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Chapter 38
Humidity and Bland Aerosol Therapy
| Question | Answer |
|---|---|
| Passive humidifiers | Heat and moisture exchangers |
| What is the function of the relief valve on a bubble humidifier? | To warn off flow path obstruction and prevent bursting of the humidifier bottle |
| What is the point called in the respiratory tract where inspired gas reaches body temp, ambient pressure, saturated(BTPS) conditions? | Isothermic saturation boundary(ISB) -it is 5 cm below the carina |
| What is the primary goal of humidity therapy? | Maintain normal physiologic conditions in the lower airways |
| What could the inhalation of dry gases cause? | -High viscosity -Impair mucociliary -High irritability |
| What conditions should be maintained when delivering medical gases directly into the trachea through an endotracheal tube or tracheostomy tube? | -Temp range of 32-35 -100% relative humidity -36-40 mg/l absolute humidity |
| What are the clinical indications for delivering cool humidified gas? | Used to treat upper airway inflammation, croup, epiglottis, and postextubation edema. |
| What device adds molecular water to gas? | A humidifier |
| What factors affect a humidifier’s performance? | -temp -surface area -time of contact -thermal mass |
| What is the most important factor determining a humidifier’s performance? | Temperature |
| The greater the temp of the gas, the more____ it can hold. | Water vapor(increased capacity) |
| What is the simplest way to increase the humidity output of a humidifier? | Heating the humidifier |
| What are the different types of humidifiers that are used in clinical practice? | -Active humidifiers -Passive humidifiers |
| Active humidifiers | -bubble humidifiers -Passover humidifiers -nebulizers or blame aerosol -vaporizers |
| Some bubble humidifiers produce ____ at high flow rates | Aerosol particles( can transmit bacteria from the humidifier to the pt) |
| Different types of Passover humidifiers | -simple reservoir -wick type -membrane type |
| What type of humidifier has a design that increases surface area and enhances evaporation by incorporating an absorbent material partially submerged in a water reservoir that is surrounded by a heating element | Wick type |
| What are advantages of Passover humidifiers? | -maintains saturation at high flow rates -add little or no flow resistance to spontaneous breathing circuits -do not generate any aerosols that can be spread infection |
| What type of humidifier “traps” the patient’s body heat and expire water vapor to raise the humidity of inspired gas | Heat & moisture exchanger (HME) |
| What are heat and moisture exchangers (HMEs) are mainly used for | Add humidity or heat or both to inspired gas by chemical or electrical means |
| Different types of HMEs | -simple condenser humidifier -hygroscopic condenser humidifier -hydrophobic condenser humidifier |
| Features of an ideal heat and moisture exchanger | -High resistance -Minimal deadspace -70% higher efficiency -minimal flow resistance |
| What kind of patients would use a heater humidifier? | -patients with bypassed upper airways -patients with long term noninvasive mechanical ventilatory support |