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RES Final Review Sh
Final Review Sheet
| Question | Answer |
|---|---|
| In chronic hypercapnia, what can happen if a patient is placed on high FIO2? | |
| Oxygen-induced hypoventilation – know about it! | |
| Air compressor systems must be capable of maintaining 50 psig at a flow of ____ LPM. | 100 L/min |
| To increase aerosol output from an ultrasonic nebulizer, you would increase __________. | amplitude, the greater the signal amplitude, the greater is the nebulizer output |
| After a treatment the SVN should be rinsed with sterile water and air dried. | True |
| American Academy of Pediatrics says to keep newborn PaO2 below ______ mmHg. | 80 mmHg |
| If infant PaO2 is greater than 80 mmHg for a prolonged period, what can happen? | can cause Retinopathy of prematurity |
| Inhaled aerosol particles that are less than 1 [lc µ]m wind up where? | Lungs or Parenchyma |
| What are the low-flow oxygen delivery systems – list them. | nasal O2 cannula, nasal O2 catheter, transtracheal catheter. |
| How do you determine the remaining contents of a liquid-filled CO2 cylinder? | weighing the cylinder |
| Particle distribution produced by a typical MDI is ___ to ___ [lc µ]m MMAD? | 3 to 6 |
| One cubic foot of liquid oxygen equals approximately ________ cubic feet of gaseous oxygen. | 860 |
| Best way to administer oxygen therapy to a 2 year old is ______ _____. | MDI, holding chamber, and mask |
| If a patient receiving nasal oxygen complains of nasal dryness and irritation, you should…. | |
| Sputum should be inspected for ____, ____, ____, and _____. | Color, Volume, Odor ,Consistency |
| Calculate the total flow of an air entrainment device with a particular source gas flow. | |
| How do you clean a cylinder valve outlet of foreign material. | Quickly open, then close, the valve |
| Usual method of monitoring the remaining contents in a gas-filled cylinder. | Read the pressure gauge. |
| Simplest way to increase the humidity output of a humidifier is ……….. | by heating it |
| To produce the highest density aerosol from a USN, set the amplitude and flow how? | amplitude- High , Flow-Low |
| Best MMAD for deposition of aerosol into the lower airways ___ to ___ micrometers. | 2 to 5 micrometers |
| Air embolism a potential complication in what procedures? | cardiovascular prodcedure, lung biopsy, hemodialysis, and central line placement |
| An HME is performing well when ________ appears in the attached flex tube. | Mositure |
| When removing a flow meter from the wall outlet there is suddenly a massive gas leak. What should you do immediately? | attach back to wall |
| Advantages of a small volume nebulizer versus a MDI. List them. | Inexpensive ,Light,compact,resistant to moisture, Quick delivery of drugs ,Precise and consistent doses ,Available with most anti asthmatic drugs |
| MDI medications likely to cause opportunistic yeast infections. List them. | Corticosteroids |
| Indications for hyperbaric oxygen administration – List them. | |
| 0.28 is the cylinder factor used to compute the duration of flow for 22 cu/ft O2 or air E cylinder. Also know the other cylinder factors. | |
| Primary objective of cool aerosol therapy in the treatment of inflammation is to soothe inflamed tissues and reduce edema. Examples of such inflammation include what? | |
| Eye condition occurring in some low-birth weight infants receiving supplemental oxygen is ____________ of ____________. | Retinopathy of prematurity |
| Humidifier which "traps" the patient's body heat and expired water vapor is the ___. | Heat-moisture exchanger |
| Key property of helium which makes it useful as a therapeutic gas is its low _______. | low density |
| Advantages of pulse demand delivery devices. List them. | |
| If you use a Bourdon gauge against high outflow resistance, what will the flowmeter show? | |
| Retinopathy of prematurity may result in _______________. | |
| Continuous nebulization of the bronchodilators – when might you consider? | |
| Which device would most likely cause over hydration when used on a continuous basis? | |
| Principle used by the ultrasonic nebulizer to produce aerosol droplets is what? | |
| If patient's inspiratory flow collapses the reservoir bag on a non-rebreather mask, you should do what? | |
| A (+) sign next to the test date on a cylinder means what? | |
| Active HME can deliver ___% relative humidity at BTPS? | |
| To determine whether a pressure-reducing valve uses multiple stages for pressure reduction, check the number of ______ _______ ______. | |
| Key difference between disposable partial rebreathing and nonrebreathing O2 masks. | |
| 3AA stamped into an oxygen cylinder’s shoulder means what? | |
| Gas used to treat pulmonary hypertension is ________ oxide. | NO |
| Amount of water vapor that the respiratory tract must add to incoming gas to achieve BTPS is termed __________ deficit. | |
| Structural requirements for the central piping systems that are used in hospitals are set by ____. | |
| Humidity output of a simple unheated humidifier is always( less than or greater than) saturated air at ambient temperature. Choos | |
| What happens when a Bourdon gauge encounters back-pressure resistance? | |
| What percentage of an aerosol drug delivery device's output deposits in the lungs? | 10%-20% |
| Which SVN design features affect performance? | |
| If a patient is being mechanically ventilated using a heat-moisture exchanger (HME). The patient starts to develop thick secretions, you should……. | |
| Servocontrolled heated humidifiers monitor heater ____________. | |
| At an FIO2 of 1, what is the approximate half-life of blood carboxyhemoglobin? | |
| SPAG is used for ___ infection. | an anitviral agent ribavirin(Virazole) to be administered by aerosol to an infant with bronchiolitis |
| When monitoring a patient receiving O2 therapy, you should assess what? | |
| Compressed gas cylinders are manufactured from which metal? | |
| When using a chamber-style adapter for MDI to deliver a bronchodilator to a patient receiving mechanical ventilation, coordinate firing with (beginning or end) ___________ of inspiration. | Coordinate firing the MDI with the beginning of the ventilator inspiration |
| Oxygen administration is monitored carefully with COPD patients, because they many have ________ drive. | Too much oxygen for a COPD patient can cause a depression in ventilation by "knocking out" their hypoxic drive |
| Is Thorpe tube or Bourdon gauge best for Oxygen administration during patient transport? | Bourdon gauge |
| If you double the length of an oxygen tube by adding connecting tubing, what happens to resistance to flow? | the resistance to flow increase |
| Problems common to mist tents – especially study heat retention and CO2 buildup if there is insufficient flow! | providing high gas flow |
| For MDI bronchodilators, what time period should elapse between each puff of a two puff treatment? | Allow 30 to 60 seconds |
| Tachycardia is the primary indication of hypoxemia, but also know the other signs. | Tachypnea, Tachycardia, Cyanosis |
| Cooling and condensation - process of manufacturing medical air to remove the water content. | usually is produced by filtering and compressing atmospheric air |
| Food and Drug Administration (FDA) purity standard for Oxygen – what percentage? | 99% |
| Main safety concerns in the application of hyperbaric oxygenation – know these! | sudden decompression, co2 accunulation |
| Duration of flow from an H cylinder of oxygen – be able to calculate when full, when half full, etc…….. at different flowrates. | |
| Bubble humidifiers running at high flow can produce ___________. | |
| In aerosol therapy, if the patient breathes and aerosol mist disappears, what action could the therapist take? | |
| 2015+ on the shoulder of a gas cylinder – what does that mean? | can be filled to approximately 2200 psi |
| ASSS System for threaded high-pressure connections – know about this system. | |
| Air for medical use must be free of _________, ___________, and ____________. | Particle-free, Oil-free, Dry |
| Medical gases which will support combustion – list them. | O2, N2O, compressed air |
| Aerosol particles in the 5- to 10-[lc µ]m range deposit where? | Upper airways |
| Indications for the use of humidity therapy – what are the primary ones? | |
| Air entrainment masks are based on the _____________ principle. | venturi |
| Advantages of passover humidifiers – know them! |
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Cam1228
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