Ch. 15 Anesthesia Delivery Systems Flashcards

1
Q

How are most anesthesia delivery systems powered?

A

electrically and pneumatically

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2
Q

What is the common gas outlet?

A

Where volatile anesthetics and medical gases (O2, air) join together to be delivered to the patient

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3
Q

What are two routes that exhaled gases may go?

A

scavenging system (waste) or through an absorbent

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4
Q

What does the fail-safe valve do?

A

prevents delivery of hypoxemic flows to patient (<30% O2) by proportionally decreasing the flow of other gases or shutting off completely

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5
Q

What does the fail-safe valve not prevent?

A

delivery of 100% N2O

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6
Q

Where is DISS located?

A

located on the wall where you connect hoses

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7
Q

Gases from the wall (central supply source) come in at what PSI?

A

~50

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8
Q

Where is PISS located?

A

the cylinder hanging yoke

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9
Q

What color is the carbon dioxide tank?

A

gray

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10
Q

Which gas cylinder’s pressure is proportional to it’s contents? Which is not?

A

O2; N2O

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11
Q

Why does the pressure in the N2O cylinder not change?

A

When N2O gas leaves, more from the liquid form vaporizes to fill the space and return the pressure to baseline

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12
Q

Volatile anesthetics are in what form at room temperature and pressure?

A

liquid

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13
Q

Which vaporizer is electrically heated?

A

desflurane

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14
Q

What does the interlock do?

A

prevents multiple vaporizers from being turned on at a given time

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15
Q

Why is oxygen preferred to drive the bellows instead of air?

A

if there is a leak in the bellows, the fraction of inspired oxygen will increase

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16
Q

What happens when an intubated patient breaths dry and room-temperature air?

A

they lose heat and water

17
Q

What is the HME? Where might you find it?

A

Heat-moisture exchanger; found between the Y-piece and ETT

18
Q

What is the vacuum line part of?

A

an active scavenging system

19
Q

What effects the amount of gas that goes to the scavenging system when in bag mask mode?

A

the APL valve

20
Q

What absorbent can cause bronchospasm?

A

soda lime - granules can fragment and form dust; partially prevented by adding silica

21
Q

Which volatile is most likely to produce carbon monoxide?

A

desflurane

22
Q

What are conditions that lead to formation of carbon monoxide?

A

(anesthetic agent used), low FGF, higher conc of inhaled anesthetics, dry absorbent

23
Q

Which combination of absorbent and volatile can cause hot fire?

A

Baralyme and Sevoflurane

24
Q

What is dessication in regards to absorbent?

A

extreme dryness

25
Q

This volatile, when exposed to desiccated soda lime can produce carbon monoxide?

A

desflurane

26
Q

What safety devices detect oxygen concentration upstream from the flowmeter? downstream?

A

upstream - fail-safe valve, O2 supply failure alarm, proportioning system; downstream - oxygen monitor