Respiration and Pulse oximetry Presented by : Sana’a 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 breathing sound. Assessment and implementation of the respiration. Documentation and evaluation of respiration. definition and list the purpose of pulse oximetry. Assessment and implementation of pulse oximetry. 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, 34–40 per minute children five years of age, 25 per minute older children and adults, 16–24 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 future measurement can be compared. To monitor abnormal respiration and respiratory patterns and identify changes. To monitor respiration following the administration of a general anesthetic or any medication that influences respiration. To monitor clients at risk for respiratory alterations

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 rise and fall and count the respirations rate. Noted relationship of inspiration to expiration. also noted depth and effort of breathing. Counted respirations for one minute or 30 seconds and multiplied by 2. Observe the respiration for depth by watching the movement of the chest

implementation: 7-Observe the respiration for regular or irregular rhythm. 8-Observe the character of respiration –the sound they produce and effort they require. 9-Washed hands.

Evaluation: Documentation Compared respiratory rate with previous recordings. Documentation The respiratory rate, depth ,rhythm ,and character on the appropriate recorded.

PULSE OXIMETRY: Purpose Equipment Non-invasive measurement of oxygen saturation Normal – 90-100% Purpose To measure arterial blood oxygen saturation Equipment Nail polish remover as needed Alcohol wipe Sheet or towel Pulse oximeter

Assessment: The best location for a pulse oximetry sensor 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 applying the 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