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Anesthesia Vaporizers
Week 6
42
Nursing
Graduate
09/28/2015

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Cards

Term
Vapor
Definition
Gaseous phase of a substance that is a liquid at room temperature
Term
Vaporization Standards
Definition
Require that vaporizers are located in the fresh gas circuit and be concentration calibrated
Term
Vapor Pressure
Definition
Pressure that the gaseous molecules exert on the container walls
Term
Saturated Gas Phase
Definition
Contains all the vapor pressure it can hold at that temperature
Term

Saturated Vapor Pressure

 

(SVP)

Definition
Pressure from the vapor when the gas phase is saturated will all the vapor it can hold at that temperature
Term
Boiling Point
Definition
Temperature at which the vapor pressure equals atmospheric pressure
Term
Vapor Concentration
Definition
Expressed as an absolute pressure (mmHg) or as a volumes percent
Term
Dalton's Law
Definition
Pressure exerted by a mixture of gases is equal to the sum of the pressure that each gas would exert
Term
Latent Heat of Vaporization
Definition

The heat required to convert 1 g of liquid into vapor 

 

(Vaporizers draw heat for the surroundings)

Term
Specific Heat
Definition
The quantity of heat required to raise 1 g of a substance 1 C°
Term
Materials with a High Specific Heat
Definition

Temperature changes are more gradual 

 

(harder to heat something with a high specific heat)

Term
Minimum Alveolar Concentration
Definition
The concentration of anesthetic that produces immobility in 50% of patients undergoing a standard surgical incision
Term
Expressing MAC as a partial pressure
Definition

Allows it to be indepedent from changes in atmospheric pressure

 

 

Term
Desflurane's SVP
Definition
91%
Term
Isoflurane's SVP
Definition
31%
Term
Sevoflurane's SVP
Definition
22%
Term
Anestheisa Vaporizers
Definition

Use Variable Bypass Design

 

Gas is split between the bypass and vaporization chambers

Term
Measured Flow Vaporizers
Definition
Use of seperate flow meter to the vaporizer from which vapor emerges at its SVP
Term
Amount of Vapor Added
Definition
Function of the agent's vapor pressure divided by atmospheric pressure
Term
Addition of Vapor to inflow
Definition
Results in an increase in the total volume exiting the vaporizing chamber
Term

Outlfow

 

(O)

Definition
O= I + (vp/ATM x O)
Term
Agent
Definition

O-I

 

Outflow-Inflow 

Term
Split in a Vaporizer
Definition

49:1

 

or 4900 mL:100 mL

Term
Vapor Pressure Specific
Definition
Toxic concentration can be achieved by putting a high-vapor-pressure agent into a vaporizer designed for a low-vapor-pressure agent
Term
As the Agent is vaporized
Definition

Cools down

 

Automatice Compensation is necessary

Term
Automatic Compensation
Definition
Gas filled bellows or a bi-metallic strip valves
Term
Uptake of N2O by a Liquid Agent
Definition

Transiently affects vaporizer output

 

Lowers vapor pressure

Term
N20
Definition
Dissolves at about 4.5mls/cc of agent
Term
MAC and Barometric Pressure
Definition

Always solve for P.P

 

Decreased barometric pressure causes a bigger MAC--> therefore takes more drug to get the people asleep

 

Actual clinical effect of changes in barometric pressure is very small

Term
Arrangment of Vaporizers
Definition

Contemporary vaporizers use interlock systems to prevent more than one vaporizer from being turned on at a time, thus preventing lethal concentrations

 

Vaporizers with the lowest vapor pressure are placed upstream 

Term
Avogadro's Law
Definition
One mole of gas occupies 22.4 L
Term
Specific Gravity of Isoflurane
Definition
1.5 g/cc
Term
Molecular Weight of Isoflurane
Definition
184.5 g/moles
Term
1 cc of Isoflurane Liquid
Definition
182 cc of Isoflurane gas @ STP
Term
Very Large Fresh Gas Flows
Definition
Can Cause vaporizer cooling and reduce output
Term
Extreme Heating of the Vaporizer
Definition
Can result in lethal concentrations of anesthetic especially if boiling occurs
Term
Pumping Effect
Definition

Intermittent back pressure on the vaporizer

 

Moves gas in retrograde fashion into the bypass chamber

 

This occurs greatest at low flow rates and with small amounts of liquid in vaporizer 

Term

Modern Vaporizers

 

(Retrograde Flow)

 

Definition
Use a unidirectional valve or baffles to prevent retrograde flow and minimizes the pumping effect
Term
Desflurane
Definition
Extremely volatile with a SVP of 690 mmHg @ 20°C
Term
Desflurane Vaporizer
Definition

Do not use variable bypass mechanism

 

Heats agent to 39°C to produce 1500 mmHg

Term
Desflurane Gas
Definition
The rate of fresh gas flow is deterined by passing the gas flow through a resistance and measuring back pressure that determines the des gas intoduced to the flow
Term
N2O with Desflurane
Definition
Causes a change in viscosity of the carrier gas and a slight fall in the desflurane vaporizer output
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