Summer Resp Flashcards
What is the metric system?
using 10th the power/ converting to grams, meters & liters to measure length, mass & volume
Metric System: King ,Henry,Died, By,Drinking ,Chocolate,Milk
Giga (10^9), Mega (10^6), Kilo (10^3), Hecto (10^2), deka (10^1), Base (10^0), Deci (10^-1), Centi (10^-2), milli (10^-3), micro (10^-6), nano (10^-9)
1 ft= __ inches
12 inches
1 ft= __meters
0.3 meters
1 yard= __ft
3 ft
1 Inch= __cm
2.54 cm
1 Kg=__lbs
2.2 lbs
1 lbs=__ grams
454 grams
1 cup=__ mL
240 mL
1 tsp=__mL
5 mL
1 tbsp= __mL
15 mL
1 gal=__L
3.8L
1 cup=__ oz
8 oz
1 oz=__mL
30mL
Temperature conversion:
Kelvin
Celsius
Farenheit
K: C +273
C: (F-32)/1.8
F: (C X 1.8) +32
1 mmHg= __ cm H20
1.36 cm H20
1 Psi (per square inch)= __ cm H20
70 cm H20
Define and describe methods of heat transfer
conduction
convection
radiation
condensation
evaporation
conduction: heat transfers by direct contact (touching)
convection: heat transfers between gases & liquids by fluid movement
radiation: heat transfers not by direct contact between 2 substances
condensation: gas - liquid (a cold soda can has small water droplets around)
evaporation: liquid- gas (puddles disappearing)
describe properties of liquids:
cohesion
adhesion
surface tension
cohesion: attractive forces between like molecules (a U shape, ex. water)
adhesion: attractive forces between unlike molecules ( a n shape, ex.mercury)
surface tension: attractive forces between like molecules on liquid surface
water vapor pressure
acts like any gas exerts it own pressure
water vapor pressure @ body temperature 37 degrees
47 mm Hg
water vapor content @ body temperature 37 degrees
44 mg/L
atmospheric pressure:
760 mmHg
Daltons law
definition:
equation:
each gas in a mixture of gas exerts its own partial pressure
__ X 760 mm Hg= __
altogether= 760 mm Hg
Henrys law
definition:
explain gas law:
the quantity of gas that is dissolved in liquid is proportional to its partial pressure and its solubility/ predicts how much is dissolved
ex. water is more soluble than..
Boyles law
definition:
equation:
explain gas law:
the volume of gas varies inversely with its pressure
(P1 X V1)= (P2 X V2) Multiply then divide
-volume goes up, pressure goes down
-volume goes down, pressure goes up
Charles law
definition:
equation:
explain gas law:
the pressure of gas varies directly with its temperature
(P1/T1)=(P2/T2)
-pressure goes up, temperature goes up
-pressure goes down, temperature goes down
Gay-lussacs law
definition:
equation:
explain gas law:
the volume of gas varies directly with its temperature
(V1/T1)=(V2/T2)
-volume goes up, temperature goes up
-volume goes down, temperature goes down
Poiselles law
the degree of resistance in the fluid flow through the tube is directly proportional to its viscosity, flow and length and inversely proportional to its radius & power to the 4th
Laplace law
something to do with surface tension
Humidity definition:
the quality of wetness of gas or air in a gaseous state or vapor
Absolute humidity definition:
the amount or weight of water vapor in a gas
Relative Humidity:
the ratio amount of water vapor gas to its full saturated capacity at a given temperature
Relative Humidity Equation
RH%= AB/capacity X 100
Explain Characteristics of Humidity
-mainly in the nose
-Inhalation: Inspired warm air (convection) & pick up water vapor (evaporation)
-exhalation: cool heat back into ET tube & tracheal (convection)/ cool air less water vapor (rehydration, condensation)
Body Humidity
ratio amount of water vapor in a gas to its full saturated water vapor content capacity of 44mg/L at a body temperature @37 degrees celsius
Body Humidity Equation
BH%: AB/44 mg/L X 100
efficiency of humidification
-duration of contact
-surface area
-thermal mass
-tempurature
Humidifier definition
a devise used to add water molecule to a gas
Indication of humidification
-bronchospasm caused by cold air
-humidifying dry medical gases
-overcoming humidity deficit caused by artificial airways
humidity deficit definition
the amount needed to achieve full body saturated capacity at normal body temperature
humidity deficit equation
44mg/L- __= __
Bubble humidifier
-nonheated/nonvented
-15 to 20 mg/L
-oronasal theraphy
-moisture/if patient complains of dryness
-infection can spread
-2 nasal prongs goes in nose around ear
Passover
-vented/heated
-simple reservoir/wicked/membrane
-air goes in heated up by cannula & goes to patient
HME
-vented/nonheated
-70% body Humidity: 25mg/l in, 40% mg/L out
-have to take off when administering meds
HME contradictions
-blood thick, secretions, mucous
-hypothermia (<37 degrees celsius/cold)
-low exhaled volume
-low minute volume
aerosol definition
a suspension of water in a mist or vapor
hazards for aerosol
-heat/burn
-overhydrate patient
-condensation in tube
-infection
indications of aerosol
-mobility of pulmonary secretions
-administor medications
-post extubation edema (swelling)
-hydration
Hypoxia definition
-low oxygen at tissue level
-no objective measurement
-common with hypoxia
-shock (body fails from infection spreading), poor perfusion (not enough circulation)
hypoxemia definition
-low oxygen in the blood
-PaO2 (partial oxygen in the artery) <60mmHg
-SaO2 saturation of oxygen in the artery) <90%
-SPO2 (pulse oximeter that shows percentage of oxygen in the blood) <92%
-anemia factor (lack of red blood cells)
4 different types of hypoxia
- anemic hypoxia
- histotoxic hypoxia
- hypoxemic hypoxia
- stagnant hypoxia
Anemic Hypoxia
caused by reduced oxygen carrying capacity in the blood (low hemoglobin)
histotoxic hypoxia
caused by impairment of oxidative enzyme mechanism of the cell (toxic, poison) alcohol poisoning
hypoxemic hypoxia
caused by reduced oxygen content in the blood (low oxygen in the blood) low FIO2
stagnant hypoxia
caused by poor perfusion (increased heart rate)n
State indications for oxygen therapy
-hypoxemia (SaO2 <90%, <60mm Hg)
-increased work of breathing
-chronic hypoxia
State hazards of oxygen therapy.
-O2 toxicity: too much oxygen can cause bronchopneumonia
-Hypoventilation: a hypoxic drive in copd, COPD (chronic obstructive pulmonary disease), patient not being able to breath deep enough
-Retinopathy of prematurity: too much oxygen can cause children to go blind
-Atelectasis: n2 wash out, the nitrogen helps open alveoli
Identify signs & symptoms of hypoxia
-Cardio (heart): tachycardia/ increased work of breathing
-Pulmonary (lungs): dyspnea shortness of breath
-CNS (brain): mental disturbance & impairment of special senses
-Skin: cyanosis bluish
low oxygen delivery devices.
- Does not meet all patients inspiratory rate
- Air is diluted within O2
- O2 provide <8L/min
- O2 not precise due to air being diluted too
Oxygen delivery system
a device used to administer/regulate and supplement oxygen to a subject that helps increase arterial oxegantion
low flow devices works best when patients
- Consistency of VT (tidal volume) 300-700 mg/l
- Normal RR (respiratory rate) less than 25 per min
- Regular ventilation pattern
list different low flow devices
- nasal cannula
- nasal catheter
- transtracheal catheter
4.nasal reservoir
5.pendant reservoir
6.simple mask
7.partial rebreather mask
8.nonrebreather mask
High flow device system
- O2 is precise
- Meets all patients needs for inspiratory rate
list different low flow devices
- air entrainment masks/ venturi mask
2.aerosol mask - blender
4.face tent - high flow nasal cannula
- hyperbaric oxygen therapy
7.t-tube/t piece
8.trachestomy collar