wwall RT 2 Test 1
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| What is a SPAG | show 🗑
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| show | SPAG
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| show | ultrasonic nebulizer
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| show | fine
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| show | radio frequency generator produces high frequency vibrations across piezoelectric transducer or crystal, breaks up meds, frequency determines particles size, amplitude determines volume
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| Best nebulizer of choice for pt with thick retained secretions | show 🗑
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| How does RTT control the volume on a USN | show 🗑
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| Hazards of USN | show 🗑
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| Why must RTT be concerned about condensation in the tubing during neb treatment | show 🗑
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| show | tent or hood
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| show | condensation in the tube increases FIO2
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| show | non heated low humidity appox 25 percent body humidity
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| What is a bubble humidifier | show 🗑
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| show | high output aerosol neb often used with CPAP, heated, uses evaporation to produce high humidity at high flow (misty ox)
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| What is the cascade humidifier | show 🗑
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| What is a wick or concha humidifier | show 🗑
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| show | heat moisture exchange, device placed between pt and wye on vent circuit, body humidity is collected and then used to humidify next insp, ideally 70-90 humidity is produced
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| How often do we change out the humidifier circuit to prevent pseudomonas | show 🗑
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| Therapeutic range for aerosol meds is | show 🗑
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| What is an HHN | show 🗑
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| What is the volume of an SVN | show 🗑
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| show | 1.5 to 7 microns
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| show | tamadine or pentamidine medication for treating C Pneumonia in AIDS pts
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| show | breath actuated nebulizer used in many hospitals today, saves meds and gives shorter treatment
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| show | spacer and good pt education
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| DPI is what | show 🗑
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| What is the downside of DPI | show 🗑
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| What is the upside to DPI’s | show 🗑
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| What is the purpose of large volume nebs | show 🗑
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| Allegiance health LVN | show 🗑
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| show | air entrainment 60-90 percent on flows of 42 to 77 L/M
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| Misty ox gas injection neb or GIN | show 🗑
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| show | used if giving continuous aerosolized meds like albuterol for status asthmaticus, 240 ml reservoir
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| show | water in a gaseous states
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| show | convenient, inexpensive, portable, no drug prep, hard to contaminate
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| What are the disadvantages of MDI | show 🗑
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| show | less pt coordination, high doses, even and continuous, no CFC
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| What are the disadvantages of svn’s | show 🗑
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| show | wheezing and bronchospasm esp with copd, broncoconstriction with artificial airway, infection, overhydration, pt discomfort, rtt exposure, edema
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| Contraindications of aerosol are | show 🗑
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| show | upper airway edema (cool), LTB, subglottic edema, post extubation edema, post op mgmt of upper airway, sputum specimen or mobilize secretions
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| show | 44 mg/L always, regardless of body temp or outside temp
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| Actual humidity | show 🗑
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| show | liquid particles suspended in gas
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| show | sterile hypo, hyper or normal saline in aerosol
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| What is the primary purpose of humidity therapy | show 🗑
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| What is the secondary purpose of humidity therapy | show 🗑
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| How do you tell if a non heated humidifier has a leak | show 🗑
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| Where do you monitor temp of humidity | show 🗑
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| show | wick-air flows over wick, membrane-gas passes through hydrophobic membrane, USN-prezo electronic crystal
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| Contraindications of HME | show 🗑
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| show | under hydration, mucus plugging, increased WOB, hypoventilation from increased dead space, ineffective pop off, hypothermia
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| Contraindications for heated humidifiers | show 🗑
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| Hazards of heated humidifiers | show 🗑
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| Relative humidity is | show 🗑
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| show | all vent patients with endotrach or tracheostomy, primary – pt receiving dry gas, upper airway bypassed, secondary – mgmt of hypothermia and bronchospasm from cold air
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| Which nebulizer administers particles with sizes 0.5-3.0 microns and allows for the greatest deposition of aerosol? | show 🗑
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