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Lindsey Jones 3B Test

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1.
In O2 Therapy-Hyperbaric O2 therapy?
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2.
What are the saftey consideration for O2 Hazards?
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3.
What are the O2 mixtures & therapies in O2 Therapy - What are the correction factor?
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4.
What is the special consideration for COPD pts. With O2 Therapy?
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5.
What are the O2 mixtures & therapies in O2 Therapy - Most common 3 mixtures?
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6.
In O2 Therapy when do you apply ABG values?
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7.
In O2 Therapy when do you apply Visual/ Bedside signs
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8.
O2 hazards- what is Absorption atelectasis?
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9.
In What situations does Hyperbaric O2 therapy is used ?
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10.
O2 hazards- what are the O2 toxicity signs?
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11.
what is the appropriate Levels to administer O2 Therapy ?
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12.
What is Titration DOWN in O2 Therapy?
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13.
O2 hazards- O2 toxicity-
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14.
What are the O2 mixtures & therapies in O2 Therapy - HeliOx
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15.
What is a Titration UP in O2 Thearpy?
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16.
What are the hazards of O2 Therapy?
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17.
what are the goals of O2 Therapy?
A.
1. Caused by rapid changes in FIO2. 2. Alveoli collapse as a result of changing FIO2 too quickly. 3. Prevent by making small changes in FIO2(10%/less @ a time.)
B.
1. High PaO2 - causes Hypoventilation. 2. Decrease RR & Vt. 3. Lower O2 to treat. 4. Permit hypoxemia (PaO2-50-65 mmHg is ok) 5. It is described as stuporous (indicates excessive CO2).
C.
1.Increases FIO2 (if Hypoxic)-10% until @ 60% 2.Once @ 60% need to add PEEP(If on vent.)/CPAP/BIPAP. 3. Keep adding PEEP in 5cm H20 until a desire PaO2 is obtained/until you witness -ve cardiac response. 4.If PEEP @ its limit then increase FIO2 above 60%
D.
1. Tachypnea. 2. Refractory hypoxemia - a fix hypoxemia w/PEEP/CPAP not FIO2. 3. Decreases compliance - decreased surfactant in the lungs. 4. Pulmonary lungs and 5. Nausea.
E.
1.Adult= 30-60%(40-55% is better)-if pt. not COPD never start on <30% (40% is better). 2.Emergency-100% 3.COPD pts.=24-30%. 4.if a choice is given start with lower FIO2. O2 is a drug&should be kept @ lowest possible dose (if PaO2 =110mmHg, LOWER FIO2/PEEP
F.
1. when pts. FIO2 is >60% or more for more than 12hrs.
G.
1. No smoking. 2. Post O2 in use sign. 3. Instruct pt. and family members of the rules and dangers. 4. No electrical devices.
H.
1. Method of Increasing O2 tension through increasing barometric pressure (in a closed space) 2.Helpful in diseases that require more than 100% O2 @ normal atmospheric pressure can offer.
I.
1.8 for 80/20, 1.6 for 70/30 mixture.
J.
1. Used for Lower airway resistance. 2. He molecules are apart & easier to breath when comparing w/Nitrogen(N). 3. He replaces N but must be combined w/O2. 4.Decreases WOB. 5. Good for pts. w/upper airway obstruction & inflammation. 6.Given w/ a NBR mask
K.
1. O2 toxicity. 2. Absorption atelectasis.
L.
1. Cyanosis 2. Tachycardia 3. Confusion 4. Anxiety 5. Low O2 Saturation (Pulse Oximetry needed) 6. Lethargic/ Sleepy
M.
1. If pt. on High FIO2(100%) & PEEP: Lower FIO2 first -below 60%. 2. Once below 60% : then begin lowering the PEEP.
N.
when a patient PaO2 is below 80mmHg (Adult) - unless COPD
O.
1. CO poisioning. 2. Decompression sickness. 3. Help wounds to heal more quickly. 4. Assist tissue grafts.
P.
1. Decrease WOB. 2. Resolve of decrease hypoxemia. 3. Decrease Cardiac work requirements.
Q.
1. 80/20 - 80% He, 20% O2. 2. 70/30 3. 60/40.

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