Clinical observations include estimation of haemoglobin-oxygen saturation (SpO 2, pulse oximetry), oxygen delivery, respiratory rate, respiratory distress, heart/pulse rate, blood pressure (systolic, diastolic and mean), temperature, level of consciousness OR level of sedation, and a pain score.linical observations include estimation of haemoglobin-oxygen saturation (SpO 2, pulse oximetry), oxygen delivery, respiratory rate, respiratory distress, heart/pulse rate, blood pressure (systolic, diastolic and mean), temperature, level of consciousness OR level of sedation, and a pain score.
In turn this triggers the sarcoplasmic reticulum to release calcium ions into the muscle interior where they bind to troponin, thus causing tropomyosin to shift from the face of the actin filament to which myosin heads need to bind to produce contraction.
smooth muscle contraction. -calmodulin is the protein used to bind calcium ions to skeletal muscle when its fibers are stimulated. -hormones can stimulate or inhibit contraction. -stretching of the muscle can cause contraction. -slower to contract and relax, but can forcefully contract longer with the same amount of ATP.