Unit 4 test RCP 228 Flashcards

1
Q

Objectives of Home/ Alternate Site Care

A

• Support and maintain life

• Improve physical, emotional, social well-being of patient

• Promote patient and family self-sufficiency

• Ensure cost-effective delivery of care(being@ home less expensive than hospital stay)

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2
Q

Discharge to Home/ Alternate Site

A

• Supplies and equipment procured from DME

(Durable Medical Equipment provider)

  • 24/7 coverage
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3
Q

Conserving Device for Portable O2

A

• Uses flow sensor and valve to coordinate delivery of oxygen to patient with patient inspiratory effort

• Special regulator for tanks

• Patient must have sufficient inspiratory force to trigger sensor (pulse dose)

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4
Q

Humidification

A

• For any home system of oxygen-should use distilled water or boil own water

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5
Q

Oxygen Concentrator

A

• Not 100% oxygen, % decreases as flow rates increase or if >50ft tubing

  • 94 to 95% at 1 to 2 LPM
  • 85 to 93% at 3 to 5 LPM
  • Most are limited to 5LPM; must run 2 in tandem to get higher flows when needed
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6
Q

• Cannula

A
  • Most common
  • Tubing up to 50ft in length
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7
Q

Nebulizer Therapy in the Home

A

• Compressor units

  • Electrically powered - small air compressor

• Cleaning of neb circuits - daily

  • Wash in mild soap and water, rinse
  • Soak in one part white vinegar to 3 parts distilled water (once a week) wash, rinse
  • Air dry
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8
Q

Oxygen Precautions

A

• No smoking/candles/close to gas stove, away from wall

• Liter flow is prescribed by physician - DO NOT ADJUST!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

!!!!!!!!!

• Emergency or back-up supply of tanks for liquid and concentrators

• If concentrator used, notify local power company

• Tanks secured in well ventilated area

• Never use grease or oil on any oxygen supply system

• Post an oxygen in use/no smoking sign

• Check connections regularly and change hoses/NC as needed-teach about alarms on stationary unit

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9
Q

Maintenance • Concentrators

A
  • Monthly

• Checked FiO2 and flow accuracy

• Must deliver at least 85% at 4LPM or machine switched out/serviced

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10
Q

Certificate of Medical Necessity for Home Oxygen (CME)

A

• Qualifying criteria-(ABG, overnight pulse oximetry)

  • Pa02 ≤ 55 mmHg or Sp02 ≤ 88%

• If oxygen evidence from hospitalization, needs to be repeated after 1 to 3 months to determine continued need

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11
Q

Prescription/care plan

A

based on documented hypoxemia

Flow rate/FiO2, frequency of use, duration of need, diagnosis, laboratory evidence…ABG or pulse oximetry… (evidence of need not performed by DME company)

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12
Q

Peak age for SIDS

A

is 2-4 months;

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13
Q

Three different oxygen systems for Oxygen delivery at home

A

Compressed Oxygen Cylinders

Liquid Oxygen System

Oxygen Concentrator

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14
Q

Compressed O2 max LPM settings at home is

A

5LPM

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15
Q

How Apnea Monitors Work

A

• EKG - senses electrical depolarization and repolarization of heart

• Respirations - impedance pneumograph detects respiratory rate as the thoracic case changes size during inspiration and expiration

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16
Q

What is Central Sleep Apnea

A

Apnea that occurs due to issue with brain

17
Q

Tank times

A

E=.28
G=2.41
H-k=3.14

Liquid = 344