Integrated Pulmonary Index™ algorithm (IPI) combines four important respiratory measurements (carbon dioxide, pulse oxygenation, pulse rate, and respiration rate) into a single number on a scale from 1-10. The IPI number helps indicate overall respiratory status.
It is up to you as a qualified clinician to interpret the IPI status numbers as shown in the chart. It may be helpful to tell your patient and their family to alert hospital staff if they see the IPI number falling quickly.
The benefits of capnography are only realized if the patient is compliant with wearing the sampling line. It can be helpful if your patient understands why it is so important to leave the sampling line on until you decide it should be removed.
To encourage compliance, explain that the medication they will be given can make their breathing slow or shallow. Explain that a capnography monitor will alert hospital staff to changes in breathing. Because the patient may be sedated, it is also important to educate family or friends who are present.
Explain that when the monitor alarms, it alerts you to a change in breathing, and that alarms can also serve as a reminder that the patient should take a few deep breaths if they are awake.
Routine post-surgical activity, like sipping water or eating ice chips, does not interfere with monitoring.