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Surgery

Sedation

PERIOPERATIVE MONITORING

 

Observation:

Watching the patient throughout and monitoring their reactions to treatment is really important. As well as this particular signs can be watched and monitored throughout.

 

Respiratory observations:

  • 12-16 respirations per minute.
  • Normal and symmetrical chest movements.
  • Listening to breathing sounds:
    • ​Wheezing: lower airway obstruction
    • Crackling: secretions accumulation
    • Gurgling: fluid in oropharynx
    • Snoring: upper airway obstruction
  • ​Colour:
    • ​Pale: prone to faint / low BP.
    • Red: raised BP.
    • Blue: hypoxia
    • Grey: MI
  • ​Pulse: 60-100 bpm normal range. Over 100 bpm is considered tachycardia in adults.
  • BP: Hypertension (over 140/90 mmHg); Hypotension (under 90/60 mmHg).
  • Pulse oximetry: 90-65% (normal readings); 80-90% (consider administration of O2 and continuous monitoring); under 80% (requires ventilatory support).

 

Author: Amelia Reed

Last Update: 05/05/2015