1. SPM 100 SKILLS LAB 5 Pulse Oximetry and Cardiac Monitoring Daryl P. Lofaso, M.Ed, RRT Clinical Skills Lab Coordinator

2. Arterial Blood Gas (ABG) Normal Ranges  pH 7.35-7.45  PaCO 2 35-45 mmHg  PaO 2 80-100 mmHg

3. Oxyhemoglobin Dissociation Curve

4. Oxygen Transport Dissolved in plasma:  (vol % = 0.0031 (ml O 2 /100cm 3 /mmHg) x PaO 2 Bond to Hemoglobin:  1.34 ml of O 2 /g of Hb x g of Hb x g of Hb/100 cm3 x % Saturated

5. Cyanosis Approximately 5 g/dl of unoxygenated hemoglobin in the capillaries (> 5 gHb / 100ml of blood)

6. Hypoxemia: Signs and Symptoms Tachycardia Tachypnea Mental Status Changes

7. Changes in Oxygenation Altitude Hyperbaric Therapy Carbon Monoxide

8. ECG Monitor Lead Placement

9. Anatomy of Hearts Electrical System

10. Basic ECG

11. Confirmation of Asystole Check lead and cable Monitor power Monitor gain Change leads

12. Cardiac Assessment Ref: Bates 8 ed

13. Heart Sounds S 1 : “ lub” occurs at the beginning of systole (mitral and tricuspid close) S 2 : “dub” marks the start of diastole, (aortic and pulmonic close) S 3 : (ventricular gallop) early signs of CHF S 4 : (atrial gallop) pulmonic stenosis, aortic stenosis, hypertension, MI & cardiomyopathy

14. Professional Conduct Introduce yourself Explain the procedure / examination to the patient Ask the patient if they have any questions Cover the patient with a sheet. Only expose area examining while performing a procedure/examination