Appendix A
NURSING RESEARCH
Administration of Oxygen via Cannula and Face Mask and its
Effect to Blood Pressure reading, Heart Rate,
and Respiratory rate: Assessment
INFORMED CONSENT
for
Administering of Oxygen via Cannula and Face Mask
I. I ____________, hereby submit nyself to the study of the following student:





Ronnavie Anne A. Caspe
Jiamela A. Pandapatan
Pamela C. Apelado
Erlinda L. Pabello
Renalyn G. Alde
II. I consent to the performance of the said nursing student in giving my confidentiality
regarding to what will be the result of the study.
III. I understand that:
a) The procedure will include hypoxemic patient with ongoing oxygenation via cannula or
face mask
 P1 –patient with oxygenation via Cannula
 P2 – patient with oxygenation via Face mask
b) The procedure is sensitive for myself; therefore I will submit myself seriously with no
hesitation and other intention beyond of what is expected.
c) The data will be treated with outmost confidentiality.
IV. I have had my questions answered and understand and accept the risk and limitation of this
study.
Date:
Signed:
_______________________
Respondent
Signature Over Printed Name
____________________________
Witness
Signature Over Printed Name
Appendix B
Republic of the Philippines
EASTERN SAMAR STATE UNIVERSITY
Borongan, Eastern Samar (ZC 6800)
Tel. # (055) 261-2500; Telefax # (055) 262-2725
COLLEGE OF NURSING
_______________
Dr. GALO P. ALVOR
Chief of Hospital
Eastern Samar Provincial Hospital
Borongan City
Thru: Mrs. Cleofe B. Ang,RN,MAN
Chief Nurse
Eastern Samar Provincial Hospital
Madam:
We the undersigned Level IV Nursing students of Eastern Samar State University, College of Nursing
respectfully requesting permission to conduct a research entitled “Administration of Oxygen via Nasal
Cannula and Face Mask and its Effect to Blood Pressure Reading, Heart Rate, Respiratory Rate:
Assessment”, prior to our data collection on August 15 to September 30, 2011.
Respondent for the study are the patients aging from 16 years old to 85 years old, male and female
confined at Eastern Samar Provincial Hospital in any ward with the history or diagnosis of respiratory
problem and other related health problem. The respondents blood pressure reading, heart rate, and
reparatory rate will be taken and recorded.
All information gathered will be taken in strict confidential and will be used solely for this study.
Your favorable response to this request is highly appreciated.
Very truly yours,
JIAMELA A. PANDAPATAN
RONNAVIE ANNE A. CASPE
Noted by:
DR. EDMUNDO CAMPOTO
Research Adviser
PAMELA C. APELADO
ERLINDA L. PABELLO
RENALYN G. ALDE
RUTH G AGUILAR, RN, MAN
Dean, CON-ESSU
Appendix C
College of Nursing
Eastern Samar State University
Borongan Eastern Samar
Date:
Name: (Optional)
Age:
Sex:
Diagnosis:
Initial Vital Signs:
Blood Pressure:
Heart Rate:
Respiratory Rate:
Oxygen Delivery
System
Vital Signs
Face Mask
VS1
Nasal Cannula
VS2
Blood Pressure
Heart Rate
Respiratory Rate
__________________________
Researcher
Appendix D
Data Collected
SYSTOLE
RESPONDENTS
DIASTOLE
FACE MASK
NASAL
CANNULA
RESPONDENTS
Respondent 1
90
80
Respondent 2
80
Respondent 3
FACE MASK
NASAL
CANNULA
Respondent 1
60
60
80
Respondent 2
60
60
160
130
Respondent 3
80
80
Respondent 4
120
110
Respondent 4
70
70
Respondent 5
220
210
Respondent 5
120
110
Respondent 6
110
100
Respondent 6
90
70
Respondent 7
120
100
Respondent 7
80
80
Respondent 8
140
130
Respondent 8
100
80
Respondent 9
120
110
Respondent 9
80
80
Respondent 10
130
Respondent 10
80
70
Total
1290
120
1170
Total
820
760
Mean
129
117
Mean
82
76
HEART RATE
RESPONDENTS
RESPIRATORY RATE
RESPONDENTS
FACE MASK
NASAL
CANNULA
FACE MASK
NASAL
CANNULA
Respondent 1
105
99
Respondent 1
40
36
Respondent 2
102
95
Respondent 2
32
30
Respondent 3
58
59
Respondent 3
26
23
Respondent 4
110
111
Respondent 4
31
32
Respondent 5
130
129
Respondent 5
31
30
Respondent 6
98
95
Respondent 6
26
25
Respondent 7
78
81
Respondent 7
30
33
Respondent 8
98
93
Respondent 8
29
25
Respondent 9
126
123
Respondent 9
34
30
Respondent 10
111
96
Respondent 10
40
37
Total
1016
981
Total
319
301
Mean
101.6
98.1
Mean
31.9
30.1
Appendix E
T Test Result
SYSTOLE
t-Test: Paired Two Sample for
Means
Mean
Variance
Observations
Pearson Correlation
Hypothesized Mean
Difference
df
t Stat
P(T<=t) one-tail
t Critical one-tail
P(T<=t) two-tail
t Critical two-tail
Variable 1
129
1543.333
333
10
0.980260
569
DIASTOLE
t-Test: Paired Two Sample for
Means
Variable 2
117
1378.888
889
10
0
9
4.810702
354
0.000479
655
1.833112
923
0.000959
31
2.262157
158
Variance
Observations
Pearson Correlation
Hypothesized Mean
Difference
df
t Stat
P(T<=t) one-tail
t Critical one-tail
P(T<=t) two-tail
t Critical two-tail
Variable 1
101.6
450.7111
111
10
0.970003
666
0
9
2.132226
947
0.030898
685
1.833112
923
0.061797
371
2.262157
158
Variance
Observations
Pearson Correlation
Hypothesized Mean
Difference
df
t Stat
P(T<=t) one-tail
t Critical one-tail
P(T<=t) two-tail
t Critical two-tail
HEART RATE
t-Test: Paired Two Sample for
Means
Mean
Mean
Variable 1
82
328.8888
889
10
0.891268
521
Variable 2
76
204.4444
444
10
0
9
2.25
0.025501
63
1.833112
923
0.051003
26
2.262157
158
RESPIRATORY RATE
t-Test: Paired Two Sample for
Means
Variable 2
98.1
401.4333
333
10
Mean
Variance
Observations
Pearson Correlation
Hypothesized Mean
Difference
df
t Stat
P(T<=t) one-tail
t Critical one-tail
P(T<=t) two-tail
t Critical two-tail
Variable 1
31.9
24.32222
222
10
0.881947
24
0
9
2.424671
577
0.019157
973
1.833112
923
0.038315
947
2.262157
158
Variable 2
30.1
21.87777
778
10
Decreased
hemoglobin level
and lowered
oxygen carrying
capacity
Inability of the
tissue to
extract oxygen
from the blood
Diminished
concentration
of inspired
oxygen
Decreased
diffusion of
oxygen from
alveoli to
the blood
Poor tissue
perfusion
with
oxygenated
blood
Inadequate tissue oxygenation at cellular level and lowered oxygencarrying capacity of the blood
HYPOXIA
1
Increased pulse rate, increased rate and depth or
respiratory, increased in blood pressure
Worsen condition may lead to
decline in respiratory rate as result of
respiratory muscle fatigue
O2
Introduction of
supplemental oxygen
2
Increase red blood cell (RBC)
Increase oxygen-carrying capacity of the blood
3
Increase hematrocrit
Increase blood viscosity
Blood flow slows
Arterial blood pressure increases
Increase heart contractility
Increase systolic blood pressure
Figure 1.Pathophysiolgy on increase systolic blood pressure
Impaired
ventilation
1
Hypoxia is inadequate tissue oxygenation at the cellular level. This can result from a deficiency
in oxygen delivery or oxygen utilization at the cellular level. Hypoxia can be caused by (1) a
decreased hemoglobin level and lowered oxygen- carrying capacity of the blood; (2) a
diminished concentration of inspired oxygen, which may occur at high altitude; (3) the inability
of the tissues to extract oxygen from the blood, as with cyanide poisoning; (4) decreased
diffusion of oxygen from the alveoli to the blood, as in pneumonia; (5) poor tissue perfusion with
oxygenated blood, as with shock; and (6) impaired ventilation as with multiple rib fractures or
chest trauma. Vital sign changes include an increased pulse rate and increased rate and depth of
respiration. As hypoxia worsens, the respiratory rate may decline as a result of respiratory
muscle fatigue. (Ref: Fundamentals of Nursing by Potter Perry 5th edition, Chapter 39, page
1139-1140)2When the number of red blood cells is increased, such as polycythemia in chronic
lung conditions and cyanotic heart conditions, the oxygen carrying capacity of the blood is
increased. Increased red blood cell can lead in increased blood viscosity. (Ref: Fundamentals of
Nursing by Potter Perry 4th edition, Chapter 44, page 1212)3The hematocrit, or percentage of red
blood cells in the blood, determines blood viscosity. When the hematocrit rises the blood flow
slows, arterial blood pressure increases. The heart must contract forcefully to move the viscosity
through the circulatory system. (Ref: Fundamentals of Nursing by Potter Perry 4th edition,
Chapter 32, page 626)
APPENDICES