Stark State Clinical Midterm - Huston
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| show | Oxygen administering devices that do not meet ALL of the patients inspiratory needs.
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| show | Oxygen administering devices that provide for ALL of the patients inspiratory needs.
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| show | Nasal catheter, Nasal cannula, Simple oxygen mask, Partial rebreathing mask
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| show | Nonrebreathing mask, Air entrainment mask (Venturi mask), Aerosol mask, Face tent, Tracheostomy collar, T-tube
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| Increase in either tidal volume or RR does what to the O2% the patient receives from a low flow system? | show 🗑
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| Decrease in tidal volume or RR does what to the O2% received from a low flow system? | show 🗑
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| show | Flowmeter setting, Patients breathing pattern (RR, Tv, Inspiratoy flowrate), Anatomical reservoir, Equipment reservoir
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| Criteria for low flow systems? | show 🗑
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| show | Pts requiring low concentrations of O2(Chronic CO2 retention, COPD, chronic alveolar hypoventilation), When exact O2 concentrations are needed, Pts with changing breathing patterns
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| Venturi mask: LIMITATIONS? | show 🗑
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| show | 1:25
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| show | 1:10
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| Ratio for 31%? | show 🗑
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| show | 1:5
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| Ratio for 40%? | show 🗑
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| show | 1:1
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| Ratio for 70%? | show 🗑
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| Ratio for 100%? | show 🗑
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| Formula for total flow? | show 🗑
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| show | MV x 3
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| show | RR x Vt
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| show | Size of the jet orifice, size of the entrainment port, amount of downstream resistance.
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| An increase in the size of the jet orifice causes? (VENTURI MASK, LVN) | show 🗑
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| show | Increases the amt of RA entrained, decreases the amt of 100% O2 in the mask, provides higher total flow, lower O2 concentration.
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| show | 0.28 L/PSI
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| Cylinder factor for an H tank? | show 🗑
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| Formula to determine cylinder factor? | show 🗑
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| Formula to determine tank duration? | show 🗑
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| show | when exposed to back pressure it indicates the incorrect flowrate delivered to the patient (lower than delivered)
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| show | proximal to the thorpe tube
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| Goals of oxygen therapy? | show 🗑
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| What is the difference between Hypoxia and Hypoxemia? | show 🗑
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| Formula to determine Air/O2 dilution ratio? | show 🗑
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| Indications for NASAL CANNULA? | show 🗑
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| show | unstable (easily dislodged), not suitable for pts with varying inspiratory needs, inadequate O2 delivery in Mucosal Edema, Deviated septum, excessive mucous drainage, nasal polyps, flowrates above 6lpm do not increase O2%, doesn't provide exact O2%
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| show | delivery of medium concentrations of O2, post operative patient, temporary therapy while waiting for definate plans
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| show | doesn't provide exact O2%, pulmonary aspiration, pressure necrosis, uncomfortable, must be removed to eat, not suitable for pts with varying inspiratory needs
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| show | provide high concentrations of O2, Cardiac conditions (MI, after CPR), Trauma patients
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| show | doesn't provide exact O2%, pulmonary aspiration, pressure necrosis, must be removed to eat, uncomfortable, not suitable for pts with varying inspriatory needs
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| show | Deliver high concentrations of O2 (carbon monoxide poisoning, pneumothorax, CHF, burns, trauma, MI, after CPR), deliver O2/He mixtures, deliver O2/CO2 mixtures
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| show | Must remain tight on pts face to provide O2% necessary, must be removed to eat, pressure necrosis, pulmonary aspiration, uncomfortable
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| Indications for VENTURI MASK? | show 🗑
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| show | pulmonary aspiration, pressure necrosis, must be removed to eat, uncomfortable, must be on tight to insure O2% delivery, air entrainment ports must remain in tact
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| show | supply moisture to inspired gases for comfort and prevention of damage to the tracheal mucosa, supply moisture that will match the moisture of the body at the point at which inspired gas enters the body
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| What is humidity? | show 🗑
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| show | Nasal catheter, nasal cannula, simple O2 mask, venturi mask
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| Types of humidifiers? | show 🗑
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| show | Impaired cilia activity, impaired mucous movement, inflammatory changes in the tracheal mucosa, necrosis of the tracheal epithelium, retention of secretions, atelectasis, pneumonia
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| show | increase AH, increase the capacity the gas has to hold moisture (when heated), increase the RH of the gas, increase the %BH, Minimize HD
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| Characteristics of PASS OVER humidifier? | show 🗑
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| show | Deliver %BH = 40% same as RA / RH = 100% at room temp, effective at 2-6lpm
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| show | Time, surface area, temperature, gas flowrate
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| show | Cascade humidifier, Wick humidifier
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| Characteristics of CASCADE humidifier? | show 🗑
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| Characteristics of WICK humidifier? | show 🗑
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| show | high temp alarm (40 degrees Celsius), low temp alarm (27 degrees Celsius), temp probe disconnect
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| Indications for heated humidifiers? | show 🗑
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| Complications of heated humidifiers? | show 🗑
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| show | Length of tubing, heater setting, room temp, flowrate of gas
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| Characteristics of PASSIVE humidifiers? | show 🗑
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| Indications of PASSIVE humidifiers? | show 🗑
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| show | Increased resistance to breathing, infection, requires pt with normal body temp, pt must be well hydrated and absent of secretions
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| Hazards of OXYGEN THERAPY? | show 🗑
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| show | 50 - 60 mmHg
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| Normal PaO2 in a newborn <28 days old? | show 🗑
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| Normal PaO2 in a normal patient? | show 🗑
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| show | (desired PaO2 X Actual FiO2) / Actual PaO2
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| show | Make use of the lowest possible FiO2, maintain PaO2 in the normal range for the patient, utilize 100% O2 for 24hrs or less, pts with history of lung disease are more likely to develop complications
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| show | Documented hypoxemia, an acute care situation where hypoxemia is suspected, severe trauma, acute MI, short term therapy or surgical intervention
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| show | No specific contraindications to oxygen therapy exist when indications are judged to be present.
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| show | (V1 X C1)+(V2 X C2) = (V3 X C3) WHEN V1 = Volume (flow) of gas from main gas source, C1 = Conc of main source gas, V2 = Volume (flow) of bleed-in gas, C2 = Conc of bleed-in gas, V3 = Total flow delivered to patient, C3 = Final oxygen conc
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| Five major routes for transmission of pathogens? | show 🗑
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| Nosocomial means? | show 🗑
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| show | not present or incubating at the time of or 3 days after admission, infections within 30 days of discharge or an invasive surgical procedure.
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| Disinfection? | show 🗑
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| Antisepsis? | show 🗑
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| show | Contact, due to improper handwashing.
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| show | Direct, indirect
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| show | direct transfer of pathogenic organism from one person to another, STD's
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| Indirect contact? | show 🗑
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| Droplet? | show 🗑
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| How far can "droplets" travel? | show 🗑
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| show | Hemophilus influenza, neisseria meningitis, streptococcal, influenza, rubella, mumps
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| show | pathogen is spread via the air
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| Airborne aerosol examples? | show 🗑
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| show | Residues of evaporated water, suspended in air for long periods of time, EX: TB, Varicella, Measles
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| show | fungal infections
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| show | Contaminated water, food, soil, or drugs
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| show | Shigellosis, Cholera
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| show | Salmonellosis, hepatitis A, E.Coli
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| show | Infectious diseases transmitted by animals / insects
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| Vectorborne examples? | show 🗑
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| MRSA? | show 🗑
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| show | Vancomycin Resistant Enterococcus, lack antibiotics to treat VRE
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| show | Endemic
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| Disease having an extensive outbreak affecting a large number of people for a short period of time? | show 🗑
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| World wide distribution of a disease affecting large numbers of people? | show 🗑
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| What can you do to reduce the risk of cross contamination? | show 🗑
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| Change HIGH RISK equipment how often? | show 🗑
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| show | 72hrs
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| show | PROPER HANDWASHING
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| CPR breaths per minute for an adult using a manual recussitator? | show 🗑
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| show | 100 per minute
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| Compression to ventilation ratio (adult)? | show 🗑
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