Monitoring Vital Signs Associated with
Cardiac and Respiratory Functions
part 2
Utilization of Appropriate Monitoring Techniques from a Monitor
Dr Rani Shatnawi
06/03/2024
Group one
• A patient arrives at the clinic for a routine check-up. The RT notices that the patient is
nervous and has been talking on the phone. The RT decides to measure the patient's blood
pressure.
• - How might the patient's nervousness and recent phone conversation affect the accuracy
of the blood pressure measurement?
• - What would you do to take accurate BP?
• - What steps can the RT take to ensure an accurate reading?
• - If the patient refuses to measure his/her BP, what do you do?
• - If the BP is too low or two high, what would you do to maintain your patient safety?
Group two
• A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy
at home. The RT visits the patient at home to assess the effectiveness of the oxygen therapy
using pulse oximetry.
• What factors should the healthcare provider consider when interpreting the patient's pulse
oximetry readings?
• How can pulse oximetry help determine the appropriate oxygen flow rate for the patient?
• How would you interpret the pulse oximetry readings in this patient population,
considering factors such as baseline oxygen saturation levels and potential fluctuations
during activities of daily living?
• In addition to pulse oximetry, what other clinical assessments or observations would be
important for the respiratory therapist to perform during a home visit for a COPD patient
receiving oxygen therapy
• What are the factors might affect the reading of Saturation?
Group three
• A patient in the intensive care unit (ICU) is being monitored using capnography. The RT
notices a sudden increase in end-tidal carbon dioxide (ETCO2) levels.
• What could be the potential causes of a sudden increase in end-tidal carbon dioxide
(ETCO2) levels in a patient being monitored with capnography in the ICU?
• How would you assess and manage a patient with a sudden increase in ETCO2 levels,
considering the patient's clinical condition and other monitoring parameters?
• Discuss the significance of monitoring ETCO2 in ICU patients and its role in guiding
respiratory therapy interventions
• How should the healthcare provider respond to this change in capnography readings?
Group four
• A patient with a history of asthma is admitted to the hospital with shortness of breath. The
healthcare team places the patient on continuous ECG monitoring.
• Why is it important to place a patient with a history of asthma on continuous ECG
monitoring when admitted to the hospital with shortness of breath?
• What specific ECG findings might indicate a potential complication or worsening of the
asthma condition in this patient?
• How does continuous ECG monitoring help healthcare providers in managing and
treating a patient with asthma and shortness of breath?
• Discuss the role of continuous ECG monitoring in detecting and managing cardiac
complications that may arise in patients with asthma exacerbations.
Group five
• A patient with pneumonia is being treated in the hospital. The healthcare team is
monitoring the patient's temperature closely.
• Why is it important to closely monitor the temperature of a patient with pneumonia?
• What are the potential complications of not properly monitoring the temperature of a
patient with pneumonia?
• How often should the temperature of a patient with pneumonia be monitored, and why?
• What are the different methods available for monitoring a patient's temperature, and
which one would be most appropriate for a patient with pneumonia?
MEWS 2 form