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ZACK EXAM 2
Fundimentals of RespiratoryCare
Question | 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 |
Low Flow Devices | Nasal Cannula, Nasal Catheter, Trans-tracheal Catheter, Reservoir Cannula, Simple Mask, Partial Rebreathing Mask, Non-rebreathing Mask/Circuit |
High Flow Devices | Air-Entrainment (Venturi) Mask, Aerosol Devices, High Flow Nasal Cannula, Bag Mask Devices, Enclosure: Oxy-hood, Isolette, Tent |
What is FI02? | Fraction of Inspired Oxygen |
Variable FI02 | Systems that supply only a portion of inspired gas Always provides a variable FI02 Low flow & High flow equipment |
Factors which control FI02? | 1.Capacity of O2 Reservoir 2.Oxygen (O2) Flowrate 3.Patients ventalatory pattern |
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 |
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% |
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 |
What is a reservior Mask. | High Concentrations Partial Rebreather (0.40 – 0.70)% Non-Rebreather (0.60 - 0.80)% |
Describe (reservior mask) PARTIAL REBREATHER | (0.40 – 0.70)% Entrains air through port holes |
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 |
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 |
describe FIXED Performance devices? | Uses jet mixing (blender) for target FI02 |
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 |
Name the Disadvantages ofFIXED Performance devices? | Disadvantages: 1.Decreased comfort, 2.Increased cost, 3.Must be removed to eat/spit |
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 |
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 |
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 |
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 |
where do patient get NOSOCOMIAL INFECTION | HORITAL EQUIPTMENTS |
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 |
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. |
What are the two types of Hyperbaric Oxygen Therapy | 1.Mono-place -------Single unit 2.Multi-place -----Walk-in units |
With what conditions you would use Hyperbaric Oxygen Therapy? | Air embolism CO poisoning Cyanide poisoning Decompression sickness Gas gangrene Skin grafts Wound healing |