Monitoring Pulse Oximetry - Street Warrior Education监测脉搏血氧饱和度的街头战士教育.ppt

Monitoring Pulse Oximetry By the EMT-Basic Objectives Understand the Indiana Regulations relative to monitoring pulse oximetry by the EMT-B/A Review the signs and symptoms of respiratory compromise Understand the importance of adequate tissue perfusion Define hypoxia and describe the clinical signs and symptoms continued Describe the technology of the pulse oximeter Define normal parameters of oxygen saturation Describe the relationship between oxygen saturation and partial pressure oxygen Describe the significance of the information provided by pulse oximetry Describe monitoring pulse oximetry during patient assessment continued Describe the use of pulse oximetry with pediatrics Describe patient conditions that may affect pulse oximetry accuracy Describe patient environments that may affect pulse oximetry accuracy Describe the evaluation and documentation of pulse oximetry monitoring Kansas Regulations Indiana EMS Regs: Adopts “EMT-Basic Advanced Initiatives” Allows EMTs to monitor saturation of arterial oxygen levels of blood by way of pulse oximetry Appropriate physician oversight On line medical control or written protocols Complete a course of instruction Respiratory Compromise Signs and Symptoms Dyspnea Accessory muscle use Inability to speak in full sentences Adventitious breath sounds Increased or decreased breathing rates Shallow breathing Flared nostrils or pursed lips continued Retractions Upright or tripod position Unusual anatomy changes Hypoxemia Decreased oxygen in arterial blood Results in decreased cellular oxygenation Anaerobic metabolism Loss of cellular energy production Hypoxemia Etiology Inadequate External Respiration Decreased on-loading of oxygen at pulmonary capillaries Inadequate Oxygen Transport Decreased oxygen carrying capacity Inadequate Internal Respiration Decreased off-loading of oxygen at cellular capillaries External Respiration Exchange of gases between the alveoli and pulmonary capillaries Oxygen diffuses from an area of highe