Breathing Circuits and Airway (Garcia) Flashcards

1
Q

Circle system

A
  • rebreathing system
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Non-Rebreathing system

A
  • expired air isn’t recycled
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Unidirectional valves

A
  • allow flow in only one direction
  • no rebreathing of CO2
  • may stick with moisture
  • may dislodge from housing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

valve most likely to fail

A

expiratory valve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Non-rebreathing circuits do not have

A

unidirectional valves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Breathing tubes

A
  • Corrugated-prevents kinking
  • transparent plastic
  • light (less drag)
  • Adult and pediatric size
    • two limbs
    • coaxial
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

recognizing funky breathing tubes

A

One end fitted for a valve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Blue (or green….?) breathing tube has one….

A

as inspiratory valve

-check by putting on a bag and squeezing, valve that opens is inspiratory valve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Breathing bag

A
  • used as reservoir
  • used to deliver breaths
  • can be used to count RR
  • Some protection against excessive pressure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

If pop-off valve stays closed

A

patient dies from CARDIAC ARREST

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Checking for leaks

A
  • canister
  • unidirectional valves
  • reservoir bag
  • hoses
  • connections

*Close pop off valve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Circuit system

Advantages

A
  • rebreathing of expired gas after CO2 elimination
  • keep heat and moist
  • more economic on O2 and inhalent
  • Lower O2 flows
    • less environmental contamination
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

circuit system

Disadvantages

A
  • lots of parts
  • more likely to leak
  • difficult to clean
  • not easily moved
  • controlled ventilation: hypocarbia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Non rebreathing systems

A
  • Elimination of CO2 by high O2 flow
  • Usually patient < 3kg
  • High O2 flows: 100-200 mls/kg
    • WASTEFUL
  • Different systems: Bain system used most
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Mechanism that eliminates CO2 in a non-rebreathing circuit

A

High flow of oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Procedure to check for leaks

A
  1. Flow meter OFF
  2. Close pop-off valve
  3. Put thumb on patients end of breathing hose
  4. Press flush valve until pressure gauge reads 30 cm H2O
  5. Pressure should hold
  6. Press Flush Valve
  7. Patient’s end of breathinghose open
  8. Reservoir bag
    • will deflate: inspiratory hose is intact
    • if inflates: inspiratory hose is leaking

*Release pressure by opening pop-off valve (do not remove finger)

17
Q

Leakage up to….. is ok

A

300 mLs

-turn on flow meter to measure

18
Q

Checking for leaks in a non-rebreathing circuit

A
  • something about the bag inflating…?
    • taking finger off hole high volume gas should blow up the bag if there is a leak….?
19
Q

Non-rebreathing system

Advantages

A
  • light
  • simple
  • low resistance
  • no need for absorber
  • fast change in depth
  • inexpensive
20
Q

Non-rebreathing system

disavantages

A
  • wasteful
  • loss of heat and moisture
  • pollution
  • changes in EtCO2 and gas analyzer readings
21
Q

Laryngeal anatomy

A
  • Epiglottis
  • Arytenoids
  • Soft palate
22
Q

epiglottis

A

don’t touch it or put pressure on it

-put pressure on base of tongue to make it come down

23
Q

To verify the ET tube is in the trachea

A
  • Look for the arytenoid cartilages
  • Capnography
  • Auscultation of both lungs
  • Palpate neck: make sure there’s only 1 tube!
  • Air movement
    • or reservoir bag movement
24
Q

Intubation complications

A
  • Esophageal Intubation
    • gastric distention
    • no delivery of gas to lungs
      • hypoxia
  • Occluded tubes
  • Bitten and inhaled tubes
  • Bronchial intubation
25
Q

Over inflation of ET tube can….

A

destroy trachea

26
Q

Complications of Laryngospasm

A
  • Can occur at intubation or extubation
  • Humans, cats, pigs
  • Use local anesthetic before intubation
27
Q

Cuff inflation steps

A
  • Place tube in trachea (aim for thoracic inlet)
  • Connect syringe to pilot balloon
  • Place your ear close to animals mouth
  • Close pop off valve and hold pressure
    • 10-15 cm H2O in cats
    • 15-20 cm H2O in dogs
  • Add as little air as possible: just enough to stop air leak
  • Open pop off valve

*DO THIS BEFORE YOU START INHALENT