PULSE OXIMETRY UTILIZATION AND OXYGEN WEANING DECISION TO CHILDREN PATIENT WITH ACUTE ASTHMA ATTACK AT EMERGENCY UNIT

Rachmawati, Dewi and Ningsih, Dewi K. (2015) PULSE OXIMETRY UTILIZATION AND OXYGEN WEANING DECISION TO CHILDREN PATIENT WITH ACUTE ASTHMA ATTACK AT EMERGENCY UNIT. In: The Proceeding of 6th International Nursing Conference: Emphasize the Art of Nursing on Research, Education into Clinical and Community Practice, November 16-17, 2015, Surabaya.

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PULSE OXIMETRY UTILIZATION AND OXYGEN WEANING DECISION TO CHILDREN PATIENT WITH ACUTE ASTHMA ATTACK AT EMERGENCY UNIT.pdf

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Official URL: http://ners.unair.ac.id

Abstract

Introduction: Emergency nurses’s somehow actually have lack of knowledge performing pulse oximetry utilization and decision made when an oxygen weaning is done especially for those patient’s who are suffered from acute asthma attack. Method: The used method was by collecting and analyzing related textbook and articles with pulse oximetry and decision of oxygen weaning at children with acute asthma attack. The literatures were obtained from textbook and electronic articles such as ScienceDirect, World Health Organization, Google Scholar, PubMed and ClinicalKey with textbook and article criteria that were published from 2000 to 2015. Results: Pulse oximetry utilization based on asthma attack level to children. The attack level is divided into 3, mild, moderate, and severe. The asthma attack level can be classified based on the symptoms that can be seen by GINA guidance (2015) or by using PRAM (Pediatric Respiratory Assessment Measure) score. Mild asthma patients without oxygen administered will be examine by pulse oximetry every four hours, however, for those with oxygen administered will be set up pulse oximetry every two to four hours. For moderate attack, the pulse oxymetry examination had done in each two to four hours within stable condition, if it didn’t stable the pulse oximetry should be installed continuously. While the severe asthma attack level, the pulse oximetry should be installed continuously for monitoring SpO2 and breathing status. The oxygen weaning decision is done at SpO2 > 91%. At SpO2 91% level then O2 is still installed and SpO2 reexamination in 60 minutes. If SpO2 < 91%, then the O2 giving can be increased up to SpO2 >91% and rechecked in next 15-60 minutes. Discussion: Pulse oximetry provide information to SpO2, further it can be used as evidence based in giving appropriate oxygen during stable condition as a guidance in the oxygen weaning. Keywords: pulse oximetry, asthma, emergency

Item Type: Conference or Workshop Item (Speech)
Subjects: R Medicine > RT Nursing
Divisions: Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User: Dimas Dwi Arbi
Date Deposited: 07 Dec 2016 04:34
Last Modified: 07 Dec 2016 04:34
URI: http://eprints.ners.unair.ac.id/id/eprint/418

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