Chapter 5 Flashcards

1
Q

Nasal Cannula LPM

A

1-6lpm and 24-44%

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2
Q

LPM for a trach mask

A

8-12

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3
Q

Simple mask LPM

A

5-10

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4
Q

How do you know if you need to increase the flow to a non-re-breather mask

A

if the bag collapses greater than 1/2 on inspiration

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5
Q

Variable FiO2

A

Occurs with all low flow oxygen systems because inspiratory flow of an adult exceeds 8 L/min

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6
Q

water that is considered humidity has water in what form?

A

Humidity is water in MOLECULAR form

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7
Q

The four factors that effect the efficiency of humidity

A

Temp, surface area, contact time, and depth of water reservoir

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8
Q

S/S that pt is in humidity deficit

A

Tenacious secretions, dry cough, atelectasis,

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9
Q

Goal of humidity

A

to minimize or eliminate a humidity deficit while inhaling a dry gas

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10
Q

Inspissated

A

thickened, dried, or made less fluid by evaporation

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11
Q

types of humidifiers

A

bubble, simple reservoir, aerosol

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12
Q

Pop off valve on bubblers can be caused by

A

high flow or kinked tubing

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13
Q

Wick humidifier

A

AKA Passover aka simple reservoir that delivers 1000% air

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14
Q

what does a servo controlled humidifier do

A

shuts off heat if there is no water left

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15
Q

aerosol

A

contains particulate matter

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16
Q

factors affecting particle deposition of aerosol

A

inertial impaction, sedimentation, size, and diffusion

17
Q

What particle size is required to become deposited in the oropharynx?

A

5 to 10

18
Q

what can increase deposition?

A

Increased tidal volume, longer inhalation, and breath hold

19
Q

aerosols can be used for what three modes?

A

sputum induction, humidity therapy, and as medication

20
Q

Bernouli’s principle

A

As pressure decreases, flow will increase

21
Q

if a jet has a larger orifice, what will the result be on particles?

A

causes larger particles and decrease delivery time

22
Q

What flow rate requires you to “t” two flowmeters during nebulizer treatment

A

more than 15.

23
Q

simple mask lpm

A

5-10

24
Q

simple mask oxygen %

A

35-50%

25
Q

Partial rebreathing mask lpm

A

8 or greater

26
Q

Partial rebreathing mask oxygen %

A

up to 60%

27
Q

Another name for a venturi mask

A

Air Entrainment Mask

28
Q

venturi mask oxygen %

A

Constant at 24/28/35/50

29
Q

resevoir tubing purpose for T tube

A

Uses 50 mL resevoir tubing to help maintain FiO2

30
Q

visible mist coming out of the resevoir means what?

A

adequate flow is achieved

31
Q

if the resevoir tube is detatched what will happen

A

the inspired O2 will decrease.

32
Q

Oxygen Toxicity

A

Lung damage as a result of O2 of 50% or highere for 48 to 72 hours

33
Q

two main factors that determine effects of O2 toxicity

A

FiO2 and exposure time

34
Q

What happens if you raise PaO2 with 70mmHG or higher

A

they will become lethargic and somnolent from knocking out the hypoxic drive

35
Q

What devices do you use for COPD pt

A

FiO2 of less than 30% (1-2lpm cannula or 24-28 AEM venturi mask)

36
Q

Amount of oxygen dissolved in the blood plasma

A

PaO2

37
Q

Pulse Ox

A

measures oxyhemoglobin saturation of ARTERIAL blood (SpO2)

38
Q

What % O2 can be delivered through venturi

A

24/28/35/50

39
Q

nasal catheter

A

1/4 to 5L with variable O2 of 22-45%