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Fundimentals of RespiratoryCare

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Answer
Oxygen delivery devices are categorized by _____. Name the three types   design 1.Low flow 2.High flow 3.Enclosures Head or body surrounding reservoirs  
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Low Flow Devices   Nasal Cannula, Nasal Catheter, Trans-tracheal Catheter, Reservoir Cannula, Simple Mask, Partial Rebreathing Mask, Non-rebreathing Mask/Circuit  
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High Flow Devices   Air-Entrainment (Venturi) Mask, Aerosol Devices, High Flow Nasal Cannula, Bag Mask Devices, Enclosure: Oxy-hood, Isolette, Tent  
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What is FI02?   Fraction of Inspired Oxygen  
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Variable FI02   Systems that supply only a portion of inspired gas Always provides a variable FI02 Low flow & High flow equipment  
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Factors which control FI02?   1.Capacity of O2 Reservoir 2.Oxygen (O2) Flowrate 3.Patients ventalatory pattern  
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Name the advantages of Low Flow Devices?   A)More comfortable B)Decreased cost c)Some forms don't have to be removed to eat or spit  
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What is the formula for Estimating FIO2 for a Cannula or Catheter?   FIO2 = (4 x LPM) + 20% Assuming normal ventilation pattern 1 LPM ~ 24% 2 LPM ~ 28% 6 LPM ~ 44%  
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what is a simple mask and what it's use for   Moderate Concentration (0.35-0.50), Generally for short term treatment, Uncomfortable, Can increase risk of aspiration, Never use < 5 LPM, Prevent accumulation of CO2  
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What is a reservior Mask.   High Concentrations Partial Rebreather (0.40 – 0.70)% Non-Rebreather (0.60 - 0.80)%  
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Describe (reservior mask) PARTIAL REBREATHER   (0.40 – 0.70)% Entrains air through port holes  
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Describe (reservior mask) NON REBREATHER   (0.60 - 0.80)% Has a one-way valve to prevent air entrainment Used for emergencies (short term) Potential suffocation hazard  
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whats the only way to give 100% of O2with a nonbreather is with ----------------- ?   a closed circuit C-PAP or BIPAP mask the is completly sealed  
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describe FIXED Performance devices?   Uses jet mixing (blender) for target FI02  
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Name the Advantages ofFIXED Performance devices?   Advantages: 1.The patients ventilatory pattern does NOT affect FIO2, 2.Temperature & humidity of inspired gas can be controlled  
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Name the Disadvantages ofFIXED Performance devices?   Disadvantages: 1.Decreased comfort, 2.Increased cost, 3.Must be removed to eat/spit  
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what is the Air to Oxygen Ratio Calculation   Air : O2 = (100 - FIO2) / (FIO2 – 21) FYI (21 IS ROOM AIR) (100 IS PURE O2) Example: FIO2 = 40% What is the Air to Oxygen Ratio (Air : O2)? Air : O2 = (100 – 40) / (40 – 21) Air : O2 = (60 / 19) Air : O2 = 3 : 1  
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Calculation of Total Flow: (V-Total) V means FLOW V-TOTAL means TOTAL FLOW   If (Air : O2) is expressed as n then n + 1 = “Total Parts" (TP) Flow of Oxygen = “O2V” V-Total = TP x O2 V  
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What are Enclosures(Neonatal & Pediatric O2 equipment) Oxy-hood:   Ideally inspired gas should be warmed to decrease O2 consumption Nebulizers should not be used Due to high noise level Always measure FIO2 near pt's mouth V total should be greater than 5 LPM to wash out CO2  
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What are Enclosures(Neonatal & Pediatric O2 equipment) Oxygen Tents:   (Mist/Croup Tents) Used for Croup and Epiglottitis Must use V -Total of at least 12 LPM to wash out CO2 FIO2's of 0.40 - 0.52 % are possible at high V-Total Only if tent is tucked in well Cooled (instead of heated) Rarely used because of nosocomial  
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where do patient get NOSOCOMIAL INFECTION   HORITAL EQUIPTMENTS  
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What are Enclosures(Neonatal & Pediatric O2 equipment) Incubators:   Control: Temperature: Infants lose body heat readily FIO2 Usually kept below 0.40 (100=40%) Humidity: Filtered and blended gas environment Provide isolation Decrease infection  
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What are Hyperbaric Oxygen Therapy   Exposure to pressure greater than atmospheric while breathing 100% 02 Improve hemoglobin's ability to carry/transport oxygen Improve the bodies ability to heal itself.  
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What are the two types of Hyperbaric Oxygen Therapy   1.Mono-place -------Single unit 2.Multi-place -----Walk-in units  
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With what conditions you would use Hyperbaric Oxygen Therapy?   Air embolism CO poisoning Cyanide poisoning Decompression sickness Gas gangrene Skin grafts Wound healing  
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