A pulse oximeter measures how much oxygen is in someone's blood. It is a small device that
clips onto a finger, or another part of the body. They are used often in hospitals and clinics and
can be bought to use at home.

A physician might order a frequency parameters for checking the oxygen saturation.it is also an
interventation that can be use according to nursing judgement.and facility policy.the accuracy
of the reading.can be affected by alterations circulations movement by the patient and
substance such as nail polish or artificial nails, depending on the particular model of the
oximeter, that being used.the other scales that we need to focus in delivering supplemental
oxygen. It can be delivered to a patient in a few ways.each has specific functions.and oxygen
concentration.we choose device base on patient condition and the oxygen needs.

1 MEASURING OXYGEN SATURATION USING PULSE OXIMETER

To maintain his adequate oxygenation. keep saturation above 92 percent.

Call physician if I the oxygen drops at 92
Clean hands, check the bracelet, have him say his fullname.
Sir I would like to check ur oxygen level po to make sure that you are getting the right amount
I will be using your index finger , I will assess the pulse close to the side and capillary refill.
(pindutin ung pangalwang daliri sa kaliawa) if the circulation is inadequate po, we can use the
earlobe,or the breathe of his nose,providing I had the right sensory for the sights.we can also
use his toes providing circulation incompromise.after that I will cleanse the area, (ask si patient
if my nail polish xa or fake nails) we have to assure kc it could interfere with the measurement
and we want the result to be exact. After that I will double check the connection and the
equipment. The machine will show a bar that indicate a signal an a beep.
The light embedding sensor and the light receiving sensor have to properly aligned to get
accurate reading. (ilagay ang pang ipit sa kaliwang kamay and assuming na 99 ung reading)
After that any non disposable should be clean.and don’t forget to document the oxygen
saturation reading in the patient record.

2. Administering Oxygen Via a Nasal Cannula

Nasal cannulas are used to deliver oxygen when a low flow, low or medium
concentration is required. If for example the reading saturation is 91% the nurse will coordinate
with the physician, kc xa po ung mgbbgy ng instruction. Nasal cannula po is easy to apply and
does not interfere with the patiens ability to eat or talk.and ung rate po nang oxygen na iibgy sa
patient is depends ky physician.dun po sa video since bmba xa ng 91% bngyn po xa ng 4liters
per minute. So first check the physicians order and dapat lht ng gamit is nkaready na.
Ppnta na ky patient, kakatok sa door and mag aalcohol and check ung bracelet have the patient
says his name.explain ky patient kung bkt mag aadminister ng nasal cannula is for the patient to
help breathe better.and sbhn kay patient na nasal cannula at kung saan ilalagay.it is a plastic
tube po that fits into your nose.ask permission na ilalagay na.
First step inform patient na ppkinggan ung chest (make sure linisin ung stetoscope)
Harap at likod. Next step is set up ung humidifier and connect the nasal cannula to the oxygen
sourceand flow meter.adjust it to 4liters per min( depends sa order ni physician) after nun,
check ung tube para sa adequate flow and kpg ok na.inform patient na ilalagay na natin xa sa
ilong.dpat ung curve naka align dun sa nose ni patient.habang eenter sa nostrils.and then
ikakabit sa magkabilang ears po.and iaadjust ung host sa my ilalim ng baba.and ask patient if
ok lng sknya.and after lalagyan po ng gauze pad sa mgkbilang side para marelieve ung
pressure.advise si patient to breath tru the nose.ask if comfortable si patient.
Document the procedure. Rate per minute patient response to therapy.
Will be back to check.

3.oxygenation via facemask

The simple facemask po is a basic disposable mask, made of clear plastic, to provide oxygen
therapy for patients who are experiencing conditions such as chest pain (possible heart
attacks), dizziness, and minor hemorrhages. This mask is only meant for patients who are able to
breathe on their own,medyo uncomfortable lng kc covered po tlga ung nose and mouth ni patient.

Patience has some changes in respiratory status and oxygen saturation has drop to 89.the
doctor order the mask and with an opxygen flow rate of 10 liters per minute
The mask fits snugly around the patients face.if its loose it will not effectively delivered the right
amount of oxygen
Before putting the mask inform the patient that the physician instruct us to change it to
mask,explain n mgbbgy xa ng more oxygen and help breath easier.itaas ung higaan.check id
again.ask name. listen to the chest punsan ung stetoscope. Take some deep breath. Sa likod
pakinggan din. Then set up ung facemask. If the patient is using canula, remove the humidifier
first and then ikabit ung connector para maikabit ung tube.then adjust ung flow rate ayon sa
order ni physician and make sure na fill out ung bag ng oxygen and then ilagay na ung face
mask then lgyn ulit ng gauze sa mgkbila to avoid pressure. Ask si patient if ok lng or
comfortable xa. Document including assessment patient reaction to the procedure.
We both move flops from the mask. Lay next to you.be sure to have the bag with oxygen.and
put it into the patient.to protect the ears put gause.document including assessment.per minute.
Remove the facemask as it can dry 2-3 hour bec it can cause dryness.

Remove the facemask every 2-3 hours to check the skin if there is any irritation.and recheck
oxygen level.
4 suctioning.
deep breaths.at the back. Connect the face mask to set up.
Rationale sunctionaing
Give Comfrots to the patient by clearing air passage
.improvies oxygrenation.. we also need to limit the amount of time in suctioning.
What will happen if suction for too long. Hpoxeia.which is inadequate amount of oxygen.
Personal proctective equip to prevent disease transmission.septic technique
Assess the Nasal passages and Gather history.of the patient to check
Suction are applied when you are drying the cateter,never natin apply ung suction when
inserting the cateter,
Nasopharyngeal suctioning
If patient has accident and has muscle weakness esp in a throat
Check everything.order. adv patient that we will have secretion on her throat and it will help
breath easier. USE GLOVES AND PPE
NEXT PUT THE TOWEL ON THE CHEST
SUCTION IS 100/200 MM MERCURY PRESSURE SINCE SHE IS AN ADULT
WHEN THE SUCTION IS ON, OPEN THE SALINE AND OPEN THE STERILE SUCTION
CATETER PACKET AND PUT ON STERILE GLOVES. YOUR DOMINANT HAND WILL
REMAIN STERILE DURING THE PROCEDURE BEC IT WILL HANDLE THE CATETER
WHILE THE NON DOMINANT CAN BE CONSIDERED CLEAN RATHER THAN STERILE TO
USE TO PUR THE SALINE PICK UP THE STERILE CATETER USING THE DOMINANT
HAND AND USE THE NON DOMINANT HAND TO CONNECT TO THE SUCTION UNIT
TUBING.DONT TOUCH THE STERILE CATETER WITH NON DOMINANT HAND
AFTER DIP THE CATETER INTO SALINE TO MOISTEN AND LET THE SALINE FLOW
ESTIMATE THE DISTANCE BETWEEN PATIENTS EARLOBE AND NASTRAL AND PLACE
THE THUMB FINGER OF THR STERILE HAND AFTER THAT CHECK THE CHEST USING
STETOSCOPE.BACK AND FRONT. DOC THE PROCEDURE. RESPIRATORY BEFORE AND
AFTER. Limit suctioning to 5 to 10 seconds. Once the catheter is out, clean it by dipping it in
the sterile water or saline and suctioning
After suctioning, nkuha din natin ung oxygen sa lungs
Tataasan ntin ng 6 liters. Ibabalik natin oxygen mask. Ask to take deep breath.suction ka
ulit. Di dapat magtagal.
Depends pla sa secretion.as long as mclear airway.