Blood pressure and oxygen saturation

Re: Blood pressure and oxygen saturation

Christine Chapman — Mon, 02 Feb 2009 08:21:39 GMT

I would love one of those sheets too please. I'm about to embark on a 6 week Anaesthesia Course for Vet Nurses which I'm really looking forward to doing

xtine@paradise.net.nz

Re: Blood pressure and oxygen saturation

lskm 23 — Thu, 29 Jan 2009 16:03:33 GMT

Thanks for everyones replies, I like the one we have made, just needs modifying slightly to allow SPO2 readings. Its much better than the one I first remember filling in as a student from the portfolio, I found those dreadful!

Re: Blood pressure and oxygen saturation

kaz84 — Wed, 28 Jan 2009 12:23:56 GMT

yes please, that would be interesting

holmanak@hotmail.com

cheers

Re: Blood pressure and oxygen saturation

Erica Huggins — Tue, 27 Jan 2009 21:31:26 GMT

When stopped using graph record sheets after we ended up having too many lines/crosses etc all over the show. Now we have a set of boxes that we write the actual measurements in every 5 mins or sooner if dramatic changes.

We record the following: (sorry if goes on but all fits nicely on one sheet - promise!)

Time, Eye position( up or down), pupil size(constricted or dilated), palpebral reflex(present or not), Iso level(off to 5!), o2 flow rate (l/min), Resp (per min), CO2 inspired (% or mmhg), CO2 expired (% or mmhg), SPO2 (%), Heart rate (BPM) , Temp , BP SYS (mmhg) and mean and then a small section for additional comments such as sighing etc.

I could email this is you want?

Re: Blood pressure and oxygen saturation

Nick Shackleton — Tue, 27 Jan 2009 18:44:28 GMT

Glad to hear it. If you need an example GA sheet can supply one for ya

Re: Blood pressure and oxygen saturation

lskm 23 — Tue, 27 Jan 2009 14:03:27 GMT

The Boss is going to modify the GA sheets to include SPO2 readings. We are a GP and we use pulse ox and BP measurements on all surgery cases now. as well as monitoring HR and RR. Thanks for all the replies so far.

Re: Blood pressure and oxygen saturation

Nick Shackleton — Tue, 27 Jan 2009 12:35:02 GMT

We routinely use ECG, pulse ox, ETCO2, temp probe, HR, RR and BP. Doppler is reserved for small patients and critical patients.

Having said that I'm in a referral practice, but think its the case.

Re: Blood pressure and oxygen saturation

kaz84 — Tue, 27 Jan 2009 11:56:29 GMT

truely how many people acutally use/monitor BP using a doppler during surgery? do you use it during routine sx like speys/castrations? i know its best practice and best standard of care for the patient, but we dont. we juse routinely monitor SPo2 ETCo2, HR and RR. i was just intertested because i only use it when its needed such as a medical case, mind you we are only general practice.. most GP dont even have BP devices???

Re: Blood pressure and oxygen saturation

Nick Shackleton — Sat, 24 Jan 2009 20:44:17 GMT

hi there,

It's also wise to record mean BP too.

Generally only write down MM colour/CRT and eye postion if I have changed something ie increased fluid rate, reduced inhalation %, added other fluids (crystaloids, blood, plasma, proteins etc) Also if mm/CRT are abnormal.

Hope this of some help?

On our GA sheets we have boxes for iso and o2 flow rates and SpO2 levels.

Re: Blood pressure and oxygen saturation

lskm 23 — Sat, 24 Jan 2009 16:06:46 GMT

Hi thanks for the above, I think I will just add another lin in to the monitoring chart to include SPO2 reading along with iso and O2 levels.

I wil also include the diastolic/systolic reading to throughout GA.

Does anybody record MM colour/crt on to GA sheet. I monitor these throughout but never record them. Also eye position is this something people record?

Re: Blood pressure and oxygen saturation

F1chick — Sat, 24 Jan 2009 12:02:17 GMT

In Human nursing, it is the other way round.

Systolic (which is the heart contacting and the highest reading) ^

Diastolic (whivch is the heart relaxed and the lowest reading) V joined by dotted lines. SPO2 is just a number

Re: Blood pressure and oxygen saturation

Muddypaws — Sat, 24 Jan 2009 11:44:39 GMT

I record BP on a graph using these symbols:

V = systolic

- = mean

^ = diastolic

Normally write SpO2 as %

Re: Blood pressure and oxygen saturation

Noodle — Fri, 23 Jan 2009 21:14:13 GMT

I've never worked with an intra-op BP moniter, but worked at a practice where O2 sat was monitored routinely, and we all used to mark on the GA sheet alongside HR,RR etc. We just wrote it along the y-axis lines of the GA chart (if that makes sense) as there wasn't a specific place on the chart to record it.