Treatment Tables Flashcards

1
Q

TT5 O2:Air periods

A

20:5

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2
Q

TT5 descent, descent rate

A

:3 descent, 20fpm

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3
Q

TT5 Periods

A

2 O2 periods at 60’, up from 60fsw to 30fsw @ 1fpm, 1 O2 period at 30fsw, up from 30fsw to surface @ 1fpm

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4
Q

TT5 Extensions

A

can be extended 2 periods @ 30fsw (20:5). No air break needed between O2 periods or for ascent.

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5
Q

TT5 Tender Considerations

A

Breathe 100% O2 during ascent from 30fsw to surface.

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6
Q

TT5 Tender w/ Previous Hyperbaric Exposure

A

Additional 20 mins of O2 required prior to ascent

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7
Q

TT5 ascent rate

A

1fpm

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8
Q

Treatment of Type I DCS, complete relief in :10 at 60 feet?

A

TT5 (sup may use TT6)

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9
Q

If a complete Neuro was not done BEFORE recompression, treat as Type ___ ?

A

Type II DCS - TT6

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10
Q

All chamber occupants can breathe O2 @ ___fsw and shallower without locking in additional ppl

A

45 fsw

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11
Q

When deeper than __fsw at least 1 chamber occupant must breathe air.

A

45 fsw

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12
Q

If necessary, Tenders may repeat TT5, TT6 or TT6A within __ hr SI if O2 is breathed at 30 fsw or shallower.

A

18 hr

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13
Q

Use of Treatment Gas may be used when recompression deeper than __fsw is required.

A

60 fsw - nte 165fsw 25:5 periods

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14
Q

Treatment Gas should have a PPO2 between ___ and ___ ata at treatment depth.

A

1.5 - 3.0 ata

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15
Q

High Oxygen mixtures may substituted for 100% O2 at 60 fsw and shallower on TT__, TT__, and TT__?

A

TT4, TT7, and TT8

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16
Q

CNS O2 Toxicity in chamber

A

Off O2, :15 mins after Sx subside, resume at POI

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17
Q

2nd CNS O2 Tox in chamber -or- if 1st is convulsion ?

A

Off O2, after symptoms subsided, up 10 feet at 1 fpm. For convulsion, travel when pt is relaxed and breathing normally. Resume O2 at shallower depth.

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18
Q

3rd CNS O2 Tox -or- 2nd Convulsion ?

A

Consult DMO

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19
Q

Tenders on TT4, TT7, & TT8 should have a __hr SI

A

48 hr

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20
Q

Tenders on TT5, TT6, TT6A, TT1A, TT2A, & TT3 should have a __hr SI before dives requiring decompression stops

A

24 hr

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21
Q

Pt’s treated on a TT5 should remain at the chamber facility for __hrs

A

2 hrs

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22
Q

Pt’s treated for Type II DCS or had TT6 for Type I, remain at chamber facility for __hrs

A

6 hrs

23
Q

All Pt’s should remain within __mins travel time to the chamber facility for __hrs.

A

60 mins, 24 hrs

24
Q

Tenders should remain at the facility for __hr after completing a treatment.

A

1 hr

25
Q

Tenders who completed a TT__, TT__ or TT__ should remain within 60 mins travel time to the chamber facility for 24 hrs.

A

TT4, TT7, TT8

26
Q

Tenders on TT4, 7 & 8 should not fly for __ hrs

A

72 hrs

27
Q

Pt’s who have been treated for DCS or AGE and have complete relief should not fly for __ hrs after Tx.

A

72 hrs

28
Q

All tender O2 breathing times are conducted at __ fsw

A

30 fsw

29
Q

Tender O2 - TT6 up to 1 extension @ 60 or 30 fsw

A

:30 mins

30
Q

Tender O2 - TT6 more than 1 extension

A

:60 mins

31
Q

Tender O2 - TT6A up to 1 extension @ 60 or 30 fsw

A

:60 mins

32
Q

Tender O2 - TT6A more than 1 extension

A

:90 mins

33
Q

When is the only time a pt should be kept awake during treatment?

A

During O2 periods deeper than 30 fsw

34
Q

What are the air tables?

A

1A, 2A & 3

35
Q

What is TT5 used for?

A

Type I, Asymptomatic Omitted D, Unresolved symptoms following in-water recompression, follow up treatments, CO poisoning, Gas gangrene

36
Q

On TT5, begin a _____ after arriving at 60 fsw

A

Neuro

37
Q

If any neurological abnormalities are found after a Neuro at 60 fsw, treat using TT__?

A

TT6

38
Q

What is TT6 used for?

A

AGE, Type II, Type I w/out complete relief in :10 @ 60 fsw, No neuro completed prior to recompression, Cutis Marmorata, Severe CO poisn, Cyanaide poisn, Asymptomatic Omitted D, Symptomatic Blowup, Recurrence of Sx shallower than 60fsw

39
Q

What is a TT4 used for?

A

When a Pt would receive additional benefit at depth of significant relief, nte 165fsw. Time at depth between 30-120 mins, based on Pt response.

40
Q

If a shift from TT6A to TT4 is contemplated, consult _____

A

DMO before the shift

41
Q

What is TT7 used for ?

A

an extension @ 60fsw of TT6, 6A or 4 (or any other nonstandard TT) - Heroic Measure - min 12 hrs @ 60fsw including time spent from TT6, 6A or 4

42
Q

How many tenders need to be present for TT7?

A

2 Tenders available (need not be in chamber at same time) 3 for severely ill Pts. May be locked in & out as required.

43
Q

What is TT8 used for?

A

Deep Uncontrolled Ascents when more than 60 mins of Deco missed. Compress to DOR nte 225 fsw. Schedule is same as TT7

44
Q

What is TT9 used for?

A

HBO Therapy, 90 mins O2 @ 45 fsw. -Residual Sx after initial Tx of AGE/DCS, Selected cases of CO or Cyanide Poison, Smoke inhalation, Wound Tx by DMO

45
Q

What depth does TT1A start?

A

100fsw - Air table

46
Q

What depth does TT2A start?

A

165fsw - Air table

47
Q

What depth does TT3 start?

A

165fsw - Air table

48
Q

TT6 & TT6A can be extended how?

A

2 periods @ 60fsw (20:5) or 2 periods @ 30fsw (60:15) -or- both

49
Q

How long do you have to assess a Pt after compressing to 60fsw for AGE/DCS?

A

:20 mins - Unchanged or Worsening Sx? DOR nte 165fsw - TT6A

50
Q

Adequate urine output is ___cc/kg/hr

A

0.5cc/kg/hr

51
Q

IV rate is ___to___ cc/hour

A

75-100 cc/hr

52
Q

For In-water Recompression, follow TT__ as close as possible

A

TT1A

53
Q

Use In-water recompression as a last resort, when no chamber on site, and when can’t reach a chamber within __-___hrs

A

12-24 hrs

54
Q

What is a TT3 for?

A

serious Sx where O2 cannot be used. Use TT3 if Sx are relieved within :30 mins @ 165 fsw. Sx not releived within :30 mins @ 165fsw, use TT4