Pulse oximetry monitoring

In cases of respiratory overexposure, the victim should be moved to fresh air immediately and treated according to severity of irritation. The presence and severity of respiratory irritation, bronchitis, and pneumonitis should be evaluated. If respiratory tract irritation or respiratory depression is evident, arterial blood gases, chest X-ray, and pulmonary function tests should be monitored. For acute lung injury, ventilation and oxygenation should be maintained and evaluation should be done with frequent arterial blood gas or pulse oximetry monitoring. 

ETCA does not require any type of anesthetic, sedation or analgesics. Any mild pain caused by the application of the ETCA solution can be dealt with immediately, as soon as frosting occurs, by applying the post-peel cream. No pulse oximetry monitoring is necessary and no vagal reaction has been described, perhaps because it is a short procedure. 

Continuous pulse oximetry monitoring, order oxygen by nasal cannula or mask to maintain sat greater than 95%... 

Ensure staff understand the purpose and significance of alarms and know how to set alarm limits to appropriate, meaningful values. Low-saturation alarms on pulse oximetry monitors and low minute-volume or high peak-pressure alarms on ventilators are regular subjects of this sort of error. 

A second ventilatory circuit, with mask, head gear, and chin strap, as well as a preventative maintenance schedule for changing filters and checking alarms are required. Nearly all ventilators need an electrical power source and although models with built-in battery supplies are preferred, the need for a backup battery should be discussed on an individual basis. Systematic pulse oximetry monitoring is not usually necessary, but may be required initially for highly ventilator-dependent patients, and subsequently, if there are issues with secretion clearance or frequent infectious exacerbations. 

Cardiopulmonary support must be instituted and adjusted rapidly. Electrocardiogram (ECG) monitoring, continuous pulse oximetry, urine flow monitoring, and automated blood pressure recording are necessary. Peripheral or femoral arterial catheters may be used for continuous assessment of arterial pressure. 

Oxygen saturations can be easily monitored continuously with pulse oximetry. For young children and adults, pulse oximetry, lung auscultation, and observation for supraclavicular retractions is useful. 

The ECT unit should be staffed by experienced professionals trained in the use of the procedure and in the care of an unconscious patient, including measures for intravenous access, monitoring of blood pressure, pulse oximetry, and EKG (Gaines and Rees, 1992). The ECT team usually includes a psychiatrist, an anesthesiologist, and a nurse. 

Mendelson Y. Pulse oximetry—theory and applications for noninvasive monitoring. Clinical Chemistry 1992, 38, 1601-1607. 

Kelleher JF. Pulse oximetry. Journal of Clinical Monitoring 1989, 5, 37-62. 

Cardiac and respiratory stabilization are the first priorities following pentazocine poisoning. The patient s airway should be patent and adequate ventilation assured. If the patient has either inadequate ventilation or a poor gag reflex, then the patient may be at risk for subsequent CO2 narcosis with worsening acidosis or aspiration. If necessary, endotracheal tube intubation should be performed. Close monitoring of the patient s pulmonary exam should be performed to assure that pulmonary edema does not develop. The health care providers should place the patient on continuous cardiac monitoring with pulse oximetry and make frequent neurological checks. 

Every patient must be properly monitored with pulse oximetry and electrocardiography (EGG). Even if the peel is done by the book and even when the simplest and least aggressive techniques are used, stress can cause vagal reactions, low blood pressure and tachycardia. Pulse oximeter monitoring can pick up on any drop in oxygen saturation that could accentuate myocardial irritability and cause arrhythmias. 

In addition to periodic monitoring of physical signs, blood pressure, and serial measurements of blood chemistry and arterial blood gas analyses, there should be continual monitoring of the ECG and pulse oximetry. However, pulse oximetry may be unreliable following MetHb-inducing antidotes. 

Electrocardiogram (ECG) with continuous monitoring and pulse oximetry for complications from toxicity and hypoxia... 

Poisoned patients may require monitoring of vital signs, measurement of ventilatory adequacy such as blood gases and pulse oximetry, leukocyte count with differential to assess development of pneumonia, and chest radiographs to assess the degree of pulmonary edema or development of hydrocarbon pneumonitis. Workers involved in the formulation and application of pesticides should be monitored by periodic measurement of cholinesterase activity in their bloodstream. Untreated, anticholinesterase-depressed acetylcholinesterase activity returns to normal values in approximately 120 days. 

Pulse oximetry is used widely in clinical practice to monitor arterial saturation (Sp02). A pulse oximeter is a small battery-operated device that is placed on the finger or the earlobe. This device emits and reads the reflected light from capillary blood, estimating the... 

Circulation must be carefully observed and monitored. Non-invasive blood pressure, pulse oximetry and ECG monitoring are all useful indicators of circulatory function. The early establishment of intravenous access will aid the administration of fluids and drugs. 

Pulse oximetry offers fabourable advantages over tcpO monitors by use of unheatcd sensors, by simple handling, by possible applications to derma edema, and by the combination with the blood pulse for monitoring also in cases of bad perfusion. 

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