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177 Cards in this Set
- Front
- Back
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LMA size neonates up to 5 kg
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1
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LMA sizes infants 5-10 kg
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1.5
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LMA size children 10-20 kg
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2
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LMA size children 20-30 kg
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2.5
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LMA sizes children 30-50
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3
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lma size adult
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4-6
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LMA size 1 max cuff inflation
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4
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LMA size 1.5 max cuff inflation
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7
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LMA size 2 max cuff inflation
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10
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LMA size 2.5 max cuff inflation
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14 cc
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LMA size 2.5 cuff max
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14
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LMA size 3 cuff max
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20
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LMA size 4 cuff max
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30
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LMA size cuff max for 5
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40
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LMA size 6 cuff max
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50
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Do not exceed...for LMA sterlization
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275 F 135 C
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Specific Cleaner for LMA
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Endozime
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Pass NG tube...the LMA is placed
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before
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Which nerve when stimulated will cause laryngospasm
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superior largyngeal nerve
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which muscle is respnsible for laryngospasm
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cricothyroid
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Injury to vagus nerve will cause...to voice and the injury is.
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hoarsness, unilateral
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injury to recurrent laryngeal nerve will cause ...if it is bilateral, chronic
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aphonia
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unilateral injury to superior laryneal nerve causes
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minor effects ...
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...% of population have grade IV airways
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7%
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wash lma in dilute
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sodium bicarb
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which circuit is best when ventilating to prevent rebreathing
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mapelson A
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which circuit is worst for controlled ventilation
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map A
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rank systems in order of best to ventilate apneic patient
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DFE>BC>A
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closed systems require flow at ..for physiological requirement
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150-500 mil/min
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closed systems require flow at ...under anesthesia `
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150-250 ml/min
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this valve is used as a safety device under conditions of excessive heat
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woods metal
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high pressure components are
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cylinder pressure gage, hanger yoke check valves, index on hanger yoke
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intermediate pressure valves are
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flush valve, second stage regulator, oxygen pressure fail safe shut off valves, DISS, flow control valve of manifold
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low pressure system components are
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common gas outlet, manifold, check valves, vamorizer. low pressure of 16 psi after the vaporizer
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free floating valves
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dISS and hanger yoke
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diaphragm valves
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first and second regulator
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ball and spring valves
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flush valve
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adjusting the needle valve on the gas scavenging system alter the
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flow (NOT vacuum or suction)
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Cuff test volumes for LMAs are...% of max cuff volume
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150%
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largest ett for lMAs 1-2.5
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you add 2.5 to LMA size
size 2 + 2.5 is 4.5 for ETT size |
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largest ett tube for LMA 3/4
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6.0
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largest ett tube for LMA 5/6
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7
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FOB size for LMA 1
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2.7
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FOB size for lMA 1.5
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3
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FOB size for LMA 2
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3.5
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FOB size for LMA 2.5
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4
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FOB size for LMA 3
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5
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FOB size for LMA 4
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5
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FOB size for LMA 5
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5
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FOB size for LMA 6
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5
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incidence of sore throat w LMA
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10%
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DETErgent of choice for LMA
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Endozime
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Tidal VOLUME on LMA should not exceed
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8 ml/kg
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WHich nerve is involved with the glotting sphincter closure
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superior laryngeal nerve
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the lMA size we select for a patient is based upon the pts
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weight
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pulse oximetry is based upon the...law
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beer lambert
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what are the two wavelengths of light for pulse ox and what are they absorbed by with which wavelenght
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red which is absorbed by deoxyhemoglobin at 660 nm and infrared with oxyhemoglobin at 940 nm
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on a capnograph which number corresponds to beg of expiration
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2
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on a capnograph which number range represents combination of dead space and alveolar gas
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2-3
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on the capnograph which number range represents the alveolar gas pleteau
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3-4
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on the capnograph which number represents the actual alveolar ETCo2
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4
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the point on the capnograph at number 4, the actual alveolar ETCo2 is also when the pt
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begins to inspire co2 free gas
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on the capnograph the inspiratory limb is indicated by num
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4-5
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the end of inspiration on the capnograph is indicated by number
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6
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the inspiratory limb of the capnograph goes to zero unless there is
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rebreathing
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order for BIS monitor starting mid forhead is
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1,2,4,3
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the a wave form on the CVP is
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atrial contraction shortly after the p wave for depolarization
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the a wave of the CVP is absent during
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afib
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a large a wave on the cvp is due to
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tricuspid stenosis, pulmonic stenosis, phtn, decreased right ventricular compliance
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the c wave on the cvp is due to
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tricuspid valve elevation toward atrium durng early ventricular contraction (systole)
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the v wave of the cvp is due to
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reflect venous return against a closed tricuspid valve, systolic filling of atrium
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the length of a sganz in a child
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60
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length of a swans ganz in adult
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110
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insertion size for a swans ganz subclavian to right atrium, ventricle and pa
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15, 25, 40
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insertion size for a swans ganz for a right internal jugular to right atrium, ventricle and pa
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20, 30, 45
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insertion size for a swans ganz via left internal jugular to ra, ventricle and pa
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25, 35, 50
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right atrium pressur is
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1-8 mm hg
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the right atrial pressure equals the ...prssure
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cvp
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right ventricular systolicpressure is
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15-25
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right vent diastolic pressures is
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1-8
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pul artery has a systolic pressure of
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15-25
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pul artery has a diastolic pressure of
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8-15
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right vent systolic pressure equals the ..pressure
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pa
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RAP=CVP=
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RVEDP 0-8 mmhg
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RVS=PAS=
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15-25
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PACWP is
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6-12
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PACWp measures the
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back pressure from the pulmonary veins
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MAx wedge time
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15sec
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the pawp is never higher than
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pa dias pressure
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a line #1
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anacrotic limb/qrs complex reflect blood velocity ejected from left vent
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a line 2
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dicrotic limb/ T wave to notch, decreased blood pressure and blood flow to periphery
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a line 3
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dicrotic notch/ aortic valve closure and onset of diastole and coronary perfusion
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problems r/t innacurate a line
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too high transducer
air in line fluid leak bag not on pressure |
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what is grounded in or
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pt, floor, power supply
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macroshock, microshock
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macro to skin, micro to heart
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min microamps to induce vfib
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50
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number milliamps to induce vfib
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100-2,500
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what is the electrical equipment in room mon by
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isolation transformers
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what triggers the alarm of isolation monitor
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when power line is lesst han 60,000 ohms
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what happens if the isolation alarm goes of
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check gauge
if its 2-5 mA too much has been plugged in if ts > 5 then there is faulty equipment in or |
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when should cylinders be inspected
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every 5, w permit, 10
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working pressure of a hospital pipeline system
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50 psig
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DISS
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minimized risk of misconnection
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which two gases are in liquid form in pressurized cylinderys
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n20 c02
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wood s metal has been supplented by the
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fusible plug
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psi of a full o2 tank and l amount
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2200 and 625-700 ave 660
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how long does it take to emply a full e cylindery of o2 if the flow is at 5 l/min
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660/5
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how many l of n2o can be released from a full tank
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1590
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after what PSI should a n20 tank be changed/1/4 liquid left in tank
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745
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what size gas cylinders have the pin index system
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size a-e
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what volume of n20 is left in the tank after the liquid is gone
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400 L
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four components under high pressure
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hanger yoke, yoke block w check valves, cylinder gauge, cilinder pressure reg
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iden 8 components under intermediate pressure psi 50
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flush valve, o2 sensor, DISS, pipeline inlets, check valve, ventilator power inlet, pressure gauges, flowmeter valve, second stage reg,
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ident components exposed to low pressure
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common gas outlet , flowmeter tubes, vaporizers, check valves
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what is the name of the regulator that is found on cylinder valve
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bourdon gague
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when the bourdon gague reads 0-
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there is one atm in the tank
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in the arrangement of flow meters where is oxygen
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right hand location to prevent accidental decreases in delivery concentrations, should be last in sequence.
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what is a thorpe tube
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tapered tube, variable orrifice located in manifold area of machine, smallest diameter at the bottom of tube
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what is the primary disadvantage of the auxillary flow meter
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if pipeline supply has lost pressure or has been contaminated , it become unavailable
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calibration of flow meters is based upon density or viscosity
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viscosity of specific gases
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two reasons why des needs a specialy designed vap
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boils at sea level with vp of 669
des is 1/5 as potent and so a large volume of vapor must be del to pt |
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which vap is not variable bypass
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tec 6
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feature of variable bypass machine
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temp compensated, agent specific, flow over
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is des a flow over vaporizer
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NO
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tec 6
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dual circuit, gas vapor blended
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which gas needs a manual adjustement at other altitudes
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des, tec 6
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in the mountains, one must in crease the....of des
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pp
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what doe s the interlock system do
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prevents more than one vaporizer being turned on at a time
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main function of the check valve and what are they also called
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uniderectional or one way valves prevent retrograde flow during positive pressure ventilation
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three functions of check valve
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prevents back flow from high pressure to low pressure sides, prevents pumpin of gas 2.) allows for an empty cylinder to be exchanged for a full one w min loss of gas 3 . minimizes leak from an open cylinder to a the atm
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fail safe valve
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prevents the delivery of hypoxic mix during machine failure
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at what pressur does the fail safe valve shut of delivery of nitrous
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30 psi
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what are your actions then the low o2 pressure alarm goes of
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open e cylinder, disconnect pipeline, use low fresh ga flow
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the vacumm on the scavenger should eliminate gas at how many l /min
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10-15
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proportioning system prevents
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hypoxic mix
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what type of gas can lead to an error in the proportioning system
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inner, HeN2 CO2 because it only uses O2 and N20
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what is sufficient psi for transtracheal jet ventilation
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25
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two resp effects of PEEP
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prevents airway closure at end exp and increases lung volume at end expiration
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three potential disadvantages of peep r/t respt
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pul barotrauma/ increase extravasc lung water/ red of pulp blood flow
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what is channeling, what does it lead to
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caused by loose packing of the granules in soda lime , rebreathing of co2 would occur
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when filled what percent of the soda lime cannister is air
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48-55
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how many liters of co2 can be absorbed for each 100 g of soda lime
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26 L of co2
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what is the most abundant component of soda lime and baralime
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calcium hydroxide
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what is the genral name of the type of chemic reaction occuring in the carbon dioxide absorber
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neutralization
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what is the major advantage of a pediatric circle system
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conserves heat and moisture
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what is the most common site for breathing circuit disconnet
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hme, tracheal tube conector
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what is the purpose of unidrectional valves in circle system
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to prevent rebreathing of exhaled gas
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which breathing system open or closed has the slowest induction tim
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closed
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greatest heat loss occurs with which system
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open
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two ped circuits ar
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map d ( bain)
map F (Jackson Reise) |
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02 flush liter flow
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35-75 l/min
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descending below....during exp
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descend
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which below are safer ascending or descending
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ascending, wornt rise if a disconnection occurs
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inspiratory pressure should be limited to what value with bag mask vent
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25
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three char of jet ventilation
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small volumes, less than dead space, high rate 60-3,000 pr min and low airway resistance
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what is the hazard of a large amount of water vapor in the endotracheal tube
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obst of breathing circuit
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how do you estimate a nasal airway
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nares to meatus of ear, 2-4 cm longer than oral
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most common complication of jet ventilation
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tracheal mucousal damage and thick secretions blocking airways
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does high frequency jet vent reduce the risk of barotrauma
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no
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what sign is the hallmark of laryngotracheal damage
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stridor
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is recurrent laryngeal nerve a complication of transtracheal vent
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no
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trade names of glutaradehyde
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cidex cetylcie
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the three risks of using the left ij are
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injury to thoracic duct, pleural effusion, vascular errosion
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tip of the cvp rests at what vert
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t4-5
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x descent during a cvp
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during vent systole with atrial relaxation during the downward displacment of the tricuspid valve
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`y decenent occurs during
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diastole and represents early vent filling through the open tricuspid valve
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normal cvp is
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0-11 mm hg
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incidence of pneumothorax with svc cannulaction
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1 %
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what three situations would cause the CVP to be higher that the PCWP
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pe, pTHN, r vent failurea
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what site should not be used for insertion of a pa
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left internal
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three contraindications for use of a pa
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WPW, Ebsteins malformation, CLBB
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what three actions should be taken with pa artery rupture
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replace volume, use peep, isolate lung
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most common s-g complication
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arrytmiaz
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what drug is used to treat arrythmias arising for sg placement
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lidocaine
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what is balloon capacity for a sg
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1.5 ml
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pa is placed and a large V wave appears what is the cause
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mitral regurgitation
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is the area under a thermodilute curve directly or inv prop to co
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inv.
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