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49 Cards in this Set

  • Front
  • Back
Vapor=
Gaseous phase of a substance that is normally a liquid at room temp and standard pressure
VP=
pressure exerted by the molecules in the vapor state.
Equilibrium is reached when # of molecules in vapor state remains constant.
VP, dependent upon what? Independent of what?
VP is DEPENDENT on the specific liquid and temp and INDEPENDENT of atmos pressure
If you inc temp...
more molecules are in vapor phase, inc VP
If you dec temp...
More molecules remain in liquid phase and VP decreases
Temperature ______ as heat is ______ during vaporization
Falls
Lost
BP=
temp at which VP = atmos pressure

The lower the atmos pressure, the lower the BP.
Liquids with high VP are the most ______ and have the lowest _____ at any temp
Most volatile
Lowest BP
What is the VP of Des?
669...therefore low BP (22.8)
What is Daltons law of partial pressures?
In a mix of gases, each gas exerts its own pressure independent of the pressure of the other gases.
The total pressure is the sum of the pp's
According to Daltons law, the sum of the pp's=
atmospheric pressure under normal conditions
Conc of gas can ge expressed as what 2 things?
1. Absolute pressure
2. Volumes percent
Absolute pressure=
pp in mmHg or torr
Volumes percent=
pp/total pressure x 100
Administration of gases is in ____ ____, but uptake is related to ____ _____
Admin of gases in volumes percent; uptake directly related to absolute pressure and indirectly to volumes percent
Latent heat of vaporization=
# calories needed to convert 1 gm (or ml) into a vapor.

Inversely related to temp
Lower temp, _____ heat required for vaporization
More
Specific heat=
# calories needed to raise temp of 1 gm of substance 1C.
Specifc heat of an inhalation agent indicates....
how much heat must be added to maintain a constant temp for vaporization.

The higher the spec heat, the greater the amt of heat that is needed to maintain a given temp
Materials with a high specific heat....
will change temp slowly and provide a stable environment for vaporization
What does thermal conductivity measure?
The speed of heat flow thru a substance

Higher TC= better the heat conduction
Lower TC= poorer the heat conduction (good insulator)
What are the 2 minimal requirements of a vaporizer?
1. Dilution of anesthetic vapor to a therapeutic conc
2. Compression for heat lost during vaporization process (i.e. addition of copper or bronze)
How does a copper kettle vaporizer work?
Carrier gas (O2) enters bottom, "bubbles up" thru liquid anesthetic, picking up anesthetic vapor (smaller bubbles pick up more)

Exit vapor but must be diluted to an ok conc by a larger FGF
What is the percentage of Iso at STP? Iso: VP= 238 torr
238/760 x 100= 31%
If 100ml O2 enters vaporizer, how much Iso (31% conc) will leave?
100/.69 = x/.31

x(.69) = 31

x= 45 ml Iso
What total gas flow of Iso (45ml) is needed to reduce Iso to 1%?
X LPM x (1%) = 45ml Iso
X= 45/0.01
X= 4.5 LPM
T/F:
Copper Kettles provide flow and temp compensation?
FALSE

If FGF is reduced, Iso conc will Increase!!
If temp of liquid decreases, the final conc will decrease
Copper kettles lack ____ _____
agent specificity
How does a variable-bypass vaporizer work?
FGF enters vaporizer and split in two:
20% FGF enters vaporizing chamber wehre it is saturated w/anesthetic vapor
80% TGF bypasses the vaporizer and rejoins the first portion as it leaves the vaporizing chamber, diluting it down to therapeutic conditions
Can you control the amt of gas entering the vaporizing chamber?
Yes, the conc control dial controls this and thus the conc of anesthetic
The splitting ratio of FGF is dependent on what 3 things?
Anesthetic agent
Temp
Selected Conc
Temp compensation in vaporizers allow...
MORE gas to enter when temp DECREASES
LESS gas to enter when temp INCREASES
Accurate w/in 15-35C
Vaporizers are ____ _____ and cannot be interchanged. They hold about _____ml w/dry wick
Agent specific

Hold ~300ml
2 things that affect vaporizer output
1. FGF <500ml or >15 LPM
2. If carrier gas is not O2 and is N2O

In both cases, the vaporizer output is < set concentration
Vaporizers are usually calibrated with air. What happens if it is calibrated with 100% O2, or with 70% N2O?
100% O2--output is 4-10% higher
70% N2O-- output is 5-10% lower
What can back pressure from a vaporizer be caused by?
Positive pressure ventilation
o2 flush valve

Both cause a higher output than dial setting
Back pressure in vaporizer is WORSE with...
low FGF
low conc dial settings
low levels of liquid anesthetic
fast RR
High PIP
Rapid dec in pressure during expiration
How does Ohmeda vs NAD prevent back pressure (pumping effect) of vaporizers?
Oh--one way check valve at vaporizer or machine outlet
NAD--long spiral tube prevents liquid vapor form entering bypass
What should you do if you tilt a vaporizer >45degrees?
Flush vaporizer with O2 10LPM in max setting for 5 minutes
What do you do if your vaporizer has been in a horizontal position for any length of time?
Drain liquid from vaporizer and flush vaporizer >20 min
What do you do if you want a continouous high conc of anesthetic?
Have a high FGF to stop rebreathing
With high FGF, inspired conc will....
...= the dialed setting
With low FGFs, there is more ______, therefore....
rebreathing

Therefore, exhaled gases contribute a significant portion of the inspired gases--> inspired concentration is LESS than the dialed setting (diluted)
Increased MV= Increased _______
Rebreathing
What is special about the Tec 6 Des Vaporizer?
Liquid Des heated to 39 deg

Des vapor with VP of 1550 torr (2 atmos)

No carrier gas enters chamber bec its high pressure

Can turn up concentrations 1-18% (least potent)
Des vaporizer is the only one that...
Requiers a warming up time
Alarms if low agent (<50ml)
No output alarm if <20ml
Can fill vaporizer while it's on
What machine has vaporizers in agent color coded cassettes?
Aladin Vaporizer (Ohmeda)

Cassette can be transported in any position
1ml liquid=
200 ml vapor
How do you figure out the mL liquid used per hour?
3 x FGF x volume %