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Dosages > Machine Check > Flashcards

Machine Check Flashcards

1
Q

Emergency Ventilation Equipment

1 of 1

A

Verify Backup Ventilation Equipment is Available and Functioning

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2
Q

High Pressure System

1 of 5

A

Check O2Cylinder Supply

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3
Q

High Pressure System

2 of 5

A

OPEN O2 Cylinder and Verify at least HALF full (1,000psi)

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4
Q

High Pressure System

3 of 5

A

CLOSE cylinder

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5
Q

High Pressure System

4 of 5

A

Check Central PIPELINE Supplies

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6
Q

High Pressure System

5 of 5

A

Check that HOSES are CONNECTED and pipeline GAUGES read about 50psi

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7
Q

Low Pressure System

1 of 14

A

Check INITIAL STATUS of Low Pressure System

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8
Q

Low Pressure System

2 of 14

A

CLOSE FLOW CONTROL VALVES and turn VAPORIZERS OFF

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9
Q

Low Pressure System

3 of 14

A

Check FILL LEVEL and TIGHTEN vaporizers’ FILLER CAPS

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10
Q

Low Pressure System

4 of 14

A

Perform LEAK CHECK of Low Pressure System

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11
Q

Low Pressure System

5 of 14

A

Verify the machine MASTER SWITCH and FLOW CONTROL VALVES are OFF

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12
Q

Low Pressure System

6 of 14

A

ATTACH “SUCTION BULB” to Common Gas Outlet

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13
Q

Low Pressure System

7 of 14

A

SQUEEZE BULB repeatedly until FULLY COLLAPSED

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14
Q

Low Pressure System

8 of 14

A

Verify BULB stays FULLY COLLAPSED for at least 10 seconds

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15
Q

Low Pressure System

9 of 14

A

OPEN one VAPORIZER at a TIME and repeat “C” and “D”

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16
Q

Low Pressure System

10 of 14

A

REMOVE SUCTION BULB and RECONNECT FRESH GAS HOSE

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17
Q

Low Pressure System

11 of 14

A

TURN ON, machine MASTER SWITCH and all other necessary ELECTRICAL EQUIPMENT

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18
Q

Low Pressure System

12 of 14

A

TEST FLOWMETERS

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19
Q

Low Pressure System

13 of 14

A

Adjust FLOW of ALL GASES through their FULL RANGES, checking for SMOOTH OPERATION of FLOATS, and UNDAMAGED FLOW-TUBES

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20
Q

Low Pressure System

14 of 14

A

Attempt to CREATE a HYPOXIC MIXTURE and verify correct CHANGES in FLOW and/or ALARM

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21
Q

Scavenging System

1 of 6

A

ADJUST and CHECK Scavenging System

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22
Q

Scavenging System

2 of 6

A

ENSURE proper connections BETWEEN the Scavenging System and BOTH APL-VALVE and VENTILATOR RELIEF VALVE

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23
Q

Scavenging System

3 of 6

A

Adjust WASTE GAS VACUUM if possible

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24
Q

Scavenging System

4 of 6

A

Fully OPEN APL-VALVE and OCCLUDE Y-PIECE

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25
Q

Scavenging System

5 of 6

A

With MINIMUM O2 FLOW, allow SCAVENGER RESERVOIR BAG for COLLAPSE and verify ABSORBER PRESSURE GAUGE reads about ZERO

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26
Q

Scavenger System

6 of 6

A

With O2 FLUSH ACTIVATED, allow SCAVENGER RESERVOIR BAG to DISTEND FULLY, and verify ABSORBER PRESSURE GAUGE

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27
Q

Breathing System

1 of 16

A

CALIBRATE O2 Monitor

28
Q

Breathing System

2 of 16

A

Ensure monitor READS 21% in ROOM AIR

29
Q

Breathing System

3 of 16

A

Verify LOW O2 ALARM is enabled and functioning

30
Q

Breathing System

4 of 16

A

REINSTALL sensor and FLUSH BREATHING SYTEM with O2

31
Q

Breathing System

5 of 16

A

Verify monitor now reads >90%

32
Q

Breathing System

6 of 16

A

Check INITIAL STATUS of Breathing System

33
Q

Breathing System

7 of 16

A

Set selector switch to BAG MODE

34
Q

Breathing System

8 of 16

A

Check that circuit is COMPLETE, UNDAMAGED, UNOBSTRUCTED

35
Q

Breathing System

9 of 16

A

Verify CO2 Absorbent is adequate

36
Q

Breathing System

10 of 16

A

INSTALL breathing circuit ACCESSORIES (humidifier, peep valve) to be used during case

37
Q

Breathing System

11 of 16

A

Perform LEAK CHECK of Breathing System

38
Q

Breathing System

12 of 16

A

Set ALL GAS FLOWS to ZERO (or minimum)

39
Q

Breathing System

13 of 16

A

CLOSE APL-valve and OCCLUDE Y-PIECE

40
Q

Breathing System

14 of 16

A

PRESSURIZE breathing system to 30cmH2O with O2 FLUSH

41
Q

Breathing System

15 of 16

A

Ensure pressure remains FIXED for >10 seconds

42
Q

Breathing System

16 of 16

A

OPEN APL-VALVE and ensure pressure decreases

43
Q

Manual and Automatic Ventilation Systems

1 of 14

A

Test VENTILATION SYTEM and UNIDIRECTIONAL VALVES

44
Q

Manual and Automatic Ventilation Systems

2 of 14

A

Place SECOND BREATHING BAG on Y-PIECE

45
Q

Manual and Automatic Ventilation Systems

3 of 14

A

SET VENTILATOR PARAMETERS for next patient

46
Q

Manual and Automatic Ventilation Systems

4 of 14

A

SWITCH to AUTOMATIC VENTILATION (Ventilator Mode)

47
Q

Manual and Automatic Ventilation Systems

5 of 14

A

TURN Ventilator ON, and FILL BELLOWS and BREATHING BAG with O2 FLUSH

48
Q

Manual and Automatic Ventilation Systems

6 of 14

A

Set O2 FLOW to MINIMUM, other gas flows to ZERO

49
Q

Manual and Automatic Ventilation Systems

7 of 14

A

Verify the during INSPIRATION BELLOWS deliver appropriate TIDAL VOLUME, and that during EXPIRATION BELLOWS FILLS COMPLETELY

50
Q

Manual and Automatic Ventilation Systems

8 of 14

A

Set FRESH GAS FLOW to 5L/min

51
Q

Manual and Automatic Ventilation Systems

9 of 14

A

Verify ventilator BELLOWS and SIMULATED LUNGS FILL and EMPTY without SUSTAINED PRESSURE on END EXPIRATION

52
Q

Manual and Automatic Ventilation Systems

10 of 14

A

CHECK for PROPER ACTION of UNIDIRECTIONAL VALVES

53
Q

Manual and Automatic Ventilation Systems

11 of 14

A

EXERCISE breathing circuit ACCESSORIES to ensure PROPER FUNCTION

54
Q

Manual and Automatic Ventilation Systems

12 of 14

A

TURN VENTILATOR OFF, SWITCH to MANUAL VENTILATION “BAG MODE”

55
Q

Manual and Automatic Ventilation Systems

13 of 14

A

VENTILATE MANUALLY, to assure INFLATION and DEFLATION of ARTIFICIAL LUNGS and appropriate FEEL of RESISTANCE and COMPLIANCE

56
Q

Manual and Automatic Ventilation Systems

14 of 14

A

REMOVE BREATHING BAG from Y-PIECE

57
Q

Monitors

1 of 2

A

Check, CALIBRATE, SET ALARM LIMITS of all MONITORS

58
Q

Monitors

2 of 2

A

Capnograph, Pulse Oximeter, O2 Analyzer, Respiratory Volume (Spirometer), Pressure Monitor with HIGH and LOW Pressure LIMITS

59
Q

Final Position

1 of 7

A

Check FINAL STATUS of Machine

60
Q

Final Position

2 of 7

A

VAPORIZERS OFF

61
Q

Final Position

3 of 7

A

APL-VALVE OPEN

62
Q

Final Position

4 of 7

A

Selector SWITCH to BAG MODE

63
Q

Final Position

5 of 7

A

ALL FLOWMETERS to ZERO

64
Q

Final Position

6 of 7

A

Patient Suction Level Adequate

65
Q

Final Position

7 of 7

A

Breathing System Ready to Use

Dosages (8 decks)

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