Manufacture, Storage, And Transport Of Medical Gases

Front 1

Medical Gases Def.

Back 1

Gases that have been refined and purified according to the specifications contained in the USP

Front 2

Medical Gas uses

Back 2

Therapeutic

Laboratory

Anesthetic

Front 3

Therapeutic Medical Gases

Back 3

Oxygen

Room Air

Oxygen/Nitrogen Mixtures

Helium and Oxygen Mixtures

Carbon Dioxide and Oxygen

Nitric Oxide (neonates)

Gas mixes have to have atleast 20% O2 to use medically

Non-Inflammable, Supports Combustion

Front 4

Laboratory Medical Gases

Back 4

Helium

CO2

Nitrogen

Front 5

Anesthetic Medical Gases

Back 5

Nitrous Oxide

Cyclopropane (Older)

Ethylene (Older)

Isoflurane
-usually stored in liquid form and administered as a vapor (.5%-2%)

Front 6

Which gas is a cerebral dialator?

Back 6

CO2

Front 7

What is the Max % that CO2 can be administered to a pt.?

Back 7

7%

5% is the norm

Front 8

Heliox Ratio

Back 8

20:80

30:70

40:60

Front 9

Edema

Back 9

Swelling

Front 10

Inspiratory Stridor

Back 10

Wheezing, Harsh, grating sound during inspiration

Front 11

Inspiratory Stridor Treatment

Back 11

1. Give Racemic Epinephrine

2. If that doesn't work give them HeliOx

Front 12

How long will it take for edema to subside after excubation?

Back 12

4 hrs

Front 13

At what point will edema peak?

Back 13

2hrs of excubation

Front 14

Inflammable Medical Gases

Back 14

Cyclopropane

Ethelyne

Front 15

Non-Inflammable Medical Gases

Back 15

Nitrogen

Helium

CO2

Isoflurane

Front 16

PSIA

Back 16

Pounds per square inch of atm. pressure

Front 17

PSIG

Back 17

Pounds per square inch of gauge pressure

How much above Atm pressure

Front 18

14.7 PSIA is equivalent to...

Back 18

0 PSIG (no pressure gradient)

Front 19

DOT

Back 19

Department of Transportation

Regulate construction of cylinder

Front 20

NFPA

Back 20

National Fire Protection Agency

Regulate Storage

Front 21

CGA

Back 21

Compressed Gas Association

Regulates Connections

Front 22

FAA

Back 22

Federal Aviation Administration

Regulates 02 on flights

Front 23

FRA

Back 23

Federal Rail Administration

Regulates O2 on Trains

Front 24

USCG

Back 24

United States Coast Guard

Regulates O2 on Boats

Front 25

FHA

Back 25

Federal Highway Administration

Regulates Transportation of O2

Front 26

ASME

Back 26

American Society of Mechanical Engineers

Specification of Gas equipment

Front 27

ISO

Back 27

International Standards Organization

Regulates medical use of gas

Front 28

JCAHO or JCAO (2008)

Back 28

Joint Commision on the Accreditation of Healthcare Organizations

any facility not accredited cannot accept funding

Front 29

Who regulates breathing tubes?

Back 29

F-29 Committee

Front 30

Full Cylinder

Back 30

2200 PSIG @ 70F

Front 31

Empty Cylinder

Back 31

500 PSIG @ 70F

Front 32

Cylinder Sizes

Back 32

Anything above an E cylinder is considered large

G and M are used for transport

E is the most common transport cylinder

H and K cylinders are the same

Front 33

Green Diamond

Back 33

Non-Flammable

Front 34

Red Diamond

Back 34

Flammable

Front 35

Yellow Diamond

Back 35

Oxidizer (supports cumbustion)

Front 36

Danger

Back 36

Gas release is an immediate hazard

Front 37

Warning

Back 37

Gas release could lead to an immediate hazard

Front 38

Caution

Back 38

Gas release is not a hazard

Front 39

Before 1970

Back 39

ICC

Front 40

After 1970

Back 40

DOT

Front 41

3A

Back 41

Seamless, high carbon or medium manganese steel (lower grade, older)

Front 42

3AA

Back 42

Seamless, high quality, heat treated steel
-spun
-plugged

Front 43

3AL

Back 43

Aluminum

Front 44

4L

Back 44

Liquid cylinder