Breathing Systems Part II (Ericksen) Exam 2 Flashcards
Which of the following are components of a Mapleson circuit? (Select 5)
A) Reservoir Bag
B) Corrugated Tubing
C) Oxygen Concentrator
D) Patient Connection
E) Inspiratory Valve
F) CO2 Absorber
G) Heat Exchanger
H) Fresh Gas Inlet
I) Expiratory Valve
J) APL Valve
A)Reservoir Bag
B)Corrugated Tubing
D) Patient Connection
H) Fresh Gas Inlet
J) APL Valve
Not all Maplesons have all these components
Rabbits Can Play Fun Activities
Mapleson circuits do not include a __________.
A. Reservoir Bag
B. CO2 Absorber
C. Corrugated Tubing
D. Patient Connection
B. CO2 Absorber
Unlike more complex anesthesia circuits, Mapleson circuits lack __________ , which then negates the use of separate pathways for inspiratory and expiratory limbs.
A. Fresh Gas Inlets
B. Patient Connections
C. Reservoir Bags
D. Unidirectional Valves
D. Unidirectional Valves,
Mapleson circuits are also known as __________ or __________.
A. Closed Circuits, Fresh Gas Flow Systems
B. High Flow Circuits, Flow-Controlled Breathing Systems
C. Carbon Dioxide Washout Circuits, Flow-Controlled Breathing Systems
D. Dual Limb Circuits, Low Flow Circle Systems
C. Carbon Dioxide Washout Circuits, Flow-Controlled Breathing Systems
In the Magill’s System or Mapleson A circuit, the fresh gas flow (FGF) enters near the __________, which is opposite of the patient.
A. Adjustable Pressure-Limiting (APL) Valve
B. Reservoir Bag
C. Patient Connection
D. Corrugated Tubing
B. Reservoir Bag
The APL valve in a Mapleson A circuit is positioned near the __________.
A. Fresh Gas Inlet
B. Reservoir Bag
C. Patient Connection
D. Overflow valve
C. Patient Connection
Mapleson A circuits are the MOST efficient for __________ ventilation and worst for __________ ventilation.
A. Controlled, Spontaneous
B. Spontaneous, Controlled
C. Manual, Automatic
D. Spontaneous, Manual
B. Spontaneous, Controlled
To prevent rebreathing in a Mapleson A circuit, the fresh gas flow must be ________ than or equal to the ____________ volume during spontaneous ventilation.
A. Greater/ Tidal
B. Greater/ Minute
C. Less/ Inspiratory
D. Less/ Minute
B. Greater/ Minute
Which of the following statements are true about the Mapleson A circuit? (Select 2)
A. Requires less than 20L/min of minute ventilation to prevent rebreathing
B. Rebreathing during controlled ventilation occurs unless minute ventilation is very low
C. Rebreathing during controlled ventilation occurs unless FGF is very high
D. Requires more than 20L/min of FGF to prevent rebreathing
C. Rebreathing during controlled ventilation occurs unless FGF is very high
D. Requires more than 20L/min of FGF to prevent rebreathing - this is considered wasteful during controlled ventilation
What gasses are represented by the blue, orange and red color?
Blue - Fresh Gas Flow
Orange - Dead Space Gas
Red - Alveolar Gas
To prevent rebreathing, Fresh Gas Flow must be __________ than or equal to minute volume to prevent rebreathing during spontaneous breathing.
A) Greater
B) Less
C) Easier
D) Harder
A) Greater
*When the patient is expiring, a lot of gas goes out of the pop-off valve, but the FGF has to be very high >20L/min in order to help ventilate off that gas. *
When the patient is inspiring, they get a little bit of the dead space and alveolar gas with some FGF
During controlled ventilation with a Mapleson A system, rebreathing occurs unless FGF is more than __________L/min
A) 10
B) 20
C) 30
D) 40
B) 20L/min
* A lot of this FGF is wasted through the APL valve during inspiration, so patient only gets a little bit of FGF with dead space and alveolar gas*
In the Mapleson B circuit, the APL valve and fresh gas flow (FGF) are positioned near the __________.
A. Reservoir Bag
B. Patient
C. End of the system
D. Opposite the patient
B. Patient
The reservoir bag in the Mapleson B system is located at the __________ of the system.
A. Beginning
B. Middle
C. End
D. Last Third
C. End
Mapelson B
Much of the fresh gas flow (FGF) is vented through the APL valve during __________, making the system inefficient.
A. Inhalation
B. Exhalation
C. Both Inhalation and Exhalation
D. The Expiratory Pause
B. Exhalation
For the Mapleson B system to be efficient, the fresh gas flow (FGF) should be ________ times the minute volume during spontaneous and controlled ventilation to prevent rebreathing.
A. 1x
B. 2x
C. 3x
D. 4x
B. 2x
What is the Mapelson B considered, due to it being unrealistic and not used anymore.
A) Current
B) Modern
C) Obsolete
D) Updated
C) Obsolete
In the Mapleson B, since the FGF is near the APL valve, gas will take the path of least resistance and a lot of FGF and ____________ gas will be vented out.
A) Dead Space
B) Fresh
C) Alveolar
D) Mixture
C) Alveolar
*Patient will get some FGF but not a lot *
The Mapleson C circuit is identical to the Mapleson B circuit except that it omits the __________, making it similar to an AMBU bag.
A. APL Valve
B. Reservoir Bag
C. Corrugated Tubing
D. Fresh Gas Inlet
C. Corrugated Tubing
Not losing as much FGF and Alveolar Gas to atmosphere through the APL valve
The Mapleson C circuit is almost as efficient as the Mapleson A circuit during __________ ventilation.
A. Controlled
B. Spontaneous
C. Manual
D. Assisted
B. Spontaneous
In the Mapleson C system, the fresh gas flow (FGF) should be __________ times the minute volume.
A. 1x
B. 1.5x
C. 2x
D. 3x
C. 2x
The Mapleson C system is commonly used for __________.
A. Routine Surgery
B. Emergency Resuscitation
C. Long-term Ventilation
D. Chronic Respiratory Failure
B. Emergency Resuscitation
EMERGEN - C
Looks like an AMBU bag
The Mapleson C system’s efficiency during spontaneous ventilation is based on __________.
A. Fresh gas flow rate
B. Expiratory pause length
C. Position of the APL valve
D. Reservoir bag size
B. Expiratory pause length
As long as it is a minimal expiratory pause
The Mapleson D circuit consists of a 3-way T-piece, which includes the patient connection, fresh gas inlet, and __________.
A. Reservoir Bag
B. Corrugated Tubing
C. APL Valve
D. CO2 Absorber
B. Corrugated Tubing