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Respiratory Therapy
Oxygen Therapy and Electrolytes
19
Nursing
Professional
09/15/2012

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Cards

Term
Goals of O2 Therapy
Definition
1. Relieve hypoxemia 2. Decrease WOB 3. Decrease work of the Heart 
Term
Low Flow O2 Delivery Devices:

Name 4 of them
Definition
1. nasal cannula
2. simple mask
3. partial re-breather
4. transtracheal oxygen catheter (TTO2)
Term
Nasal Cannula

Flow:
FiO2: Range (Lpm and %)
Definition
Flow: 1-6 Lpm
FiO2: 1 Lpm--> 24%
2 Lpm-->28%
3 Lpm-->32%
4 Lpm-->36%
5 Lpm-->40%
6 Lpm-->44%
Term
Simple Mask

Flow:
FiO2:
Definition
Flow: 6-10 Lpm

FiO2: 35%-50%
* good for mouth breathers
* MUST use at least 5Lpm to flush out CO2
Term
Partial Re-breather

Flow:
FiO2:
Definition
Flow: 8-12Lpm

FiO2: 60%-70%
*bag MUST stay inflated
*NOT for COPD or CO2 retainers
Term
Oxygen Preservation Cannula

Flow:
Definition
Flow: 1-6 LPM

*slows down O2 consumption
Term
Orthopnea
Definition
difficulty breathing while laying down
Term
Platypnea
Definition
difficulty breathing while sitting up
Term
Paroxymal Nocturnal Dyspnea
Definition
Sudden onset of difficulty breathing, occurs at night when laying down.
Term
How are "Pack Years" calculated?
Definition
# of years patient has smoked x packs smoked per day.
ex: 3 packs smoked per day for 15 years
3 x 15= 45 pack years
Term
Anion Gap
Definition
Balance between anions and cations in extracellular fluid.

Normal is 12-20 mEq/L
Term
Theophylline
Definition
Basis of many RT drugs.
Normal range: 10-20 mcg/ml
*below 10, not enough to keep airway open
*above 20- critical; can lead to heart failure
*30-60- cardic arrest, seizures, heart rhythm issues
Term
Electrolytes
Na+
K+
Cl-
HCO3-
Ca
Vitamin D
Definition
Na+ : sodium, major cation
K+ : potassium, chief cation (hyperkalemia- raised K+ levels-> metabolic acidosis)
Cl- : chief anion(hyperkalemia-raised levels-> renal tube acidosis)
HCO3- : bicarb, raised in metabolic alkalosis, lowered in metabolic acidosis. Normal levels 22-26 mEq
Ca : calcium
Vitamin D
Term
BUN

serum Creatinine
Definition
Blood Urea Nitrogen- normal 7-20 mg/dl
- an increase indicates abnormal kidney

serum creatinine- normal .7- .13 mg/dl
- increases indicate abnormal kidney
Term
Alanine aminotransferase
Definition
ALT- increases usually indicate liver disorder
Term
Serum enzymes
Definition
elevate with muscle damage, used to determine MI's and Pulmonary Infarcts.(Come Kitten, Let's Dine Here And Sleep Too.) CK, LDH, AST
CK- ^ in 8 hrs
LDH- ^ in 24 hrs to 2 weeks
AST- ^ in 48 hours post MI
Term
Blood Glucose
Definition
Normal: 70-105 mg/dl

*hyperglycemia- Kussmaul's breathing, compensatory, causes metabolic acidosis
Term
Hemoglobin
Definition
Normal: 12-16
<12=anemia

*polycythemia- opposite of anemia
Term
White Blood Cell
Definition
Normal 4,500-10,000
>10,000 indicates bacterial infection
<4,500 indicated viral infection
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