Shared Flashcard Set

Details

RCP
unit 8
22
Medical
Undergraduate 2
11/01/2007

Additional Medical Flashcards

 


 

Cards

Term
Describe a low flow device.
Definition

-Total inspiratory gas volume is NOT delivered by equipment.

-FiO2 is variable and unpredictable

Term
What does FiO2 mean?
Definition
fraction of inspired gas.

o2 expressed in a decimal e.g. 40% O2= FiO2 of 0.40
Term
Describe a high flow system?
Definition
-Total inspiratory gas volume IS delivered by equipment.

-FiO2 is constant and predictable. Exact O2 %
Term
Nasal Cannula- High flow or Low flow?
Definition
Low flow. up to 6 lpm

6-15 for High flow nasal cannula (still cosidered low flow)
Term

Aerosol mask- High flow or Low flow?

Definition
High flow.

8-15 lpm
Term
Face Tent- High flow or Low flow?
Definition
High flow.

8-15 lpm
Term
Non Rebreathing mask- High flow or Low flow?
Definition
Low flow.


*this mask is the highest low flow mask.
Term
When do you need humidification on an oxygen set up?
Definition
4 lpm or higher.
Term
What equipment does not use a bubble humidifier?
Definition
Air entrainment mask.
Term
What is a permeable membrane oxygenator?
Definition
gases in air diffuse at different rates, air is pulled through a permeable membrane, oxygen and water diffuse faster so that oxygen percentage of about 40% can be delivered to patient.
Term
Oxygen concentrator might be used in:
Definition
home care, nursing home, extended care facility or hospital wing where piped oxygen is not available.   
Term

what is a Molecular sieve?

Definition
air is pumped to sieves, sodium aluminum silicate absorbs nitrogen, gas flow is reversed periodically so absorbers can be purged, can deliver 90-99% oxygen at flows up to 10 lpm.  
Term

 Transtracheal oxygen

Definition
Small catheter is placed through the tracheal wall and into the trachea.  Usually in patients who require high flows.  
Term
 Potential benefits of TTO:
Definition
-lower oxygen requirements-more comfortable, nothing on ears-improved appearance-increased mobility, less oxygen needed-improved sense of smell and taste 
Term
Potential risks of TTO:
Definition
coughing, swelling around larynx, mucus plugging of catheter, catheter can be displaced, tract lost, infection, subcutaneous emphysema. 
Term
Reservoir cannulas: two types
Definition
mustache cannula and pendant cannula
Term
what is a Pulse demand oxygen delivery system
Definition
oxygen only provided on inspiration, equipment senses patient’s inspiratory effort and delivers oxygen.  Can select equivalent of 1-5 lpm.  
Term
Physiologic effects of hyperbaric oxygen:
Definition
-drastically increase PO2 in plasma -enhances growth of new blood vessels-may increase WOB, gas more dense at higher pressure-vasoconstriction-shrinks air bubbles in blood vessels-lays down collagen bed better for healing of wounds 
Term
Two types of hyperbaric chambers:
Definition
monoplace and multiplace
Term
Side effects of Hyperbaric oxygen therapy:
Definition
-Tympanic membrane rupture, more common if sinusitis or viral infection present -Pneumothorax-Air embolism-Fire-Claustrophobia -Reversible visual changes
Term
Indications for hyperbaric oxygen:
Definition
-air embolism -carbon monoxide poisoning-cyanide poisoning-decompression sickness-gas gangrene-refractory anaerobic infections-refractory osteomyelitis-skin grafts                                    thermal burns                                    wound healing
Term
how to figure o2%
Definition
o2%= (lpm x 4) +20
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