Fundamentals of RT - Units 9, 10 SPC
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| What are the 3 evaporation factors? | show 🗑
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| show | Content(what you measure)/ Max capacity x 100
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| show | 44mg/L
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| Humidity Deficit | show 🗑
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| What size aerosol particles target the upper airways like the larynx, pharynx? | show 🗑
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| show | 2-5 microns
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| What size aerosol particles target the parenchyma know as the gas exchange area? | show 🗑
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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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| show | particles between 1-5 microns. Time increases G.S. with a 10 sec breath hold deposition increases up to 10%
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| What patient factors affect G.S.? | show 🗑
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| Inadequate Humidification results in? | show 🗑
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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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| show | Minimum level of A.H. to aviod mucosal damage to upper airway is 10mg/L for spontaneous breathing. Pts w/bypassed airways(ET tube, trach tube)minimum 30mg/L
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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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| HME = Heat Moisture Exchanger | show 🗑
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| show | Baffles or plates to decrease particle MMAD
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| Categories of Nebs | show 🗑
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| What's the primary goal of Jet Neb? AKA Air entrainment neb | show 🗑
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| show | Deliver Meds
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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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| show | Deliver Med
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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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| show | High Inspiratory Flow - >40 L/M therefore not on infants or pts w/SOB. High Humidity causes Clumping of MEd
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| show | Thin and Mobilize secretions. Outputs as much as 500mg/L. Saturates the airways
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| Drug Dilution | show 🗑
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| Percent Solution | show 🗑
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| Autonomic NS | show 🗑
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| Adrenergic | show 🗑
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| show | Drugs that stim receptors sensitive to acetylcholine
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| Anitcholinergic | show 🗑
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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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| show | Alpha drugs vasoconstrict to increase BP or decrease mucusal edema. B1 increase HR and Inotropic. B2 = brocho and vaso dilation
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| show | Bronchodilation, Increase HR, Dry secretions
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| Catecholamines | show 🗑
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| show | Alupent- Neb/MDI/Tab
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| Noncatecholamines - Slower onset(15 min)/Longer Duration | show 🗑
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| Noncatecholamines - Quick Onset(5 min)/Long Duration(8-12 hours) | show 🗑
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| show | Tachycardia, Tremor, Headache, Insomnia, Nervousness
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| show | Atrovent, Spirvia
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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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| show | Maintenance of Asthma
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| Steroids Agents | show 🗑
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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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| show | Mucomyst. Disrupts the disulfide bonds in mucus
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| Mucolytic Side Effects | show 🗑
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| Proteolytic Agents | show 🗑
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| show | Pharyngitis, Laryngitis, Conjuctivitis(Pink Eye)
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