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resp 9-10
Oxygen Therapy Equipment
Question | Answer |
---|---|
Goals of Oxygen Therapy | 1. treat hyoxemia 2.Decrease WOB 3. Decrease Myocardial work 4.Lab measures 5clinical problem 6. signs and symptoms |
High Flow system | meet all the inspiratory need or requirements; usually greater than 60 lpm. |
Examples of high flow systems | venturi mask (air entrainment mask, CPAP system, ventilator, oxyhood, T-Tube flowby (briggs adaptor) |
Low Flow system | not able to meet all the patients flow or volume needs (inspiratory needs) |
Low flow system can deliver FiO2 dependant on | RR and volume, proper fit, flow rate, peak insp flow rate |
Examples of low flow system | masks (simple, PRB, NRB), nasal cannula or catheter, tracheostomy collar, oxygen tent |
You choose which one to use by | pt comfort, desired FiO2 to obtain desired PaO2, required control or precision of FIO2, Humidity needs, type of patient, age |
Desired FIO2 | (desired PaO2 x current FIO2)/current PaO2 |
How to estimate pt insp needs | MV x 3 = insp peak flow |
Total flow | TIC TAC TOE CHART top left alwayys 100% bottom left always 20% |
Non rebreathing mask | FiO2 up to 70%; highest without intubating them. |
rebreathing mask | FIO2 up to 60% (remove valve from mask) |
trach mask | FIO2 varies (8-12 lpm) |
oxygen tent | FIO2 40-50% (12-15 lpm)frequent opening and closing of tent causes wide swings in O2 concentration. Temp is lowered by 10-12 degrees |
oxyhood | FIO2 21-100% (7- or greater lpm) |
What determines the delivered FiO2 on the entrainment port? | the size The larger the port the lower the FIO2 The smaller the port the greater the FIO2 |
What else determines the fiO2? | The size of the jet The smaller the jet the lower the fio2 |
CPAP | USED FOR PATIENTS WITH DECREASE FRC Continuous positive airways pressure. Used to force air into the nasal passage. Useful for patients with sleep apnea, respiratory distress. |
How does CPAP work? | Air is pushed from the flow generator throught the tubing, the air passes thru nose and into throat, where the slight presure keeps the upper airway open. |
CPAP criteria | must be able to breath on own. Beneficial: open collapsed alveoli, decreased WOB, improved distribution, potential increase in secretion removal. |
CPAP complications | barotrauma, gas in the stomach, decrease venous return |
Vapotherm | the power of flow. Makes flows 1-40 lpm Tempature ranges from 33-43 C |
Anatomical deadspace | in airways that does not participate in gas exchange, estmated approx 1ml/lb of IBW (150ml) |
Alveolar dead space | volume of gas ventilating unperfused alveoli |
Mechanical dead space | volume of expired air that is rebreathed through a connecting apparatus or tubing |
galvanic fuel cell analyzer | reads more to partial pressure, it actually measures PO2 NOT fio2 Can be within +-2 --most common cause of malfunction= low batteries |
Goal of humidity | to minimize or eliminate a humidity deficit while the patient is breathing a dry medical gas |
Definition of inspissated | being thick, dry or made less fluid by evaporation |
nebulizer | solid or liquid particle suspended in a gas that acn be measured and counted |
Pulse Oximitry | measures oxygen saturation of Hb in the blood. measures at greater than 80% match with HR if troubleshooting |