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SPC Fundamentals Unit 5 Exam 3

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Question
Answer
Alveolar Air Equation   FIO2(PB-PH2O)-PaCO2/0.8=PAO2  
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With Alveolar Air Equation if FIO2 is >.60 you should?   Eliminate /0.8  
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FIO2(PB-PH2O)=   PIO2  
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FIO2   Fraction of Inspired O2  
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PH2O   Partial Pressure of Water Vapor (Typically 47)  
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PaCO2   Arterial Partial Pressure of Carbon Dioxide  
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PAO2   Alveolar Partial Pressure of O2  
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PB   Partial Pressure (Typically 760)  
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O2 Hypoventilation   Noted in COPD patients w/ elevated PaCO2 and HCO3 Develop a hypoxic drive If PaO2 is above 60mmHg the drive is diminished leading to hypoventilation  
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Absorption Atelectasis   N2 washout of alveolar gas N2 is inert and not absorbed  
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O2 Toxicity   Cause by elevated FIO2-->Free Radicals that which damages the A-C membrane of the lung-->Edema & Fibrosis  
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ROP stands for?   Retinopathy of Prematurity  
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ROP is...   Disease of the Eye Cause by PaO2 > 80mmHg Constriction of Retinal Blood Vessels May cause retinal scarring & blindness  
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BPD stands for?   Broncho-pulmonary Dysplasia  
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BPD is...   (Chronic Lung disorder) Combo of high FIO2 & airway damage from peak ventilator pressures  
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Goals of O2 Therapy   Treat Hypoxemia Reduce WOB (Work of Breathing) Reduce Myocardial workload  
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VT   Tidal Volume  
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VE   Minute Volume Volume of gas inhaled or exhaled from lungs per/min  
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Indications of O2 Therapy   Documented Hypoxemia -PaO2 < 60mmHg -SaO2 <90% Suspected Hypoxemia -Acute M/I -Severe Trauma  
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Clinical Manifestations of Hypoxemia   Tachycardia Tachypnea Cyanosis Restlessness/Confusion Pulmonary Hypertension  
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Responsive Hypoxemia   Increase in PaO2 & FIO2 Due to V/Q (Ventilation/Perfusion) mismatch Use low or high O2 device  
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Refractory Hypoxemia   PaO2 demonstrated minimal response w/ increase FIO2 Due to shunting Use PEEP or CPAP  
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Monitoring O2 Therapy/Administration   Pulse OX (SpO2) Physical Assessment of: Pulse/Frequency (Breath Rate)/Color/Neurologic Status  
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Low Flow O2 Systems   Will not meet patients inspiratory peak flow needs Nasal Cannulas Transtracheal O2 Catheter Simple O2 Mask Partial & Non-rebreather Mask  
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Pulse Demand/Dose Delivery Systems   W/ Cannulas & Transtracheal Catheter Set O2 upon inspiration 17ml @ 1 LPM 35ml @ 2 LPM  
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Variables of Low Flow Systems   Respiratory Rate Tidal Volume Inspiratory Flow Ins:Exp ratio  
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High Flow O2 Systems   Will meet patients inspiratory peak flow needs Air-entrainment Mask and/or Nebulizer Both <.40  
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Jet Mixing   O2 is gas source Air-entrainment ports allow for increased total flow and a variable FIO2  
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Air:O2   100-% (L of Air)/%-20 (L of O2)  
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Aerosol Devices   Used with entrainment nebulizers Provides cold or heated humidification  
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Types of Aerosol Devices   Aerosol Mask Face Tent Tracheostomy Mask Briggs Adapter (T-tube)  
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Hazards of Briggs Adapter   Accidental Extubation Water Lavage Low FIO2 w. high Peak Inspiratory Flow  
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O2 Reservoir   Used to maintain FIO2 w/ increased liter flow  
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O2 Tents   Pediatric Use-1 degree for aerosol delivery Croup & Cystic Fibrosis  
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