Fundamentals of RT - Units 9, 10 SPC
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show | Temperature, Atmospheric Pressure, Surface Area
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show | Content(what you measure)/ Max capacity x 100
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Maximum Absolute Humidity | show 🗑
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Humidity Deficit | show 🗑
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show | 5-20 microns
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show | 2-5 microns
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show | 1-3 microns
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show | Particles >5 microns stay on at bends. Think of the pic of the particles at the bend in the tube.
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show | Turbulent flow, Airway branching, Hi Inspiratory flow > 30L/M
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What is Graviational Sedimentation? | show 🗑
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show | Ventilation Pattern. Hi Insp. Flow, Slow Rate, Large Tidal V, Mouth breathing
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show | Impaired ciliary activity, Impaired mucus flow, Retained Secretions, Infections, Pneumonia
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What are the goals of Humidification? | show 🗑
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show | Bronchospasm with mucolytic and proteolytic aerosols(Asthmatics)
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ANSI Standards for Humidification Devices | show 🗑
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Bubble Humidifier | show 🗑
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show | used in Vent circuits, Uses Wick or hydrophobic membrane(Membrane). Output 35-50mg/L. Lots of secretions
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show | Pennies. Captures pt exhaled gas and uses it to warm and humidify next inspiration. Uses hydrophobic condenser. Output 20-30mg/L
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show | Baffles or plates to decrease particle MMAD
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Categories of Nebs | show 🗑
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show | Humidify Inspired Gas
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What's the primary goal of SVN? | show 🗑
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show | Baffles.
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show | SPAG and Heart/Hope
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SPAG Neb = Small Particle Aerosol Generator | show 🗑
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show | Continuous Bronchodilator delivery
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MDI | show 🗑
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show | Patient Technique. Use spacers and holding chambers and use flow triggered MDI to reduce oropharyngeal depostion
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DPI | show 🗑
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DPI Factors | show 🗑
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show | Thin and Mobilize secretions. Outputs as much as 500mg/L. Saturates the airways
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show | Ex. 1:200. 1gram/200ml H2O = 1000mg/200ml = 5mg/ml
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Percent Solution | show 🗑
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show | Sympathetic - neurotransmitter is norepinephrine. Receptors termed adrenergic. Parasympathetic - transmitter is Acetylcholine and receptor termed cholinergic
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Adrenergic | show 🗑
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show | Drugs that stim receptors sensitive to acetylcholine
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show | Drugs that block receptors sensitive to acetylcholine
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Cholinergic Effects(Parasympathetic) | show 🗑
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Alpha Stimulation | show 🗑
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show | Heart rate increase and contraction
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show | Bronchodilation and vasodilation
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Adrenergic Action (Sympathetic) | show 🗑
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Anticholinergic Action (Blocks Para) | show 🗑
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show | Racemic Epinephrine is the only one still used. Hits all receptors. Is the quickest.
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Noncatecholamines - Quick Onset/Short Duration | show 🗑
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show | Albuterol, Levalbuterol, Formoterol, Salmeterol
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show | Maxair, Brovana, Tornalate
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show | Tachycardia, Tremor, Headache, Insomnia, Nervousness
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Anticholinergic Drugs | show 🗑
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Anticholinergic Side Effects | show 🗑
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show | Intal, Tilade
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What Mediator Antagonist are Leukotriene Blockers? | show 🗑
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show | Histamine and inflammatory mediators
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show | Bronchoconstriction, Mucus Secretions, and Release of Inflammatory Cells
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What are Glucocorticosteroids used for? | show 🗑
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show | Prednisone(Tab), Pulmicort(MDI,DPI)
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show | Thrush, Weak Bones, Immunosuppresion(more pulmonary infection), Peptic Ulcers, Muscle Wasting, Hair, Moon Face, Fat Deposits
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What is the device of choice for Wetting Agents? | show 🗑
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show | Iso(.9%) = Thin secretions, Hypo(<.9%) = Thin, Hyper(>.9%) Sputum induction
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What is the only Mucolytic agent? | show 🗑
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show | Bronchospasm in Astmatics, Nausea, Smell, Rhinorrhea
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Proteolytic Agents | show 🗑
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show | Pharyngitis, Laryngitis, Conjuctivitis(Pink Eye)
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