Overview & Description
Pulse oximetry is a way to measure the level of oxygen in the blood of the arteries. The measurement is express as a ratio of oxygenated hemoglobin to the total amount of hemoglobin. It is called SaO2. This is a noninvasive test, which means that the skin does not have to be broken to perform the test.
This test is also used for a person who is on a ventilator, or artificial breathing machine. The SaO2 helps the health care provider determine whether the person needs a change to the level of oxygen therapy being delivered.
Pulse oximetry can also be used in other clinical settings. These may include pulmonary rehabilitation programs, stress testing, and sleep labs. It can be used to check the body's response to different medications.
A healthcare provider may also order this test at an office visit. This may be done in the case of a child or adult with asthma who is having trouble breathing.
Who is a candidate for the test?
Pulse oximetry is commonly used to monitor the level of oxygen in a person's blood during heavy sedation or anesthesia. It can often detect problems before they are noticed by the person or by a healthcare professional.This test is also used for a person who is on a ventilator, or artificial breathing machine. The SaO2 helps the health care provider determine whether the person needs a change to the level of oxygen therapy being delivered.
Pulse oximetry can also be used in other clinical settings. These may include pulmonary rehabilitation programs, stress testing, and sleep labs. It can be used to check the body's response to different medications.
A healthcare provider may also order this test at an office visit. This may be done in the case of a child or adult with asthma who is having trouble breathing.
How is the test performed?
A small clip with a sensor is attached to the person's finger, earlobe, or toe. The sensor is connected to the pulse oximeter machine by a small cable. The sensor gives off a light signal that passes through the skin. The sensor measures the amount of light the tissue absorbs. This information is transmitted to the pulse oximeter. A reading is given in a percentage form.Preparation & Expectations
What is involved in preparation for the test?
If a person has on fingernail polish, this should be removed. The polish can cause false low readings.Results and Values
What do the test results mean?
A reading lower than 90% may be due to any factor which affects blood, hemoglobin, and oxygen circulation in the body. These may include:If any of these complications are present, the healthcare provider may order additional tests to better assess oxygen saturation.
Attribution
Author:Pam Rosenthal, RN, BSN, CCM
Date Written:
Editor:Slon, Stephanie, BA
Edit Date:08/07/00
Reviewer:Gail Hendrickson, RN, BS
Date Reviewed:09/04/01
Mosby's Medical, Nursing and Allied Health Dictionary, 5th Ed.
Clinical Reference for Critical Care Nursing, 3rd Ed.
The Patient's Guide to Medical Tests, Yale University, 1997
Mosby's diagnostic and Laboratory Test Reference, 4th Ed. 1999
Date Written:
Editor:Slon, Stephanie, BA
Edit Date:08/07/00
Reviewer:Gail Hendrickson, RN, BS
Date Reviewed:09/04/01
Sources
Clinical Reference for Critical Care Nursing, 3rd Ed.
The Patient's Guide to Medical Tests, Yale University, 1997
Mosby's diagnostic and Laboratory Test Reference, 4th Ed. 1999
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