Annotated Bibliography on Technology in Nursing – Pulse Oximetry
NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing
Pulse oximeter is a compact piece of equipment with a clip that may be attached to a finger or some other region of human body. They are frequently employed in healthcare facilities like as medical centers, and they may also be purchased for personal usage.
Some experts believe that the amount of oxygen present in the bloodstream is a significant indicator of how effectively a person’s immune system is functioning, much as the blood pressure and temperature are. Pulse oximeters are devices that patients with heart or pulmonary conditions might want to use at homes to monitor daily vital signs in accordance with the instructions given to them by the attending physician or other medical professional. A lot of pharmacies and retailers sell pulse oximeters without requiring a doctor’s note or other documentation of medical need.
This annotated bibliography investigates the usage of pulse oximeters, including its benefits and drawbacks, as well as the perspectives of patients. My information came from a wide range of evidence sites, such as CINAHL, PubMed, as well as NCBI, amongst others. I based my arguments on research publications that had recently been published within the previous five years.
Annotated Bibliography
Current Evidence on the Patient Care Technology
Luks, A. M., & Swenson, E. R. (2020). Pulse oximetry for monitoring patients with COVID-19 at home. Potential pitfalls and practical guidance. Annals of the American Thoracic Society, 17(9), 1040–1046. https://doi.org/10.1513/AnnalsATS.202005-418FR
NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing
Pulse oximetry is a test that does not need any medical interventions and monitors the quantity of oxygen concentration in a person’s blood. This can immediately detect extremely minute variations in the amount of oxygen supply within the body. These values suggest how well the bloodstream is transporting oxygenated blood to various regions of a body that are farthest away from the heart, such as legs and hands.
A pulse oximeter looks like a little clipping and is very portable. An attachment is made to a portion of the body, most often a fingertip. They are frequently employed in intensive care environments like as hospitals, clinics, and ER departments by trained medical staff. In the office setting, they may be used by pulmonologists and other types of physicians. Even the domestic usage of pulse oximeters is possible and very convenient.
Integrates Evidence of Patient Care
Ascha, M., Bhattacharyya, A., Ramos, J. A., & Tonelli, A. R. (2018). Pulse oximetry and arterial oxygen saturation during cardiopulmonary exercise testing. Medicine and Science in Sports and Exercise, 50(10), 1992–1997. https://doi.org/10.1249/mss.0000000000001658
The amount of oxygen that is concentrated in the blood, also referred as the SpO2 value, is shown by the measurement. The test allows for a confidence interval of 2 %. This indicates that perhaps the measurement might be anywhere from 2% more or less than the real blood oxygen concentration.
Although the results of this test may not be as precise as others, administering it is a breeze for medical professionals. Therefore, physicians depend on it for quick assessments. A lesser reading on the pulse oximeter may be brought on by a variety of factors, including black nail paint or chilly limbs. Before utilizing the equipment, and if the reading looks excessively low, the doctor may instruct patients to erase any manicure paint that might have on their nails.
NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing
One may do the test on their own since taking a pulse oximetry is not an intrusive procedure. Anyone may buy pulse oxygen devices somewhere that sells health-related goods, including on the internet or in the majority retail establishments. it is important to have a conversation with one’s primary care provider prior attempting to use a personal equipment to ensure that users fully comprehend how to evaluate the reading outcomes.
Organizational Factors Influencing the Use of Technology
Henry, N. R., Hanson, A. C., Schulte, P. J., Warner, N. S., Memento, M. N., Weister, T. J., & Warner, M. A. (2022). Disparities in hypoxemia detection by pulse oximetry across self-identified racial groups and associations with clinical outcomes. Critical Care Medicine, 50(2), 204–211. https://doi.org/10.1097/CCM.0000000000005394
In a healthy individual, over than 90 % of their blood should really be transporting o2. This refers to the degree of blood oxygen that is required for the cells to be functioning.
There is a possibility that no harm will be done even if the blood oxygenation drops underneath this threshold momentarily. However, being exposed to low blood oxygen levels on a frequent or ongoing basis could be harmful.
Many medical professionals agree that a saturation level of 95% in oxygen is regarded to be normal for healthy persons. A value of 92 % or below might be an indicator of probable hypoxemia, which refers to a dangerously low quantity of oxygen present in the bloodstream.
A user’s skin color is only one of the many elements that might influence the results of a report.
Inside a recent study published in the journal 2020, researchers analyzed the effectiveness of oxygen saturation testing and blood measures in identifying individuals who were suffering from hypoxemia. Scientists found that there were nearly twice many more instances of pulse oximetry testing missing to identify concealed hypoxemia if blood gas measurements doing so among Black patients as they did amongst individuals from any other race.
These kinds of examinations were established without being aware of the wide variety of human complexions. So, authors came to the conclusion that further study is required to fully comprehend and deal with this kind of racial prejudice.
Implementation and Use of Technology
El Idrissi Slitting, N., Benayoun, F., Sable, C. A., Martin, G. R., Hom, L. A., Fadel, A., Moussaoui, S., Injure, N., Boozer, D., Moufful, Y., Younus, S., Biochanin, L., & Mulinane, F. M. R. (2020). Pulse oximetry and congenital heart disease screening: Results of the first pilot study in Morocco. International Journal of Neonatal Screening, 6(3), 53. https://doi.org/10.3390/ijns6030053
NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing
In this article, we reviewed the theories behind monitoring devices as well as their reliability, effectiveness, and the repercussions of using them. The advantages that some imaging methods of pulse oximeters have over those of traditional pulse oximeters are investigated here. And although classic pulse oximeters can really only differentiate among RBCs and oxyhemoglobin, many individuals are led to believe that cognitive impairment cognitive function, such as oxidation phosphorylation, somehow doesn’t exist. This is because classic pulse oximeters only quantify oxygen saturation in the plasma. Pulse oximeters, in contrast hand, have the ability to detect mitochondrial levels of blood sugar. As a consequence of this, medical professionals favor the usage of the organelle that is included in the majority of physiological monitoring systems since it delivers more precise results.
The quantity of oxygen in the bloodstream is measured using a technology called pulse oximetry, in which very narrow beams of light are sent through the bloodstream in the finger. Pulse oximeters are able to achieve this because they monitor variations in the quantity of light absorbed by blood when it is saturated with oxygen from when the quantity of oxygen is minimal in the blood. The procedure is quick and painless. In addition to displaying the heartbeat, the pulse oximeter also shows the blood oxygen levels in the body.
Oxygen saturation tests are an assessment of the amounts of oxygen present in the blood, although in most cases, it is rather accurate. This is particularly the case when employing the elevated technology that may often be available in environments like hospitals or doctor’s clinics. The accuracy of the testing will be ensured by the presence of this technology for the medical specialists. The FDA requires prescribed oximeters to be accurate between 4-6%.
Conclusion
In conclusion, it is asserted that pulse oximeters are recommended for tracking levels of oxygen saturation in individuals suffering from respiratory illnesses despite the fact that they have certain drawbacks. Pulse oximeters assist in reducing the number of times people with the disease need to be transferred from of the neurobiological facility to the critical care for pulmonary care.
They are primarily advocated at medical facilities because of the critical role they play in checking newborns for congenital cardiac hypertrophy (CCHD). Oxygen saturation testing is beneficial in the rapid recognition of a variety of ailments, which helps to avoid long-term organ damage and reduces mortality rates. As a result, pulse oximeters are an extremely useful tool that may be found in healthcare facilities.
References
Ascha, M., Bhattacharyya, A., Ramos, J. A., & Tonelli, A. R. (2018). Pulse oximetry and arterial oxygen saturation during cardiopulmonary exercise testing. Medicine and Science in Sports and Exercise, 50(10), 1992–1997. https://doi.org/10.1249/mss.0000000000001658
NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing
El Idrissi Slitting, N., Benayoun, F., Sable, C. A., Martin, G. R., Hom, L. A., Fadel, A., Moussaoui, S., Injure, N., Boozer, D., Moufful, Y., Younus, S., Biochanin, L., & Mulinane, F. M. R. (2020). Pulse oximetry and congenital heart disease screening: Results of the first pilot study in Morocco. International Journal of Neonatal Screening, 6(3), 53. https://doi.org/10.3390/ijns6030053
Henry, N. R., Hanson, A. C., Schulte, P. J., Warner, N. S., Memento, M. N., Weister, T. J., & Warner, M. A. (2022). Disparities in hypoxemia detection by pulse oximetry across self-identified racial groups and associations with clinical outcomes. Critical Care Medicine, 50(2), 204–211. https://doi.org/10.1097/CCM.0000000000005394
Luks, A. M., & Swenson, E. R. (2020). Pulse oximetry for monitoring patients with COVID-19 at home. Potential pitfalls and practical guidance. Annals of the American Thoracic Society, 17(9), 1040–1046. https://doi.org/10.1513/AnnalsATS.202005-418FR
