Had a question on quiz about pulse oximeter. | allnurses

Had a question on quiz about pulse oximeter.

  1. 0 The question says that the patient had a 88% from the pulse oximeter reading?

    Is 88% good or not?
  2. Visit  FutureIsBlue profile page

    About FutureIsBlue

    Joined Mar '04; Posts: 116.

    13 Comments so far...

  3. Visit  not now profile page
    0
    I've been taught that if it's below 90% you're supposed to check to make sure it's on properly. If it is have them deep breath and cough.

    So no, 88% isn't exactly good. It's not exactly horrible either.
  4. Visit  youngRNstudent profile page
    0
    88% is not good (unless you have COPD, then it is acceptable)


    Typically, the patients pulse ox needs to be at least 90% to be WNL
  5. Visit  Tony35NYC profile page
    0
    Yes, 88% is bad. 90% is good for an adult pt and 95% is good for a kid.
  6. Visit  CarVsTree profile page
    0
    Quote from blue_jeans831492
    The question says that the patient had a 88% from the pulse oximeter reading?

    Is 88% good or not?
    I've been taught and the hospital I work at seems to support that 95 and above is normal for a healthy adult.

    Comprimised pts can have any number below that. If it gets much below 88, they're days (or maybe even hours) are numbered. Their body is working way to hard just to stay oxygenated.
  7. Visit  UTRN2005 profile page
    0
    I was taught that 92% and up was normal for an adult. Often below 90-92% MDs will have orders for O2. But regardless of whether you were taught 90% 92% or 95% as your normal 88% is low.
  8. Visit  Truly_Blessed profile page
    0
    We were taught anything below 90% is abnormal.
  9. Visit  HappyNurse2005 profile page
    0
    if you get an 88% i'd do a few things. first, check on another finger. if still 88%-if they are on O2, check the connection to the wall (that happened in our clinicals-the NC was not attached to the oxygen, so a pt -not mine-was having 88% sats or so)

    love, rose
  10. Visit  UM Review RN profile page
    1
    Is 88% good or not?
    For some COPDers, it might be the best they can get.

    But if you find someone like that, I'd make sure they have O2 @ 2 L on, and keep monitoring them. If they're telling you, "Oh, that's a good number for me," and don't seem to be in distress, that's your clue that you have a COPDer. Monitor them so they don't get any worse. If they have Neb treatments ordered, they might need one.

    However, if the patient is having sternal retractions, shortness of breath and has no O2 on, and is alert and oriented, there are several things you want to do immediately.

    Call the Respiratory Therapist. Monitor O2 sats continuously. Get vitals and be ready to call the doc.

    While someone else runs to get the O2 tubing, reposition the patient. Get the patient up at the top of the mattress, and crank them up to a high Fowler's. Don't forget to crank the legs flat.

    This is truly one nursing intervention that many people overlook. Make sure the patient isn't slouching or slumped in the bed as it encroaches on their lung capacity. A lot of breathing is mechanical. I've seen many patients improve dramatically within a few minutes of performing this intervention.

    Oxygenate. If the nasal cannula full blast isn't effective, try a Venti-mask. If that doesn't work, do a non-rebreather. (Hook up the O2, and remember to let that blow the bag up before you apply it, otherwise it's useless.)

    Now have the patient lean forward slightly so you can LISTEN to their lungs. What do you hear? Crackles? You have a CHFer, so crank up the O2, get the doc on the phone and ask for Lasix. Be ready fast, because CHFers go downhill scarily fast. Wheezes? Rhonchi? No air moving much at all? Could be a few things, but an Albuterol/Atrovent Neb treatment might help.

    Breathing is also very psychological. That is, if the patient believes no air is getting in, their resps will increase, become more shallow, and they really won't get any air. Teach the patient how to get more air by breathing slower ("Count to 10 with me as you inhale and exhale") and deeper. Remind them that they don't have to "feel" the air to be actually getting air.

    This too, is a nursing intervention. It's based on trust. The patient has to trust you in order to let go of their own reflex to breathe faster and do this successfully. These patients have my utmost respect, because it's like trying to tell a drowning person not to thrash.

    Not successful yet? Call a Code and prepare to intubate.


    Anyhow....just thought I'd share a little. Anyone else have something to add?
    imafostermom likes this.
  11. Visit  Brotherbob profile page
    1
    Good post by Angie.
    I usually administer oxygen if sat is below 93. I always administer o2 on chestpain. Make sure you always ask about lung disese/COPD. 88 in a non COPD pat. is not good, needs to be adressed.
    I am still new in ER and had this CHF pat. the other day and It scared me how fast things happened. He went from sat 95 and joking to 82 and panic in just a few minutes. If you suspect CHF, make sure you have a working IV in and prepare the CPAP.
    imafostermom likes this.
  12. Visit  FutureIsBlue profile page
    0
    Thank you for your replies,
    The answer I put for that question is right. *a sigh of relief*.

    Thank you again.:-)
  13. Visit  mauser profile page
    0
    One more piece of advice - a wise RN told me to "treat the patient, not the machine."

    So in addition to the pulse ox dropping, how was the patient? If he seemed okay, it could be the placement. Not that that helps you on a quiz - but it will on the floor!
  14. Visit  Jennerizer profile page
    0
    Also while checking the patient - have them take a couple of deep breaths in thru their nose, then breathe normal. The pulse ox should rise because sometimes if they are sleeping & breathing with their mouth open or if they are talking a lot, the pulse ox might be lower than what you want. We were taught that if it drops below 92%, start doing some interventions. Once they close their mouth & take a couple of good deep breaths, the sat rate will rise pretty quickly.


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