Principles of the Anesthesia Machine Part 1 Flashcards
Slides 1-106
What is blood pressure?
the measurement of force applied to artery walls; a practical method for addressing tissue perfusion
What is normal blood pressure?
120/80
What blood pressure is high and it’s name?
hypertension (HTN) greater than or equal to 140/90
What blood pressure is low and it’s name?
hypotension (hTN) less than or equal to 90/60
What is mean arterial pressure?
MAP shows diastolic effects MAP twice as much as systolic because it’s twice as long
What is the equation for MAP?
MAP=[(2)(Diastolic BP)+Systolic BP]/3
What is the MAP for a patient with a BP of 125/85
MAP= 98.3 mmHg
What is pulse pressure?
systolic pressure minus diastolic pressure
normal pulse pressure = 30-40mmHg
When is pulse pressure narrow?
when it is <25% of systolic BP
When is pulse pressure wide?
when it is >50% of systolic BP
What is hypertension?
High BP; it may lead to atherosclerosis or heart failure; thickened wall of blood vessel
What are the 4 consequences of hypertension?
1- strain to the heart (left ventricle enlargement)
2- increased oxygen demand
3- possible stroke
4- decreased tissue organ perfusion
What are the factors that affect BP?
1- blood volume (hypovolemia)
2- vascular tone (vasodilation causes low BP; vasoconstriction causes high BP)
3- medication (vasodilators & vasoconstrictors)
Vasodilators
decrease BP by peripheral vasodilation
Vasoconstrictors
increase BP by peripheral vasoconstriction thus increasing blood flow to vital organs
What does an EKG ( or ECG) measure?
the electrical activity of the heart
What are normal, fast and low EKG?
normal= 60-100 fast= greater than 100 slow= less than 60
What does the Pulse Oximeter (SpO2) measure?
the % of hemoglobin that is saturated with oxygen
What is a normal SpO2?
93-98%
What is end tidal CO2 (EtCO2)?
the amount of CO2 in expired air
What is normal EtCO2?
35-45mmHg
What is a capnograph and its two functions?
EtCO2 monitor
1- reveals EtCO2
2- reveals Respiratory Rate
What are normal respiratory rates? Spontaneous? Ventilator?
Spontaneous= 12-20 Ventilator= 8-12 Pain= increases RR Narcotic= lower RR
What is a normal body temperature?
36-38 degrees celsius
Take a moment and sketch the anesthesia machine pathway
check with picture from PPT
What are the two purposes of the anesthesia machine?
1- allow positive pressure ventilation (bag or ventilator)
2- allow us to deliver anesthetic gases to keep patients asleep
What are the two types of anesthesia gases?
1- Volatile agents (iso, sevo, des); keep patients asleep, found in vaporizer
2- Fresh gas flow (FGF) gases (air, O2, N2O); come from wall and carry vapors to patients
How many volatile agents can be used at once?
1
What is atelectasis ?
collapsing of the aveoli/lung
What is FiO2?
fraction of inspired oxygen
What is apnea?
cessation of breathing
Why do we use oxygen as a FGF? (3 Things)
1-the increase in FiO2 compensates for atelectasis
2- some patients (COPD, lung disease) need increased FiO2 to have adequate oxygen saturation (SpO2)
3- in case of apnea at the end of surgery
Why use nitrous oxide as a FGF? (2 things)
1- has analgesic properties (ONLY ONE)
2- allows lower use of volatile agents
Why use air as a FGF? (3 things)
has lower FiO2
1- too much oxygen could be toxic (relevant for children)
2-high FiO2 could cause absorption atelectasis
3- An FiO2 above 30% increases the risk of airway fire
What is a flowmeter?
Where the FGF gases are held and can be delivered by turning the flow control valves
Can multiple FGF gases be delivered at once?
Yes