Pulse Oximetry

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Questions and Answers

What is the formula for arterial oxygen content (CaO2)?

  • $CaO2 = SaO2 imes (Hgb imes 1.34) + (0.003 imes PaO2)$ (correct)
  • $CaO2 = SaO2 + (Hgb imes 1.34) - (0.003 imes PaO2)$
  • $CaO2 = SaO2 + (Hgb imes 1.34) imes (0.003 imes PaO2)$
  • $CaO2 = SaO2 imes (Hgb + 1.34) - (0.003 imes PaO2)$

What does the Beer-Lambert Law calculate in the context of pulse oximetry?

  • PaO2
  • SpO2 (correct)
  • SaO2
  • Hgb concentration

What is the relationship between available O2 and the saturation of Hgb described by the Oxyhemoglobin Dissociation Curve?

  • Linear relationship
  • Exponential relationship
  • Logarithmic relationship (correct)
  • Inverse relationship

What does the Beer-Lambert Law equation calculate?

<p>Ratio of transmitted to incident light intensity (D)</p> Signup and view all the answers

What does Lambert's law describe?

<p>Luminance on a surface illuminated by light from a point source (C)</p> Signup and view all the answers

What is an important application of the Beer-Lambert Law within anesthesia practice?

<p>Calculating arterial oxygen content for blood gas analysis (A)</p> Signup and view all the answers

What is the pulse oximeter probe's composition?

<p>Two light-emitting diodes (LED) in red and near-infrared bands (A)</p> Signup and view all the answers

What does plethysmographic analysis differentiate?

<p>Pulsatile arterial signal from nonpulsatile signals and tissue (D)</p> Signup and view all the answers

What is pulse oximetry prone to?

<p>Artifact, delayed measurements, and inaccuracies at low SpO2 values (A)</p> Signup and view all the answers

What can cause errors in pulse oximetry readings?

<p>Other hemoglobin species, dyes, and various artifacts (B)</p> Signup and view all the answers

What does cerebral oximetry using near-infrared spectroscopy monitor?

<p>$\text{Regional tissue oxygen saturation}$ (D)</p> Signup and view all the answers

What occurs in cerebral oximetry?

<p>Scattering and reflection of electromagnetic radiation (B)</p> Signup and view all the answers

What is the relationship between light absorbance at both wavelengths?

<p>Divided by absorbance of light from extraneous tissue (A)</p> Signup and view all the answers

What does physiological derangement like left and right shifts affect?

<p>Pulse oximetry readings (A)</p> Signup and view all the answers

What does pulse oximetry allow?

<p>Continuous monitoring (A)</p> Signup and view all the answers

What is used to monitor regional tissue oxygen saturation?

<p>Cerebral oximetry using near-infrared spectroscopy (D)</p> Signup and view all the answers

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Study Notes

Pulse Oximetry and Plethysmography Overview

  • Absorptivity is proportional to solution concentration in spectrophotometry
  • Pulse oximeter probe contains two light-emitting diodes (LED) in red and near-infrared bands
  • Plethysmographic analysis differentiates pulsatile arterial signal from nonpulsatile signals and tissue
  • Light absorbance at both wavelengths is divided by absorbance of light from extraneous tissue
  • Pulse oximetry is non-invasive, easy to apply, and allows continuous monitoring
  • However, it is prone to artifact, delayed measurements, and inaccuracies at low SpO2 values
  • Errors in pulse oximetry can occur due to other hemoglobin species, dyes, and various artifacts
  • Physiological derangements like left and right shifts affect pulse oximetry readings
  • Standards of care for equipment and monitoring are established to ensure accuracy and safety
  • Cerebral oximetry using near-infrared spectroscopy monitors regional tissue oxygen saturation
  • Scattering and reflection of electromagnetic radiation occurs in cerebral oximetry
  • Anesthesia Equipment: Principles and Applications is a recommended resource for further information

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