College

What bedside monitoring parameters are used to assess for adequacy of oxygenation and effectiveness of ventilation?

- Pulse oximetry
- Capnography

Answer :

Final answer:

To evaluate oxygenation and ventilation adequacy, healthcare providers utilize pulse oximetry to monitor blood oxygen saturation levels and capnography to measure expired CO2 levels. Additionally, arterial blood gas analysis can provide direct measurements of blood oxygen (Po2) and CO2 levels.

Explanation:

Bedside Monitoring for Oxygenation and Ventilation

To assess the adequacy of oxygenation and effectiveness of ventilation at the bedside, healthcare providers utilize parameters such as percent saturation and measurements of carbon dioxide (CO2) levels in the blood. Pulse oximetry is a common non-invasive method to monitor percent saturation of oxygen in the blood. A pulse oximeter is placed on a thin part of the patient's body, usually the fingertip, and uses two different wavelengths of light to measure oxygen saturation. The normal range of pulse oximeter readings is between 95-100 percent, with levels below this range indicating hypoxemia.

Capnography is used to measure the concentration of carbon dioxide in exhaled air, which is indicative of the effectiveness of ventilation. This measurement helps in identifying conditions like respiratory depression or the effectiveness of a patient's ventilatory support, if used.

Additionally, blood gas analysis through an arterial blood sample can provide direct measurement of oxygen (partial pressure of oxygen or PO2) and CO2 levels (PCO2) in the blood, which can be valuable in assessing respiratory function and metabolic status.