Chapter 4 - Adminstering Medical Gases- MOSBYS Flashcards

1
Q

What is a flow meter?

A

Devices that control and indicate the flow of gas in a Tank.

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2
Q

What is the most common flow meter used in respiratory care?

A

Thorpe tube flowmeters

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3
Q

What are the two types of flow meters?

A

Pressure compensated or non pressure compensated.

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4
Q

Transtracheal catherters

A

Catheters that allow for oxygen to be deilvered through the trachea.

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5
Q

What is the alveolar equation?

A

PaP2= [(Pbar- PH20)- PaCo2]/0.8

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6
Q

Describe the suppression of the ventilatory drive

A

When the Bicarbonate sensors in the brain change to dectect for oxygen, if you give a patient too much O2 they can forget to breathe.

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7
Q

What is hypoxemia

A

Low levels of oxygen in the blood

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8
Q

Describe absorption ateletasis

A

Loss of lung volume causes by the resorption of air within the alveoli. There is no nitrogen to hol the shape of the alveoli.

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9
Q

What is the difference between respiration and ventilation

A

Respiratory is the gas excahnge that happens between the alveloli and the capillaries. Ventillation- air moving in and out of the body

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10
Q

What does SpO2 mean

A

The saturation reading from the pulse oximeter.

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11
Q

What numerical value should your O2 saturation be to no longer require oxygen

A

88% or higher

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12
Q

What are the stat targets in COPD Patients.

A

87%- 92%

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13
Q

What are low flow devices

A

Nasal cannulas, transcheal catheters, pulse delivery devices, resovoir, nasal cannula. I-15L Per minute.

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14
Q

What are some examples of high flow devices.

A

Trachestomy collors or T pieces.

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15
Q

What is carina

A

This is the middle part of lung where the bronchioles branch off.

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16
Q

What is gastirc distention?

A

Air into the stomach triggers vomiting.

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17
Q

When should the begining of O2 monitoring occur

A

At the initiation of therapy

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18
Q

When should the beggining of O2 monitoring occur in COPD patients

A

Within two hours of diagnoses

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19
Q

True or Flase ,within 12 hours of administering FiO2 levels of < 0.40 the paitent should still be moniter?

A

True.

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20
Q

True or Flase ,within 8 hours of administering FiO2 levels of < 0.40 the paitent should no longer be monitored

A

False, they still need to be monitored.

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21
Q

True or false, Nasal cannulas and catheters can be used on Neo nates?

A

False,

22
Q

What is the cause of Retnopathy of prematurity

A

Giving babies above 80 torr of of oxygen.

23
Q

Low flow FiO2 range

A

0.22 to 0.80

24
Q

High Flow FiO2 range

A

0.24- 0.1

25
Q

What is a low flow nasal cannula.

A

A clear tube that delivers low flow oxygen through the nares.

26
Q

At what flow on nasal cannulas should we add a humidifier

A

4L Per minute or when the patient asks.

27
Q

What is the FiO2 range for a nasal cannula

A

0.24-0.44 delivers oxygen 1-6 L per minute.

28
Q

What conditions afftec t the FiO2

A

Respiratory rate, tidal volume and oxygen flow rate.

29
Q

What is a TTO

A

Transtracheal oxygen catheters.

30
Q

Pulse demand oxygen delivery system

A

Patient takes a breathe and the oxygen pulses and flows into the tubes.

31
Q

What are 3 examples of Oxygen conserving devices?

A

Transtracheal oxygen catherers, Reservoir cannulas, Pulse demand oxygen delivery systems

32
Q

How much oxygen can the resovior mustache cannula hold?

A

20ml or cc

33
Q

How much oxygen can the resovoir pendant cannula?

A

can hold 40 ml of cc

34
Q

How much Liters of xygen can a Pulse Demand Oxygen Delivery System deliver.

A

1 to 5 L per minute.

35
Q

Simple Oxygen Mask

A

A low flow device that delivers FiO2 of 0.35 to 0.50 at flows of 5 to 10 L min. It also has a reservoir inside the mask.

36
Q

Partial Rebreathing Mask

A

Resrvoir bag but has no valves, Delivers FiO2 of 0.40 to 0.60 at flows of 6 to 8L/min. Bag must be one-third to one hald full during inspiration.

37
Q

What is a Nonrebreathing Mask.

A

Has two valves attached to the mask. Valves allow patient to pull oxygen from resovior during inspriation. FiO2 range is 0.60 to 0.80

38
Q

What is the other name for Venti Masks?

A

Air Entrapment Masks

39
Q

What is the primary use of air entrapment masks?

A

To provide oxygen therapy for COPD Paitents.

40
Q

What is the flow range for Air Entrapment or Venti Mask?

A

2 TO 10 L per minute

41
Q

What is an oxygen hood used for?

A

Used to deliver supplemental oxygen to infants, can be nosiy

42
Q

Incubators

A

Regualte the temperature, humidity and FiO2 of an infants environment.

43
Q

What is the FiO2 percentage when the port is open and when it is closed?

A

Open 0.40 or less
Closed 0.40 or higher

44
Q

Hyperbaric oxygen therapy

A

exposes patients to pressure greater than atmospheric pressure while they breathe 100% oxygen. Can be done continuously or intermittently.

45
Q

Nitric oxide

A

Pulmonary vasodilator used to treat persistent pulmonary hypertension in New borns

46
Q

Heliox therapy

A

Helium is a lighter gas that attaches to oxygen . Makes it easier for oxygen to move through airways that are obstructed. Eg asthmatics.

47
Q

What is the FiO2 for venti mask.

A

24 to 100%

48
Q

What is the flow rate for high flow nasal cannula in L per minute

A

1L to 60L perminute

49
Q

What is the FiO2 for High flow nasal cannulas

A

21-100%

50
Q

What is P-E-E-P

A

Positive end expirtratory pressure - Resiudal volume.

51
Q
A