1. Respiration and Pulse oximetry
Presented by :
Sana’a AL-Sulami
Teacher Assistant
Nursing Department

2. 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.

3. 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.

4. 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

5. 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.

6. 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

7. 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

8. 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

9. 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

10. Preparation: Equipment: Watch with a second hand or indicator.
Determine the client's activity schedule and choose a suitable time to monitor the respiration.

11. 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

12. 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.

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

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

15. 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.

16. 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

18. Thank you
for
your attention