Pulse Oximetry- Medical & Health

Pulse Oximeter

Pulse Oximetry- Medical & Health
Pulse Oximetry- Medical & Health 

What is a Pulse Oximeter


A pulse oximeter detects both your blood oxygen levels and your pulse. If you have certain medical disorders, you may experience low oxygen saturation. Your skin tone may also influence your reading.

A simple and painless approach to measuring your blood oxygen levels is with a pulse oximeter. It is a non-invasive test that measures your blood's oxygen saturation level. 


It can quickly identify even minute variations in oxygen levels. These levels indicate how well blood transports oxygen to the areas of your body that are furthest from your heart, such as your arms and legs.


Uses of Pulse Oximetry


The goal of pulse oximetry is to determine if your blood is well-oxygenated or not. Under various conditions, the pulse oximeter detects blood oxygen saturation.


When a patient is in the hospital or has a medical condition affecting blood oxygen levels, medical staff may utilize pulse oximeters to monitor their condition. These can include: 

  • Chronic Obstructive Pulmonary Disease (COPD) 
  • Asthma 
  • Pneumonia 
  • Lung Cancer 
  • Anemia 
  • Heart Failure or Heart Attack 
  • Birth Defects of the Heart (Congenital heart diseases) 

There are several reasons to use a pulse oximeter: 

  • Evaluate the efficacy of respiratory or oral medications. 
  • Determine whether someone requires more oxygen support to breathe, especially if they are having trouble breathing. 
  • Analyze the efficiency of an additional oxygen supply or ventilator. 
  • Before and during a sedation procedure, check the patient's oxygen saturation level. 
  • Check oxygen saturation levels before, during, and after exercise treatment or physical activity, particularly for individuals with respiratory conditions. 

The Device: Pulse Oximeter


A little gadget that resembles a clip is the pulse oximeter. It fastens to a bodily component, usually a finger. In critical care settings like hospitals or emergency rooms, healthcare professionals often employ them. Some medical professionals may utilize them in an office environment, including pulmonologists. Even so, you can use it at home. 


The pulse oximeter is a soft clamp that digitally measures your heart rate and oxygen saturation. 

It is positioned or placed around the fingertip, and in a matter of seconds, the results are shown. A cold light source within the gadget beams light through the fingertip. The instrument measures the amount of oxygen in the red blood cell by analyzing the light that enters the fingertip. This is accomplished by measuring the variations in light absorption at two distinct wavelengths between blood that is oxygenated and that is not.


To determine arterial saturation using a pulse oximeter, the ratio of these is computed and compared to measurements of arterial oxygen saturation. Since it is non-invasive, there is no pain involved in using this gadget. 


How to use a Pulse Oximeter


Both inpatient and outpatient settings may benefit from pulse oximetry. In certain cases, your physician may advise you to purchase a pulse oximeter for use at home. 

  • If you are using a pulse oximeter on your finger, remove any jewelry or nail paint from your finger before taking a measurement. You should keep your fingernails dry and clean for this procedure. 
  • Warm your hands if they feel cold or cool to the touch.
  • When attaching the device here, make sure your hand is comfortable, relaxed, and below the level of your heart. 
  • Put the pulse oximeter on your toe, earlobe, or finger. 
  • Sit still and do not move your hand while using this device. 
  • Give the digital readings a few seconds to stabilize. This will provide an accurate reading of your oxygen saturation and heart rate.
  • After the test is over, remove the device.

Small laser beams are inserted into your finger's blood to measure oxygen saturation (Pulse Oximetry). Pulse oximeters measure variations in light absorption in oxygenated or deoxygenated blood, according to the British Lung Foundation. The procedure is painless. Your heart rate and oxygen saturation levels may both be determined by the pulse oximeter.


Pulse Oximetry Readings 

  • Healthy people should have mean normal oxygen saturation (SpO2) values between 95% and 100%.
  • SpO2 readings between 90.1% and 94.9% are regarded as abnormal and should be treated with caution.
  • A patient is considered hypoxemic if their SpO2 measurement is less than 90%.
  • Patients would be considered significantly hypoxemic if their SpO2 value was less than 85%. 
  • It is quite likely that these individuals would require an outside oxygen source.

How accurate are Pulse Oximeter Readings?


The majority of pulse oximeters have an accuracy of 2% to 4% of the true amount of blood oxygen saturation. This implies that the real oxygen content of arterial blood may differ by 2% to 4% from the measurement obtained from a pulse oximeter.


A pulse oximeter's accuracy or functionality may be affected by a variety of factors. The device's red and infrared light may be blocked by fake or nail paint. Additionally, some dyes used in medical operations or diagnostic testing might impede the passage of light. Over-movement, such as trembling, shivering, or other movements, can also lead to inaccurate readings. 


The precision of pulse oximeters can be affected by skin temperature and thickness, as well as by tobacco smoking behaviors. Furthermore, those with darker skin tones may find that pulse oximetry is less accurate. According to recent research, Black individuals are more likely than White patients to have hypoxemia (low blood oxygen levels) that pulse oximeters overlook.


Pros and cons of Pulse Oximeters


Here are the pros and cons of pulse oximeters presented in bullet points:


Pros:

  • Noninvasive method for measuring blood oxygen levels
  • Near-immediate readings compared to traditional methods that require blood samples
  • Continuous monitoring capability allows for long-term tracking of oxygen levels

Cons:

  • Less precise than conventional methods like arterial blood gas testing
  • Limited information on other blood gasses such as carbon dioxide compared to direct blood tests

Risks of Pulse Oximetry


Every procedure has some level of risk. This technique has some risks, which might be:

  • If the probe slips off the finger, toe, or earlobe, the reading will be incorrect.
  • Skin discomfort caused by the probe's adhesive
  • Your overall health and other variables may affect your risks. Find out from your healthcare professional what risks most affect you.

FAQs About Pulse Oximeter

What is a normal pulse on an oximeter?


An oximeter's normal pulse reading usually ranges from 60 to 100 beats per minute (bpm). It's important to remember that everyone has different heart rates and that medical issues, age, and degree of fitness can all have an impact. It is essential to track patterns over time and seek medical advice for interpretation to accurately estimate one's pulse on an oximeter.


What's a good reading on a pulse oximeter?


Blood oxygen saturation (SpO2) of 95% or above is generally regarded as an excellent reading on a pulse oximeter. This shows that there is enough oxygen in the blood to maintain regular body functioning. To interpret pulse oximeter data individually, it is necessary to take into account unique situations and speak with a healthcare professional. Altitude, health issues, and individual baseline levels are a few examples of factors that might affect what a person considers to be a "good" result.


Can you live with 70 oxygen?


Although an oxygen saturation level of 70% usually indicates a serious oxygen deficit, you may survive with it. Oxygen saturation levels less than 90% are regarded as low and can cause symptoms such as dyspnea, disorientation, and in severe cases, damage to internal organs. To treat the underlying cause and increase oxygenation to avert consequences, immediate medical intervention is required.


Which finger to use for pulse oximeters? 


When taking a pulse oximetry reading, the middle or index finger is often utilized. Because they are easily accessible and have high blood flow, these fingers often offer accurate and consistent readings. For reliable readings, however, any finger with sufficient blood perfusion and an appropriate fit around the oximeter sensor will do.



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