SPM 100 SKILLS LAB 5

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
• PaCO2 35-45 mmHg
• PaO2 80-100 mmHg

3
Oxyhemoglobin Dissociation Curve
4
Oxygen Transport

• Dissolved in plasma
• (vol 0.0031 (ml O2 /100cm3/mmHg)
• x PaO2
• Bond to Hemoglobin
• 1.34 ml of O2/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 (gt 5 gHb / 100ml of blood)

6
Hypoxemia Signs and Symptoms

• Tachycardia
• Tachypnea
• Mental Status Changes

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Changes in Oxygenation

• Altitude
• Hyerbaric Therapy
• Carbon Monoxide

8
ECG MonitorLead 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 8ed
13
Heart Sounds

• S1 lub occurs at the beginning of systole
  (mitral and tricuspid close)
• S2 dub marks the start of diastole,
• (aortic and pulmonic close)
• S3 (ventricular gallop) early signs of CHF
• S4 (atrial gallop) pulmonic stenosis, aortic
  stenosis, hypertension, MI cardiomyopathy

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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