by which a liquid medication is converted into a fine mist that can be inhaled
nebulization
device that is used to convert the liquid drug into aerosol droplets suitable for patients to inhale
nebulizer
airway opening medicines
bronchodilator
nebulization indications
-tightness in chest
-increased or thick secretions
-pneumonia
-atelectasis