Question

what nursing assessment guides a nurse to suction the patient? how do the nurse know suctioning was effective?

what is normal Oximetry. when to be concerned. what affects reading?

PLEASE DON'T ANSWER IF YOU ARE NOT SURE..THIS FOR EXAM :) THANKS

Answer 1

ANS:- Suctioning is the procedure which is used when the person is unable to mobilizse the secretions from his respiratory tract ,to maintain the oxygen saturation and patency of the airway to optimise the ventilation in the patient it can be of three types oropharyngeal nasopharyngeal or the tracheostomy tube suctioning

CLINICAL INDICATIONS FOR SUCTIONING INCLUDES ;-

respiratory distress due to retained secretions that can be assessed by

increased respiratory rate or tachypenia

increased heart rate or tachycardia

gasping

difficulty in talking

decreased chest movement

visible secretion in the tube

thick secretions

increased amount of co2 that can be assessed by arterial blood gas

decreased breath sounds

EFFECTIVENESS OF SUCTIONING IS ASSESSED BY :-

• improvement of vital signs e.g. respiration rate and sounds ,blood pressure ,heart rate and heart sounds
• secretions are removed
• deceased force of breathing and improved chest movements
• improved oxygen saturation and decreased co2 assessed by arterial blood gas

ANS :- normal oximetry :- 95-100 % is considerded normal or we can say 75-100mmof hg is considerd to be normal below this is considerded to be low

FACTORS THAT CAN AFFECT PULSE OXYMETERY READINGS

1. suctoning just before doing ABG
2. carbon dioxide inhalation :- CO₂ has more power to get atteched to hemoglobin as compared to oxygen so when we have a case of carbon monoxide or carbon dioxide poisoning we should not use pulse oxymeter to assess oxygen level because even 70% of oxygen will show 95% of saturation if that person inhaled 25% of CO OR CO₂
3. hypooxygenation of an intubated patient after suctioing
4. anemia
5. hypovolumia
6. equipment problem
7. drak skin pigmented people have more saturation level as expected
8. IV dyes