Greatly helpful to know sudden change condition due to COVID-19. In Japan this device is delivered to the person staying home for diagnosed COVID but no symptom.
Thanks. The video helped me to understand the numerical results on a brand new pulse Oximeter. I appreciate you taking the time to make the video. Five stars.
I think you meant to say carbon monoxide poisoning instead of carbon dioxide? Carbon dioxide doesn't compete with oxygen for hemoglobin binding. Carbon monoxide does, and has a greater affinity for hemoglobin than oxygen. Really enjoyed the rest of your video.
@@NurseMinder Indeed. Good and enjoyable video. However, my first thought was that you must never worked in an underground mine. I have had low grade CO poisoning many times. Something that you do not forget. Keep up the good work.
It doesn't take very long to see a change in oxygen saturation at all. Taking a deep breath to hold your breath will actually increase the saturation% Momentarily before going down if you can hold your breath that long. That's my observation on myselk.
Great info! what could cause low saturation and high HR? I've been to the hospital, had blood work that shows slightly low rbc, Hemoglobin and Hematocrit, covid negative and my o2 is typically around 98 with a low hr, today it's dipping to 92 with a hr spike of 130 at rest. I know you can't give medical advice but i'm getting nowhere with these tests, i've been out of work for a week cause of fatigue and having breathing problems and just hoping maybe you could steer me towards some research i could do. Thanks :)
The low oxygen will be a cause of a high heart rate as the heart compensates for the decrease in oxygen availability. Low hgb can be a cause of low oxygen, but not always. An oxygen value can vary and is reviewed in combination with health history, medication use, and other diagnostics. Medicine cannot always pinpoint the problem, and this can leave patients frustrated. It sounds like they’re ruled out some things as they tested for Covid and they did some blood work, and they’ve likely ruled some conditions out as being the driving force of your fatigue, and likely looking at others other tests
Thank you for this. I have a couple of questions ; when i use my oximeter it sometimes never stabilises on a certain pso2 but it fluctuates up and down, how do i fix that? Also if its in the healthy region but drps to 92 or 93 for few seconds then gies back up; should i be worried?
This Pulse Oximeter also has a - PI% ...?( in a smaller font ) ..It usualy reads around 1.5 to 0.2 . What is it? Does it have to do with Co2 retention?
Hi, great video. I have a question, help me please. I've been feeling short of breath 24/7 for 3 months, I've done all the exams and all are absolutely NORMAL. I can't take a deep breath anymore, it's like when I breathe in there is just LITTLE oxygen. However, the saturation is at 99%. What should I do? Even if I don't pay attention, it's inevitable not to notice the shortness of breath and EXCESSIVE fatigue! And it doesn't seem like anxiety, I'm already medicating myself and even if I'm distracted, the shortness of breath doesn't go away at all
Hi Carlos i am sorry to hear this. Sounds like a frustrating situation. With so many potential contributing factors, it is a question your healthcare team is best positioned to navigate.
you can have good saturation and normal bpm and they can be from the lungs or from the stomach you can't yawn when you come to head you can have a hiatal hernia in the stomach the girl can feel that, like
Great video, thank you. I just bought a oximeter because I have been short of breath. I’m 35 overweight but I walk on the treadmill 5 days a week for 45 minutes. I been having pains in the area of my heart for a few weeks. I am not an anxious person so I don’t think it’s anxiety. My results from the oximeter was 98% oxygen, 58 pulse and my perfusion index goes from 1.2 to 2.3. Oh and I do have WPW. Do you think I should get checked out for my heart? I do not have insurance unfortunately that’s why I haven’t gone to get it checked. Thank you so much for taking your time to help others 🙏🏼❤️
Hi when using pulse oximeter my pulse does not stay still long is this normal and also my pulse goes over 80 for a few hours then back down in 70 thank you.
Thank you so much for the informative video. QUestion: When I use the device (I have the same brand) is the immediate reading the one that counts? because after a few seconds it goes up and eventually stabilizes. For example, the first reading is 92% and then after a few seconds it levels levels off at 95%. Is the first or the latter the correct reading? thank you!
I have noticed a long term increase in O2 from about 96 to 100 after taking Collagen Peptides. Is this interfering with the Oximeter's accurate measurement?
Both numbers are good - and o2 will vary throughout the day. We use a number in conjunction with other assessment data. It is not a stand alone assessment about oxygenation. We look at the patient and see how they feel
I have a question. Sometimes when I put the oximeter on the wave becomes a straight line into very tiny peaks amd then it becomes normal then it happens again. Plz tell me if this is just a mechanical thing or not? I’m only 18. Like how it became at the end of the video at -0.42 seconds it was a tiny straight line
Thanks for the information... For a normal person does one need to take only a spot Sp02 reading for just 2-3 Seconds or Monitor the readings for a few minutes continuously to arrive at a conclusion?
So what number is good. I read 95-100 is normal but I believe you said 92-100 is normal? Just looking for clarification. Mine usually stays at 97 but sometimes goes up to 98! If it dips it goes to 96 for a few seconds then goes up. Lastly does it matter what finger and should you wait awhile for a solid reading
I will add that I also use any finger and do not usually find a significant difference. Sometimes, however there can be changes. The selection of fingers is based on perfusion. This article is an interesting read www.ncbi.nlm.nih.gov/pmc/articles/PMC4627972/
Here is their summary: In conclusion, SpO2 measurement from the fingers of the both hands with the pulse oximetry, the right middle finger and right thumb have statistically significant higher value when compared with left middle finger in right-hand dominant volunteers. We assume that right middle finger and right thumb have the most accurate value that reflects the arterial oxygen saturation.
Is there any way for a person who is temperature sensitive, & usually very cold, to check their oxygen more accurately? A different type of monitor or anything?
If you feel your temp is affecting the reading, try an informal test to see of warming your hands changes the reading. I don’t know if a slight variation will exist. Based on my experience you can have a normal temp that is less than the published norms
@@NurseMinder Yes, when I was at home, all wrapped up in a warm bed, my reading remained at the healthy. However, I decided to try it, with a short walk outside, and it bleeped almost the entire journey, even when I stopped and sat for some time (only once or twice returning to normal range), but mostly showing dangerous levels in drops. So I can only assume its because my fingers get so cold it is not reading, or if it is actually reading it, then my oxygen is plummeting when I become this cold? Can this happen to some? I've no idea. But if there is no other way or testing oxygen besides the finger monitor, I guess I will never know.
It is perfusion index and John Hopkins has a great summary on PI (perfusion index) www.hopkinsmedicalproducts.com/images/art/Pulse-Oximeter-Perfusion-Index-Info.pdf
Good question. I don’t know of there is data on that. I don’t imagine it does as there are jobs were masks are part of the job (OR nurse comes to mind)
Ma'am my grandfather age 84 yrs.. He had fever 99.1 degree Fahrenheit, BP 110/80mmhg, pulse is 55bpm and spo2 77 only.. So I m worried what does spo2 77 means??
Mam greetings because of this covid 19 I got a oximeter...its usually 97...but sometimes it dips to 95 but then comes back to 97 or 98 ..I'm very athletic but sometimes it would dip to 95 94 and that gets scary but then after a while it becomes fine so why does it dip??
Totally normal! It is only one number / assessment we look at when assessing a patient. Changes to watch for are shortness of breath, feeling tired and confused, dizzy. If it goes below 92 and stays there and you have sumptoms then you will want to check in with your healthcare team.
Hi. My spo2 goes from 89 to 98 really fluctuates constantly during the day. At night I do decent also. This all post sars covey 2. ARDS y DAD. PLEASE HELP
Hi, my father is 58 years old, ex smoker(quit 2.5 months ago) with no health conditions (except gastric issues). He has no covid symptoms and is healthy. Just because we bought an oximeter, we have been checking his oxygen saturation levels using pulse oximeter everyday for 45 days. The range varies from between 92 and 96. Is this normal? He has no breathing issues and is exercising well too
yes those are normal values and they will vary. there is no need to test oxygen sats regularly unless you are a patient in the hospital or it has been recommended by your healthcare team.
Having fear and anxiety is a concern. Your spo2 is within normal limits. There are many reasons people are cautious and they can only control self: hand hygiene, social distancing, masks, etc. These are all preventative measures to reduce risk Every person will feel differently about what they need to put in place to feel safe. These measures are to reduce panic and anxiety. People will assess their own risk and comfort with COVID. This is not the first time we have had a new virus and it will not be the last. When panic and fear are preventing people from enjoying life, supports in terms of counselling can be beneficial.
We never treat numbers as a rule :) oxygen numbers are good. Heart rate is slightly high but that could be activity, stress, disease process. If it stays elevated about 100 - connect with your healthcare team
Are you able to share what exactly the sensor is measuring? It’s not oxygen, even though that’s what being said here. If you know what the tool is designed to do you’ll have a better time understanding what it’s for and can educate people about this process.
A small, electronic device called a pulse oximeter is clipped onto a part of the body, usually a fingertip. The device emits light that passes through the fingernail, skin, tissue, and blood. On the other side of the finger, a sensor detects and measures the amount of light that passes through the finger without getting absorbed by the tissue and blood. Using that measurement, the device calculates the oxygen saturation of the blood. www.yalemedicine.org/conditions/pulse-oximetry
@@NurseMinder Thanks for the reply. Yale medicine is not attempting to describe what the sensor is actually picking up. Yes, it states that it's oxygen saturation, but the sensor is using light for a calculation based on an electrical signal that comes from a frequency of light. It's measuring the electromagnetic change, not oxygen. That's a huge distinction- massive. Both Yale and you are 'assuming' that this means or is related to oxygen but that would be factually and scientifically incorrect. Those are both opinions, not facts or science. A reply using Wikipedia about the sensor's mechanism might be a better response. This brings back the original question: what exactly is the sensor measuring? Yes, there is a change happening but it's not possible to confirm that its oxygen. You can only assume that. What everyone can confirm is that a change in electrical charge is taking place.
If the body is not receiving the oxygen, they will have lower oxygen saturations, assess the patient first, a number only means one thing - and we look at our patients in totality.
I'm fine with emphysema all the lungs and with pulmonary fibrosis and ankylosing spondylitis, your saturation is well lowered can be normal, symptoms stick tests
PI Perfusion index is an indication of the pulse strength at the sensor site. The PI's values range from 0.02% for very weak pulse to 20% for extremely strong pulse. The perfusion index varies depending on patients, physiological conditions, and monitoring sites. Because of this variability, each patient should establish his own "normal" perfusion index for a given location and use this for monitoring purposes.
My mother's oxygen levels stay 91 to 90 at room temperature.. While sleeping goes lower around 80.. She recently recovered from Covid and Pneumonia.. Is this bad? I'm worried.. She feels tired easily.. Please reply Ma'am 🙏
Those oxygen values are in normal ranges and nothing to worry about. Heart rate can be normal at 56 for some people. Of course we never treat a number so if you have other symptoms, see your healthcare team.
I love your videos! Thank you for sharing your knowledge and tips. I was just wondering if you meant carbon monoxide poisoning instead of carbon dioxide when discussing poisoning?
I woke up early one morning with gurgling sounds in my breathing, i checked my oxmeter, i was 65% and pulse around 100. I dont have oxygen at home is this something i need to get from my doctor to have at home oxygen tank ?
Home oxygen is something your medical team can discuss with you. So many variables to consider in this situation. I wonder if your pulse rate was 65 and your oxygen was 100? Sometimes we mix the numbers up. If that is not the case, based on the fact you are alive, it sounds like an error in reading
@@NurseMinder i was very short of breath, no after napping i awoke then o2 was up to 75 % and pulse just over 100, just before leaving for work my o2 had reached 94% and pulse around 98. I have a icd. Rhythm plms with my heart, diabetic too.
Wow! Great question. I have not heard of it before so I did a quick look online, and then went back to the SaO2 probe I have. It is not programmed into the one I have and I am not sure if it is on the ones in our hospital either. I found this article if it helps any www.masimo.co.uk/siteassets/uk/documents/pdf/clinical-evidence/whitepapers/lab3410f_whitepapers_perfusion_index.pdf
NurseMinder Hi. Most good quality P/Os display PI. When I switch on the PO, THE index percentage starts from 0.00 and increases gradually with a maximum of 20.00. From what I have gleaned from the internet, the higher the percentage, the stronger the pulse measured, therefore the more accurate the readings of sp02 etc. if the PI is low one should change the finger or maybe the PO isn’t working properly. Could you check this up? Thanks.
NurseMinder Read the article. More or less confirmed what I think PI means and its function on a basic PO, but then the article got too ‘medical-technical’ for me! My basic question is: On a scale of 0.00 to 20.00 what is a good percentage to feel confident about the accuracy of the PO readings. Please provide guidance. Thanks.
Mam.iam an indian..my brother got oxygen level of 86after one month of hospitalization and covid treatment..His lungs r normal..doctors said to go home and seek for oxygen concentrator support..is it safe in home to take that support pls reply..
It is safe to use an oxygen concentrator in the home. Signs you brother will need more support will be based on how he feels. If there is shortness of breath for long periods and higher heart rates and breathing rates - those may indicate there is not enough oxygen in the blood
please reply.. I have covid first time.. I have o2 oximeter I leave it on for long periods at a time.. I got a read of 80 83 88 yesterday they come back up in 25 secs or less.. its mostly between 91-98 but I'm so scared... I am a smoker to
Sometimes when we first put it on, and the readings are lower, we ask the patient to take a few deep breaths. If the O2 comes up and stays up and the patient is not confused or short of breath, we just monitor.
@@NurseMinder I'm short of breath but when it's bad I check it it reads 98 .. but the number jumps around alot.. I think the o2 sensor I have is not great
My readings start from 85-86 and reaches upto 98-99 within 30 secs or so, although there's a lot of fluctuations in between. Can you please tell me what it means? Also, i'm not very athletic and i don't have a regular exercise routine to stick to.
Based on the readings improving, it sounds like a few deep breaths or some movement was needed. If they remain consistently low, and you are symptomatic (light headed, confused, tired) connect with your healthcare team
Yes. I have anxiety and panic attacks too, and I know how horrible they feel for me. If you are hyperventilating for a prolonged period of time, it can affect oxygenation and the acid base balance
Hi I had COVID pneumonia and discharged a week back my oximeter reading shows 92-94 while at rest and when I do walking or went to wash room and comes back it dips to below 90 or 88 do I need oxygen therapy to increase the saturation I don't feel longer breathing issue but my heart rate shows while in normal above 120 please advise
A dip is concerning if it does not recover ... sounds like you do return back to the low 90s If you find yourself struggling to breathe, and O2 does not resolve, connect with your healthcare team
my father have 90% to 94% spo2 , he was an stroke patient before 2 years but he didn't feel any difficulty in breathing and the waves of spo2 is normal , is it normal and his age is 46 years old and what to do to increase oxygen level . please reply my question 🙂🙂🙂❤❤❤❤ love from india
Patients can have a varying normal depending on their medical conditions. There can also be variations in circulation that account for the slight dip to 90. Overall, we never treat a number, we treat the patient :)
Sometimes just taking a few deep breaths will help but the long term solutions involve the use of oxygen therapy. If you have concerns and symptoms connect with your healthcare team. For some patients we accept readings as low as 88
Seconds is not a concern, if the readings stay low, and do not recover, then we need to support our patients. If it dips for a few seconds, I would look at contact - the sensor likely is not on
Greetings Mam , whenever I use oximeter it always starts at 90 or 91 and remains the same for 10 seconds but then stablizes around 96 or 97 after 15 or more seconds.May I know is this normal Regards
When I put my finger it shows 95-99% and then suddenly decends slowly to 94 -92-91-88-85 and then suddenly comes back and settles at 95-98% again should I be worried or I should Ignore this fluctuations
Do you have nail polish on? Are you feeling short of breath? The number is only one element of patient assessment. If you have other symptoms related to low oxygen (difficulty thinking, hard to breath, confused) seek medical attention
i was effected by covid19 in april 2020. after that till now even got negative i m feeling short of breath but my spo level is normal. i m not able to breath from noose but i can smell evrything even i got short of breath from mouth after smelling pefumes, smoke and chemicals.my chest xray is also normal and i never had breathing problem before covid 19 infection.even i dont have allergy and ashthma before.
Let's turn the God let's repent and ask for forgiveness let's study God's word and thank God for sending Jesus and all He's done Thank you God! Shepherdschapelcom Theseasonorg explains the whole Bible God bless
Thank you for this info! I tried the meter on my unpolished toes and it works!
Greatly helpful to know sudden change condition due to COVID-19.
In Japan this device is delivered to the person staying home for diagnosed COVID but no symptom.
Thanks. The video helped me to understand the numerical results on a brand new pulse Oximeter. I appreciate you taking the time to make the video. Five stars.
Thanks for taking the time to write :)
Thanks for the video I help me understand the true results I do appreciate you taking the time to let me me know see much more
I think you meant to say carbon monoxide poisoning instead of carbon dioxide? Carbon dioxide doesn't compete with oxygen for hemoglobin binding. Carbon monoxide does, and has a greater affinity for hemoglobin than oxygen. Really enjoyed the rest of your video.
Ha! Oh the ways our mind can trip us up. Yup. Thanks for that
@@NurseMinder Indeed. Good and enjoyable video. However, my first thought was that you must never worked in an underground mine. I have had low grade CO poisoning many times. Something that you do not forget. Keep up the good work.
It doesn't take very long to see a change in oxygen saturation at all.
Taking a deep breath to hold your breath will actually increase the saturation% Momentarily before going down if you can hold your breath that long. That's my observation on myselk.
Fantastic video. Very concise and love your enthusiasm 😃👍
Great video.
Gratitude from Nigeria.
Please did you have any video on Drug dosage Calculations?
I DO - I hope you found them
@@NurseMinder please kindly send the link so I can watch it.
Great info! what could cause low saturation and high HR? I've been to the hospital, had blood work that shows slightly low rbc, Hemoglobin and Hematocrit, covid negative and my o2 is typically around 98 with a low hr, today it's dipping to 92 with a hr spike of 130 at rest. I know you can't give medical advice but i'm getting nowhere with these tests, i've been out of work for a week cause of fatigue and having breathing problems and just hoping maybe you could steer me towards some research i could do. Thanks :)
The low oxygen will be a cause of a high heart rate as the heart compensates for the decrease in oxygen availability. Low hgb can be a cause of low oxygen, but not always. An oxygen value can vary and is reviewed in combination with health history, medication use, and other diagnostics. Medicine cannot always pinpoint the problem, and this can leave patients frustrated. It sounds like they’re ruled out some things as they tested for Covid and they did some blood work, and they’ve likely ruled some conditions out as being the driving force of your fatigue, and likely looking at others other tests
Thank you for this. I have a couple of questions ; when i use my oximeter it sometimes never stabilises on a certain pso2 but it fluctuates up and down, how do i fix that? Also if its in the healthy region but drps to 92 or 93 for few seconds then gies back up; should i be worried?
The numbers can move up and down. Take a big inhale and watch the number go up a little. It is normal for it to move +- a few numbers
Looks like this question was on my behalf.... phew... same here
This Pulse Oximeter also has a - PI% ...?( in a smaller font ) ..It usualy reads around 1.5 to 0.2 . What is it? Does it have to do with Co2 retention?
John Hopkins has a great summary on PI (perfusion index) www.hopkinsmedicalproducts.com/images/art/Pulse-Oximeter-Perfusion-Index-Info.pdf
Hi, great video. I have a question, help me please. I've been feeling short of breath 24/7 for 3 months, I've done all the exams and all are absolutely NORMAL. I can't take a deep breath anymore, it's like when I breathe in there is just LITTLE oxygen. However, the saturation is at 99%. What should I do? Even if I don't pay attention, it's inevitable not to notice the shortness of breath and EXCESSIVE fatigue! And it doesn't seem like anxiety, I'm already medicating myself and even if I'm distracted, the shortness of breath doesn't go away at all
Hi Carlos i am sorry to hear this. Sounds like a frustrating situation. With so many potential contributing factors, it is a question your healthcare team is best positioned to navigate.
you can have good saturation and normal bpm and they can be from the lungs or from the stomach you can't yawn when you come to head you can have a hiatal hernia in the stomach the girl can feel that, like
Also my waveform sometimes it skips a space what causes this thanks
Are you confusing carbon dioxide with carbon monoxide?
Yup
Great video, thank you. I just bought a oximeter because I have been short of breath. I’m 35 overweight but I walk on the treadmill 5 days a week for 45 minutes. I been having pains in the area of my heart for a few weeks. I am not an anxious person so I don’t think it’s anxiety. My results from the oximeter was 98% oxygen, 58 pulse and my perfusion index goes from 1.2 to 2.3. Oh and I do have WPW. Do you think I should get checked out for my heart? I do not have insurance unfortunately that’s why I haven’t gone to get it checked. Thank you so much for taking your time to help others 🙏🏼❤️
My recommendation is to see your health care team. There are a few things that might be happening.
NurseMinder thank you ❤️
I hope you’re okay! Any update?
I like your dedication. Few new information thanks
Thanks
Hi when using pulse oximeter my pulse does not stay still long is this normal and also my pulse goes over 80 for a few hours then back down in 70 thank you.
Thank you so much for the informative video. QUestion: When I use the device (I have the same brand) is the immediate reading the one that counts? because after a few seconds it goes up and eventually stabilizes. For example, the first reading is 92% and then after a few seconds it levels levels off at 95%. Is the first or the latter the correct reading? thank you!
Use the latter
@@NurseMinder Thank you so much for your reply. Stay safe and thank you for your work!
same here
I have noticed a long term increase in O2 from about 96 to 100 after taking Collagen Peptides. Is this interfering with the Oximeter's accurate measurement?
Both numbers are good - and o2 will vary throughout the day. We use a number in conjunction with other assessment data. It is not a stand alone assessment about oxygenation. We look at the patient and see how they feel
I have a question. Sometimes when I put the oximeter on the wave becomes a straight line into very tiny peaks amd then it becomes normal then it happens again. Plz tell me if this is just a mechanical thing or not? I’m only 18. Like how it became at the end of the video at -0.42 seconds it was a tiny straight line
The straight line is likely the
Machine locating the pulse. Nothing to worry about if you feel good.
@@NurseMinder so It doesn’t mean like an irregular heart beat or heart issue right?
Which is better battery operated.ot electric.plug in pulse oximeter
does not matter in my opinion
Thanks for the information... For a normal person does one need to take only a spot Sp02 reading for just 2-3 Seconds or Monitor the readings for a few minutes continuously to arrive at a conclusion?
As long as it rests on the finger for about 10 to 15 seconds it should rest on a reading
@@NurseMinder Thanks a lot... Appreciate the quick answer!! :)
How do you measure sats been a smoker?
Same way
Are these accurate if you are walking or moving about?
Yes they are. We often measure readings when walking
Thank you. Is there anywhere I can see normal oxygen level during exertion. Normal walking level, uphill.?
pulse oximeter you would show with it the remaining 6 minutes of walking
Good advice
Glad you think so!
If you put a biscuit in the oxemetre, it displays a reading of 98. I wonder how effective are these gadgets.
What type of biscuit?
haha - fascinating
omg literally laughing out loud :)
Informative v.good
Thanks!
So what number is good. I read 95-100 is normal but I believe you said 92-100 is normal? Just looking for clarification. Mine usually stays at 97 but sometimes goes up to 98! If it dips it goes to 96 for a few seconds then goes up. Lastly does it matter what finger and should you wait awhile for a solid reading
Greater than 92 in practice. They may be teaching 95 to encourage new nurses to think about oxygenation before it gets to a reading of less than 92
I will add that I also use any finger and do not usually find a significant difference. Sometimes, however there can be changes. The selection of fingers is based on perfusion. This article is an interesting read www.ncbi.nlm.nih.gov/pmc/articles/PMC4627972/
Here is their summary: In conclusion, SpO2 measurement from the fingers of the both hands with the pulse oximetry, the right middle finger and right thumb have statistically significant higher value when compared with left middle finger in right-hand dominant volunteers. We assume that right middle finger and right thumb have the most accurate value that reflects the arterial oxygen saturation.
Wow thanks for all the info and timely response. So 96-98 is a good reading then
@@NurseMinder so 92 is good how about 90
Is there any way for a person who is temperature sensitive, & usually very cold, to check their oxygen more accurately?
A different type of monitor or anything?
If you feel your temp is affecting the reading, try an informal test to see of warming your hands changes the reading. I don’t know if a slight variation will exist. Based on my experience you can have a normal temp that is less than the published norms
@@NurseMinder Yes, when I was at home, all wrapped up in a warm bed, my reading remained at the healthy.
However, I decided to try it, with a short walk outside, and it bleeped almost the entire journey, even when I stopped and sat for some time (only once or twice returning to normal range), but mostly showing dangerous levels in drops.
So I can only assume its because my fingers get so cold it is not reading, or if it is actually reading it, then my oxygen is plummeting when I become this cold?
Can this happen to some? I've no idea. But if there is no other way or testing oxygen besides the finger monitor, I guess I will never know.
Do you feel short of breath?
@@NurseMinder Mostly I notice I've been getting very light headed/dizzy.
And chest aches & pains, especially when it's particularly cold.
Is a Physician order need for pulse ox?
No. It is a noninvasive assessment that is routinely done by health care aides, nurses, physios
They are for sale on Ebay.
Nice video ..thank you
Does high altitude change numbers?
I believe it does
www.ncbi.nlm.nih.gov/pmc/articles/PMC1114067/
What does the p1% mean on the top right of the monitor.
It is perfusion index and John Hopkins has a great summary on PI (perfusion index) www.hopkinsmedicalproducts.com/images/art/Pulse-Oximeter-Perfusion-Index-Info.pdf
Great video thank you !!
Thanks for watching 🙂
Does wearing a mask for extended periods impact oxygen saturation readings?
Good question. I don’t know of there is data on that. I don’t imagine it does as there are jobs were masks are part of the job (OR nurse comes to mind)
Ma'am my grandfather age 84 yrs.. He had fever 99.1 degree Fahrenheit, BP 110/80mmhg, pulse is 55bpm and spo2 77 only.. So I m worried what does spo2 77 means??
The SpO2 needs to be reviewed ... if it stays low after checking in a few different fingers / toes, connect with your healthcare team
Which hand should you use? I'm left handed and readings from my left hand are higher than my right hand
No correlation to dominant hand. Clean nails. All has to do with blood flow. Slight difference is ok. Your effort of breathing is a key indicator
thanks great video
Glad you enjoyed it
I've just received n oximeter for my 89year old husband who has covid do I need to report the results or just keep a record
The number is only one part of care :) and the more important piece is how the patient feels and if their breathing is easy.
Mam greetings because of this covid 19 I got a oximeter...its usually 97...but sometimes it dips to 95 but then comes back to 97 or 98 ..I'm very athletic but sometimes it would dip to 95 94 and that gets scary but then after a while it becomes fine so why does it dip??
Totally normal! It is only one number / assessment we look at when assessing a patient. Changes to watch for are shortness of breath, feeling tired and confused, dizzy. If it goes below 92 and stays there and you have sumptoms then you will want to check in with your healthcare team.
@@NurseMinder thank you soo much mam God bless...love from india
Hi.
My spo2 goes from 89 to 98 really fluctuates constantly during the day. At night I do decent also. This all post sars covey 2. ARDS y DAD. PLEASE HELP
The number is only one piece of data. How do you feel? Are you measuring your spo2 because you feel light headed, nauseous?
My co2 reading is 94 and 95 always is it normal
Hi, my father is 58 years old, ex smoker(quit 2.5 months ago) with no health conditions (except gastric issues). He has no covid symptoms and is healthy. Just because we bought an oximeter, we have been checking his oxygen saturation levels using pulse oximeter everyday for 45 days. The range varies from between 92 and 96. Is this normal? He has no breathing issues and is exercising well too
yes those are normal values and they will vary. there is no need to test oxygen sats regularly unless you are a patient in the hospital or it has been recommended by your healthcare team.
Thanks a lot for quick response. Got worried.
@@NurseMinder 92 is okey?
Pooja Hegde that is paranoia in checking every day. I do mine at the start of each month I'm 76 and my reading is normally 95/70.
I have spo2-96 to 97 % and I have anxiety and fear for over 4 months due to Covid-19,is it normal?
Having fear and anxiety is a concern. Your spo2 is within normal limits. There are many reasons people are cautious and they can only control self: hand hygiene, social distancing, masks, etc. These are all preventative measures to reduce risk Every person will feel differently about what they need to put in place to feel safe. These measures are to reduce panic and anxiety. People will assess their own risk and comfort with COVID. This is not the first time we have had a new virus and it will not be the last. When panic and fear are preventing people from enjoying life, supports in terms of counselling can be beneficial.
Reading of 50+ for an elderly at 80 with only 1 lung, is this acceptable?
I am guessing that is a heart rate you are reading because otherwise you would be unresponsive One lung is sufficient :)
@@NurseMinder it's the spo2 reading
Thanks nurse
You’re welcome
My co2 reading was 99 , 98 , 97 Bt pulse rate 110
We never treat numbers as a rule :) oxygen numbers are good. Heart rate is slightly high but that could be activity, stress, disease process. If it stays elevated about 100 - connect with your healthcare team
Thanks !
Welcome!
Are you able to share what exactly the sensor is measuring? It’s not oxygen, even though that’s what being said here. If you know what the tool is designed to do you’ll have a better time understanding what it’s for and can educate people about this process.
A small, electronic device called a pulse oximeter is clipped onto a part of the body, usually a fingertip. The device emits light that passes through the fingernail, skin, tissue, and blood. On the other side of the finger, a sensor detects and measures the amount of light that passes through the finger without getting absorbed by the tissue and blood. Using that measurement, the device calculates the oxygen saturation of the blood.
www.yalemedicine.org/conditions/pulse-oximetry
@@NurseMinder Thanks for the reply. Yale medicine is not attempting to describe what the sensor is actually picking up. Yes, it states that it's oxygen saturation, but the sensor is using light for a calculation based on an electrical signal that comes from a frequency of light. It's measuring the electromagnetic change, not oxygen. That's a huge distinction- massive. Both Yale and you are 'assuming' that this means or is related to oxygen but that would be factually and scientifically incorrect. Those are both opinions, not facts or science. A reply using Wikipedia about the sensor's mechanism might be a better response. This brings back the original question: what exactly is the sensor measuring? Yes, there is a change happening but it's not possible to confirm that its oxygen. You can only assume that. What everyone can confirm is that a change in electrical charge is taking place.
And can having a cold decrease the reading
A head cold? Not an issue. Pneumonia - yes
@@NurseMinder yea head cold not pneumonia
My co2 reading is 94 to 95 always is it normal or very low I'm 33 yrs old
Do you mean your oxygen sats? That is a good reading. Generally 92 and above is normal
this is normal
If a person has emphysema & severe air trapping how will this show up on the oximeter?
If the body is not receiving the oxygen, they will have lower oxygen saturations, assess the patient first, a number only means one thing - and we look at our patients in totality.
I'm fine with emphysema all the lungs and with pulmonary fibrosis and ankylosing spondylitis, your saturation is well lowered can be normal, symptoms stick tests
SPO2 PI% PRbpm What do these no. mean?
SpO2 is a measurement of how much oxygen your blood is carrying as a percentage of the maximum it could carry.
PI Perfusion index is an indication of the pulse strength at the sensor site. The PI's values range from 0.02% for very weak pulse to 20% for extremely strong pulse. The perfusion index varies depending on patients, physiological conditions, and monitoring sites. Because of this variability, each patient should establish his own "normal" perfusion index for a given location and use this for monitoring purposes.
PR BPM in pulse oximeters refers to the pulse rate and beats per minute
My mother's oxygen levels stay 91 to 90 at room temperature..
While sleeping goes lower around 80..
She recently recovered from Covid and Pneumonia..
Is this bad? I'm worried..
She feels tired easily..
Please reply Ma'am 🙏
80 is too low for a healthy individual. At rest there can be a dip
But not more than a few points.
Im scared mine went too 94 but mostly stays on 96-98 i don't smoke and not overweight is that normal??? im 22 my pulse went to 56 too 😩
Those oxygen values are in normal ranges and nothing to worry about. Heart rate can be normal at 56 for some people. Of course we never treat a number so if you have other symptoms, see your healthcare team.
@@NurseMinder okay thanks
Dear Madam, Spo2 reading is blinking. What is the reason
Hi. I am not sure - you may need to read the manual for your machine.
What about altitude, what's the normal reading/levels for a city above 2,000 meters and 122 mmHg partial Oxygen pressure in the atmosphere?
Such a great question and one I would have to defer to my flight nurses.
@@NurseMinder Why to the flight nurses?
I saw altitude and immediately thought about planes and flights :)
@@NurseMinder oh no. Is cities like Denver or Mexico city that are around 2,000 meters above sea level and with much lower oxygen levels
Yes. I did miss that in the first question. I am not sure what the answer would be.
I love your videos! Thank you for sharing your knowledge and tips. I was just wondering if you meant carbon monoxide poisoning instead of carbon dioxide when discussing poisoning?
Yes! Lol great catch. Someone else has also caught that
I woke up early one morning with gurgling sounds in my breathing, i checked my oxmeter, i was 65% and pulse around 100. I dont have oxygen at home is this something i need to get from my doctor to have at home oxygen tank ?
Home oxygen is something your medical team can discuss with you. So many variables to consider in this situation. I wonder if your pulse rate was 65 and your oxygen was 100? Sometimes we mix the numbers up. If that is not the case, based on the fact you are alive, it sounds like an error in reading
@@NurseMinder i was very short of breath, no after napping i awoke then o2 was up to 75 % and pulse just over 100, just before leaving for work my o2 had reached 94% and pulse around 98. I have a icd. Rhythm plms with my heart, diabetic too.
This is a great example of why doctors and nurses assess patients and do not go off of one number 🙂 so much to learn that helps guide patient care.
I hope you answer me i took my 5month old to hospital yesterday and his oxygen saturation was at 63 iz that normal
Not a good reading - and with that number, your baby would be in serious condition. How is baby now?
Could you please explain perfusion index in layperson terms? What do I look for in the PI reading on my pulse oximeter.
Wow! Great question. I have not heard of it before so I did a quick look online, and then went back to the SaO2 probe I have. It is not programmed into the one I have and I am not sure if it is on the ones in our hospital either. I found this article if it helps any www.masimo.co.uk/siteassets/uk/documents/pdf/clinical-evidence/whitepapers/lab3410f_whitepapers_perfusion_index.pdf
NurseMinder Hi. Most good quality P/Os display PI. When I switch on the PO, THE index percentage starts from 0.00 and increases gradually with a maximum of 20.00. From what I have gleaned from the internet, the higher the percentage, the stronger the pulse measured, therefore the more accurate the readings of sp02 etc. if the PI is low one should change the finger or maybe the PO isn’t working properly. Could you check this up? Thanks.
NurseMinder Read the article. More or less confirmed what I think PI means and its function on a basic PO, but then the article got too ‘medical-technical’ for me! My basic question is: On a scale of 0.00 to 20.00 what is a good percentage to feel confident about the accuracy of the PO readings. Please provide guidance. Thanks.
I don’t have an answer as it is something we don’t use it here. Hopefully someone watching will have more experience and knowledge to share
NurseMinder Thanks. Your videos are very good. Keep it up.
Hello, my mom had mild fever and her po2 comes at 91. Should I be worried?
If you have concerns, her healthcare team would be the best to answer this question
Mam.iam an indian..my brother got oxygen level of 86after one month of hospitalization and covid treatment..His lungs r normal..doctors said to go home and seek for oxygen concentrator support..is it safe in home to take that support pls reply..
It is safe to use an oxygen concentrator in the home. Signs you brother will need more support will be based on how he feels. If there is shortness of breath for long periods and higher heart rates and breathing rates - those may indicate there is not enough oxygen in the blood
Thanks for ur reply mam..
please reply.. I have covid first time.. I have o2 oximeter I leave it on for long periods at a time.. I got a read of 80 83 88 yesterday they come back up in 25 secs or less.. its mostly between 91-98 but I'm so scared... I am a smoker to
I fear I'm going to die ..
Sometimes when we first put it on, and the readings are lower, we ask the patient to take a few deep breaths. If the O2 comes up and stays up and the patient is not confused or short of breath, we just monitor.
@@NurseMinder I'm short of breath but when it's bad I check it it reads 98 .. but the number jumps around alot.. I think the o2 sensor I have is not great
@@NurseMinder I also have severe chronic anxiety so that's not helping me at all
My readings start from 85-86 and reaches upto 98-99 within 30 secs or so, although there's a lot of fluctuations in between. Can you please tell me what it means?
Also, i'm not very athletic and i don't have a regular exercise routine to stick to.
Based on the readings improving, it sounds like a few deep breaths or some movement was needed. If they remain consistently low, and you are symptomatic (light headed, confused, tired) connect with your healthcare team
this is me!! I'm scared about it sometimes it starts at 83 😭
and what about CO exposure ?
You will not see a change with O2 readings, you need to draw bloodwork to identify it
@@NurseMinder good ! I knew the answer ( mostly through experience in my ER Montana dealing with CO poisoning every winter.
What if you have anxiety? When I get an anxiety attack I feel like I'm dying and can't breathe.
Yes. I have anxiety and panic attacks too, and I know how horrible they feel for me. If you are hyperventilating for a prolonged period of time, it can affect oxygenation and the acid base balance
Hi I had COVID pneumonia and discharged a week back my oximeter reading shows 92-94 while at rest and when I do walking or went to wash room and comes back it dips to below 90 or 88 do I need oxygen therapy to increase the saturation I don't feel longer breathing issue but my heart rate shows while in normal above 120 please advise
A dip is concerning if it does not recover ... sounds like you do return back to the low 90s If you find yourself struggling to breathe, and O2 does not resolve, connect with your healthcare team
Have you recover I’m the same too my oxygen stay 91 92 all the time I had covid back in October
@@kaiberry5502 I dipped to 80 and I'm so scared 😭😭😭
@@melissabrill8367 do you have sleep apnea.. I found out I have sleep apnea now my oxygen is normal now
@@kaiberry5502 I do but I only had problems at bed .
Does fever and anxiety reduce the oxygen saturation level?
Yes it can
@@NurseMinder thank you so much fr responding.. 🙏🙏 really needed to hear this at the moment..
I have chronic anxiety my o2 dipped to 80 83 88 for 25 secs or less but it stays between 91-98 for the most part.. scary
my father have 90% to 94% spo2 , he was an stroke patient before 2 years but he didn't feel any difficulty in breathing and the waves of spo2 is normal , is it normal and his age is 46 years old and what to do to increase oxygen level . please reply my question 🙂🙂🙂❤❤❤❤ love from india
Patients can have a varying normal depending on their medical conditions. There can also be variations in circulation that account for the slight dip to 90. Overall, we never treat a number, we treat the patient :)
Thanks for your recommendation. I am the same person
@@NurseMinder what to do to increase the level of spo2
Sometimes just taking a few deep breaths will help but the long term solutions involve the use of oxygen therapy. If you have concerns and symptoms connect with your healthcare team. For some patients we accept readings as low as 88
Thanks mam
What should one conclude if, after a few seconds, the reading goes down and then goes back up?
Seconds is not a concern, if the readings stay low, and do not recover, then we need to support our patients. If it dips for a few seconds, I would look at contact - the sensor likely is not on
@@NurseMinder Thanks
Thanks for your useful insights on interpreting the readings on a pulse oxymeter.
How can i increase my pr bpm number. Im 35 and my numbers are always on 64 to 67. I have no health issues.
My SP02 is usually on 97 to 99
Your heart rate is based on your bodies needs. A rate in the 60s is normal
@@NurseMinder thank you for the reply.
Greetings Mam , whenever I use oximeter it always starts at 90 or 91 and remains the same for 10 seconds but then stablizes around 96 or 97 after 15 or more seconds.May I know is this normal
Regards
Yup. Normal
Thanks Mam
CARBOMONOXID HAS AGREAER AFFINITY TO BINDING WITH HEMOGLOBIN NOT CARBONDIOXID
Yup. Great catch
When I put my finger it shows 95-99% and then suddenly decends slowly to 94 -92-91-88-85 and then suddenly comes back and settles at 95-98% again should I be worried or I should Ignore this fluctuations
The number it settles on is what I would look at
My oxygen saturation is 92-93% is this normal.,
Yes.
It is
Is a 98% oxygen normal? I get 98%, only sometime 99% . I do have sleep apnea.
Yes it is normal! :)
77? What do I do...
Do you have nail polish on? Are you feeling short of breath? The number is only one element of patient assessment. If you have other symptoms related to low oxygen (difficulty thinking, hard to breath, confused) seek medical attention
i was effected by covid19 in april 2020. after that till now even got negative i m feeling short of breath but my spo level is normal.
i m not able to breath from noose but i can smell evrything even i got short of breath from mouth after smelling pefumes, smoke and chemicals.my chest xray is also normal and i never had breathing problem before covid 19 infection.even i dont have allergy and ashthma before.
Sorry to hear of your health journey. There is much we do not know about covid and I have seen others talk about the challenges after
Let's turn the God let's repent and ask for forgiveness let's study God's word and thank God for sending Jesus and all He's done Thank you God! Shepherdschapelcom Theseasonorg explains the whole Bible God bless
Propranolol Stopping after 2 days Cause waveform Changes
Dose 20 MG
Are you sharing a personal experience?
Those measurements aren't accurate
? What do you mean
@@NurseMinder those oximeters are 4 numbers off especially between 85 and 90 doctors even tell you that???