Fundamentals of RT - Final Review - SPC
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People in Respiratory Care | show ๐
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show | AARC = Professional org. , NBRC = Testing, CoARC = Program accredidation
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Service Areas of RT | show ๐
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General Therapy | show ๐
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Critical Care | show ๐
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Emergency Care | show ๐
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Diagnostic | show ๐
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Pressure Conversion Formula | show ๐
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Boyle's Law | show ๐
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Charlie's Law | show ๐
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Gay's Law | show ๐
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show | Inversely proportional to sq. root
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show | More P = more gas dissolves in Liquid
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show | (P1V1)/T1 = (P2V2)/T2, if BTPS, remember to take out 47 from P2
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Nasal Anatomy | show ๐
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show | Alae(wings), Vibrissae(hairs), Septum(seperator)
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show | Where the warming occurs, Superior, Middle and Inferior Concha
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Pharyngeal Region | show ๐
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show | Epiglottis, Thyroid(adams apple), Cricoid. Glottis is space between vocal chords
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show | 16-20 "C" shaped cartliages. Seperates about 21-23 cm from mouth at Carina into mainstream R and L Bronchi
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Lobar Bronchi | show ๐
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Bronchioles | show ๐
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show | Gas exchange area. Alveolar ducts, sacs, alveoli
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Diaphragm | show ๐
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show | Think Neck/Chest. Scalenes, Sterno, Pectoralis Major
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show | Stomach muscles
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show | Tidal V x Frequency. Normal values are 500ml x 12 = 6L/M
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show | Take (Tidal V - body wt) x f or if given VD/VT, take Tidal V x (1 - VD/VT) x f
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Pulmonary Shunt | show ๐
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Deadspace | show ๐
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show | pH 7.35-7.45, CO2 40, HCO3 24
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show | P wave = atrial depolorization, QRS wave = ventricular depolorization, T wave = Ventrical repolorization
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Cardiac Anatomy | show ๐
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show | 1.34 x g/Hb x SaO2(sat). Then add (PaO2 x .003)to the total
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Apnea | show ๐
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show | SOB
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show | Normal Breathing
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Hypervent | show ๐
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show | CO2 level up >45
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show | breath only in upright position
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show | VT >10L/M
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Hypopnea | show ๐
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Bradypnea | show ๐
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Tachypnea | show ๐
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show | Hypovent(hang on to CO2), Narc drugs, anestesia, sedative drugs, obesity
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show | Faster breathing, anxiety, Acute Asthma, Pulm. Vasc. disease, Hypobarism
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Causes of Met. Acidosis | show ๐
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Causes of Met. Alkalosis | show ๐
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show | E= 22, G= 187, H= 244, K= 275
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show | E= .28, G= 2.41, H= 3.14
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show | (PSIG x Factor)/Flow
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show | 1LB of Liquid O2 = 344L Gaseous O2
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Cubic Feet to Liters | show ๐
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NFPA | show ๐
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show | Regulates cylinder construction, testing and transport
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show | Sets all safety standards...ASSS, PISS, DISS
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show | Sets medical gas purity standards
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Thorpes Tubes Flowmeter | show ๐
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Oxygen Concentrators | show ๐
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show | Quick and dirty 7 x FiO2 - CO2 from Bl. gas
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show | Tachycardia, Tachypnea, Cyanosis, Pulmonary Hypertention, Restlessness/Confusion
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Refractory Hypoxemia | show ๐
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Responsive Hypoxia | show ๐
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show | Remember Magic Box from Clinicals100 Percent20Then cross substact, add then x flow
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AARC CPGs for Hypoxemia | show ๐
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show | NC= 2-4L, Transtracheal O2 Cath, Simple= 6-10L, Partial and Non-Rebreathing Masks= 12-15L
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High Flow Systems | show ๐
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Oxygen Analyzers | show ๐
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Polargraphic | show ๐
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show | No Voltage. Found Vent circuits O2 analyzers. Lead Anode, Gold Cathode, teflon membrane, SLOWER
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show | Decrease turbulence and WOB, Stidor(post extubation), Croup, Foreign body aspiration, Upper airway masses, Diffuses faster than O2 or air
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show | Spectro= light, S= spectrum.Photo= Pulse
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show | VC= ml/kg. If VC >10-15 and clear= ISVC >10-15 w/secrections PEP, VC <10-15 and clear= IPPB
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show | Oscillation, HFCC(Hi Freq Closed Chest), HFO(Flutter Valve)= CHEAP, IPV(used for tx w/hygiene therapy), MIE(mechanical couch), HUFF(Forced Ex. Techniques), Autogenic Drainage(AD) uses series of steps
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show | Pneumatic(powered by gas) include Jet,SVN, LVN(SPAG for Ribavirin and HEART for continuous Broncho Di), MDI, DPI. Electric- ultrasonic
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show | divide mg/ml/10 for % solution or % solution x 10= mg/ml
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What are Adrenergics? | show ๐
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show | Catecholamines - Racemic(All receptors), Noncatecholamines - Alupent, Albuterol, Levalbuterol, Salmeterol, Formoterol, Brovana, Tornalate, Maxair
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show | Block Parasympathetic receptor sensitive to acetylcholine. Broncho Di, Increase HR, Dry secretions. Atrovent and Spiriva(Tiotropium BR) DPI
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show | Glucocorticosteroids= Prednisone(Tab) and Pulmicort(MDI/DPI. Also Mast cell stabilizers Intal and Tilade. And Leukotriene blockers Accolate, Zyflo and Singulair. Fight all inflammation.
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Proteolytic Agent | show ๐
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show | Use Ultrasonic Neb, Iso and Hypo both Thin secretions and Hyper induces sputum
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show | Spore strips used to determine sterilization
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show | ETO exposure
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show | Low-level in Home Acetic Acid(Vinegar), Glutaraldehyde (sterilizing agent for vent tubes, scopes, bags), Auto- claving(true sterilization process in central supply, damages rubber and plastic), Ionizing(High cost, long time), Ethylene(heat sensitive),
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