Mod I Tech

Front 1

bourdon gauge measures?

Back 1

inlet pressure

Front 2

3 indications of 02 therapy

Back 2

increase hr, wob and pulmonay hypertension

Front 3

5 causes of arterial hypoxemia

Back 3

low ambient 02, v/q mismatch,shunt, diffusion defect, hypoventilation

Front 4

4 types of tissue hypoxia

Back 4

anemic, stagnant or circulatory, histoxic (cynaide poisoning), hypoxemic (hyopoxic or demand)

Front 5

4 toxic effects of high dose o2 therapy

Back 5

alveolar wall edema
pulmonary fibrosis
hyaline membrane formation
death of type II aveloar cells

Front 6

types of evalutation procedures for o2 therapy effectiveness (pt eval)

Back 6

color, wob, posture

Front 7

symptoms of acute hypoxemia

Back 7

dyspnea, tachypnea, tachycardia (1st response of the body to hypoxemia)

Front 8

symptoms of chronic hypoxemia

Back 8

fatigue, polycythemia

Front 9

% of o2 in heli-ox mixture

Back 9

20%

Front 10

heli-ox mixture % and factor

Back 10

20% 80% factor 1.8 or
30% 70% factor 1.6

Front 11

indications for carbon dioxide theapy

Back 11

atelectasis and hiccups, cva (stoke), retinopathy

Front 12

maxiium concentration of co2 tha should be used in co2/o2 mixture

Back 12

10% of CO2

90% o2 to 10% co2

Front 13

maximum time for co2/o2 treatment

Back 13

10 min

Front 14

what should be monitore during co2/o2 treatment

Back 14

hr, rr, bp

Front 15

adverse side effects of co2/o2 therapy

Back 15

hypotension,tachycardia, tachyphnea

Front 16

rational for HBO (hyperbaric oxygen chambers)

Back 16

hyperoxygenation

Front 17

2 indications for transtracheal oxygen therapy

Back 17

lower 02 flow (higher sats),less dilution from room air

Front 18

characteristics of high flow system

Back 18

meets all pt inspiratory demands. maintain fixed fio2 uneffected by rr,fixed pformance

Front 19

characteristics of low flow sys

Back 19

o2 flow rate no greate than 6-10 lpm, perforamance varies from breath to breath,additional flow provided by inhaled room air

Front 20

Ve is determined?
ve is minutie ventilation

Back 20

vt x rr

tital volume x respiratory rate

Front 21

4 hazards assoc with o2 therapy

Back 21

o2 toxicity, hypoventilation, absorption atelectasis,dyhydration

Front 22

name high flow systems??

Back 22

air entrainment masks aka venturi mask,

Front 23

name 5 low flow systems

Back 23

nasal oxygen cannula, catheter,simple mask,partial rebreather,non rebreather

Front 24

why important to keep flow of a simple mask at min of 5-6 lpm

Back 24

flow must wash out the mask and prevent rebreathing of co2

Front 25

how is flow is gas adj for non rebreathing mask

Back 25

increase flow to make sure bag is inflated at all times

Front 26

what does HAFOE mean

Back 26

hig air flow oxygen enrichment

Front 27

3 factors that change fio2 on the venturi mask

Back 27

jet size
entrainment port size and obstruction of fio2 ports(back pressure)

Front 28

entrainment ratio of air to oxygen for 24%

Back 28

25:1

Front 29

entrainment ratio of air to oxygen for 28%

Back 29

10:1

Front 30

entrainment ratio of air to oxygen for 35%

Back 30

5:1

Front 31

entrainment ratio of air to oxygen for 40%

Back 31

3:1

Front 32

entrainment ratio of air to oxygen for 50%

Back 32

1.7:1

Front 33

entrainment ratio of air to oxygen for 60%

Back 33

1:1

Front 34

factors controlled by oxygen enclosure

Back 34

temp,ox concentration (fio2)and humidity

Front 35

croup tent advantages

Back 35

good way to administer o2 to pediatric pts

Front 36

croup tent disadvantages

Back 36

frequent need toopen tent for pt care make fio2 hard to keep constant

Front 37

oxy hood advantages

Back 37

leave pt body accessible for medical care procedures

Front 38

reg agency reponsible for quality and purity of med gaSes like o2

Back 38

FDA
FOOD DRUG ADMIN

Front 39

REG AGENCY FOR CYLINDER CONSTRUCTION

Back 39

DOT
DEPT OF TRANS

Front 40

TEST ALUMINIUM CYLINDERS HOW OFTEN

Back 40

5 YEARS

Front 41

TEST STEEL SYLINDERS HOW OFTEN

Back 41

10 YEARS

Front 42

REG AGENY FOR TANK SAFETY SYS

Back 42

CGA
COMPRESSED GAS ASSOC

Front 43

TANK COLOR FOR OXYGEN

Back 43

GREEN

Front 44

TANK COLOR FOR AIR

Back 44

YELLOW

Front 45

TANK COLOR FOR CO2

Back 45

GRAY

Front 46

TANK COLOR FOR HELIUM

Back 46

BROWN

Front 47

TANK COLOR FOR NITROUS OXIDE

Back 47

BLUE

Front 48

PURPOSE FOR CHECK VALVES AND ZONE VALVES

Back 48

ISOLATE SPECIFIC AREA IN CASE OF FIRE, MAINTANCE OR CONSTRUCTION

Front 49

HOW MUCH GAS DOES A BULK SYS CONTAIN

Back 49

GREATER THAN 20,000 CU FT

Front 50

REG AGENCY FOR INSTALLATION OF LIQUID GAS SYS

Back 50

ASME-AMERICAN SOCIETY OF MECHANICAL ENGINEERS

Front 51

advantage of bourdon gauge
disadavantage

Back 51

accurate in any position
doesn't see flow obstruction gauge remains the same

Front 52

what does PISS stand for and what are the following combinations for o2 and air

Back 52

pin index safety system
o2 2:5
air 1:5

Front 53

reg agency for oxygen purity, dispenation?

Back 53

usp
united states pharmacopeia

Front 54

purity of med o2

Back 54

99.0%

Front 55

recommends storage of gas cylinders?

Back 55

NFPA
NATIONAL FIRE PROTECTION AGENCY

Front 56

E CYLIDER IS LEAKING NITROUS OXIDE WHAT DO YOU DO?

Back 56

REPLACE WASHER BETWEEN REGULATOR AND TANK AND TIGHTEN THE CONNECTION

Front 57

WHY CRACK CYLINDER

Back 57

DEMONSTRATE PRESSURE AND HELP REMOVE DEBRIS FOR VALVE OUTLET

Front 58

PRESSURE RELIEF VALVE PREVENTS

Back 58

EXCESSIVE PRESSURE FOR BUILDING UP INSIDE THE CYLINDER AND TANK RUPTURE ON

Front 59

OXYGEN SUPPORTS COMBUSTION AND IS NONFLAMMABLE T OR F

Back 59

TRUE

Front 60

COMMON METHODE OF O2 PRODUCTION FOR COMMERICAL PRODUCTION

Back 60

THE JOULE-KELVIN METHODE

Front 61

REASONS HELIUM IS A VALUEABLE THERAPEUTIC GAS?

Back 61

LOW DENSITY,CHEMICAL INERTNESS, BEING NONFLAMMABLE

Front 62

3 TYPES OF AIR COMPRESSORS?

Back 62

PISTON
DIAPHRAGM
ROTARY OF CENTRIFUGAL

Front 63

WHAT IS AN AIR COMPRESSOR

Back 63

PRODUCE AIR TO MIX WITH O2 TO DECREASE ITS CONCENTRATION

Front 64

WORKING PRESSURE OF AIR COMPRESSOR

Back 64

50 PSI

Front 65

JUST THE FACTS
PISTON COMPRESSOR
ELECTRICALLY DRIVEN
POWERS VENTILATORS
PROVIDES LRG AMTS OF AIR

Back 65

JUST THE FACTS
DIAPHRAM
ELECTRICALY DRIVEN
DIAAPHRAM USED INSTEAD OF PISTON, PROVIDES SM AMTS OF AIR, POWERS SMALL NEBS

Front 66

JUST THE FACTS
ROTARY CENRIFUGAL
ELECTRICALLY POWERED
PUSHED AIR WITH ROTATION PROPELLORS,WATER COOLS IT AND REDUCES WEAR, HAS WATER FILTER FOR CONDENSED AIR, LARGE VERSIONS POWERS HOPITALS

Back 66

THIS IS ONLY A TEST! DON'T FREAK OUT SANDY! YOU WILL SCORE AN A!!!!!!

Front 67

WHAT IS A CONCENTRATOR

Back 67

DEVICE THAT SEPERATES 02 FROM THE NITROGEN IN ROOM AIR. INCREASE THE CONCENTRATION OF O2

Front 68

2 TYPES OF CONCENTRATORS

Back 68

MOLECULAR SIEVE AND MEMBRANE

Front 69

HOW DOES THE MOLECULAR SIEVE CONCENTRATOR WORK?

Back 69

PUMP COMPRESS AIR, DELIVERS IT TO 1 OR 2 SIEVE BEDS WITH ZEOLITE PELLETS. THE PELLET ABSORB NITROGEN AND LEAVE 02 TO PASS THRU. O2 STORED IN RESERVIOR. SWITHES BACK N FORTH TO PURGE NITOGEN FROM SIEVE BEFD

Front 70

JTF:MOLECULE SIEVE CONCENTRATOR IS MOST COMMON AND DEPENDS ON AIR FLOW

Back 70

JTF:MOLECULAR SIEVE CONCEN
1-2L/MIN FIO2 IS 90-95%
2-5LPM 80-90%
10LPM THE FIO2 IS 50%
MOrE FLOW=LESS FIO2

Front 71

MEMBRANE CONCENTRATOR WORKS HOW

Back 71

THIN PERMEABLE PLASTIC POLMER MEMRANE SEPERATES THE 02 FROM ROOM AIR. GAS DIFUSES AT DIFFERENT RATES 02 AND H20 ARE FASTER THAN NITROGEN (N2)

Front 72

JTF:MEMBRANE CONCENTRATORS
1-10 LPM IS 40% FIO2
REMAINS STABLE DESPITE FLOW

Back 72

SANDY YOU RULE!

Front 73

WHAT KIND OF CONCENTATOR WOULD YOU FIND IN A HOSPITAL
AND WHAT % OF FIO2

Back 73

A LARGE CONCENT USES MOLECULAR SIEVE PRINC PROVIDEDS 92-95% FIO2

Front 74

ADV AND DISAVANTAGES OR COMPRESSORS

Back 74

DIS:NEED BACK UP TANKS FOR PWR FAILURE, SM CONCENTOR CAN'T PWR HIGH PRESSURE DEVICES (50 PSI), NOISY,$$,MAINTENCE OFTEN,

ADVANTAGES: USEFUL FOR HOME PTS ON 02, COST EFFECTIVE AT LOW LITER FLOWS

Front 75

1 CU FT OF LOX EXPANDS TO ? GASEOUS CU FT?

Back 75

862

Front 76

WITH LOX 1 LITER WEIGHTS ? LBS

Back 76

2.5

Front 77

HOW IS LIQ OX PRODUCED

Back 77

AIR IS FILTERED, COOLED TO FREEZING,DIVIDED, COMPRESSED,THEN WARMED TO BOIL OFF OTHER GASES

Front 78

LOX ADV AND DIS

Back 78

ADV: SHIPPING IS LESS $ THAN GAS CYL,LESS SPACE, PROVIDES LRG AMT OF O2,SMALLER CAN BE FILLED BY LRGER
DIS:LOSS OF 02 DUE TO VENTING
LOW TEMP IS HAZARD (BURNS)

Front 79

REG AGENCY OF STRUCTURAL SPECS OF LOX BULK SYSTEM

Back 79

NFPA
NATIONAL FIRE PROTECTION AGENCY

Front 80

REG AGENCY FOR CONSTRUCTION OF LOX BULK SYS

Back 80

ASME
AMERICAN SOC MECH ENGINEERS

Front 81

JTF: LOX BULK SYS
50 FT FROM COMBUSTI STRUCTURE
25 FROM FIRE RESIST STUCTURE
50 FROM PTS AND 10 FROM SIDE WALKS

Back 81

JTF: LOX BULK SYS
HAS 2 ALARMS AND 24 HOUR COVERAGE

Front 82

JTF: PIPING SYSTEMS
SUPPLied FROM TANK BANK OR LOX BULK OR BOTH, CYL BANK HAVE CK VAVLES,NEED BACK UP SYSTEM MUST LAST 24HRS

Back 82

JTF:PIPING SYSTEM
REGULATOR REDUCED TO 50PSI
MADE OF COPPER,SEEMLESS, OR BRASS w COPPER,EACH FL HASE SHUT OFF ZONE VALVE

Front 83

REG AGENCY FOR PIPE SYSTEM

Back 83

NFPA

Front 84

TYPES OF QUICK CONNECT STATATION OUTLETS

Back 84

OHIO DIAMOND (BIG MIDDLE NIPPLE 2 LITTLE ONES)
SCHRADER (HEXI)
NCG (1 BIG NIPPLE 1 MEDIUM BELOW)

Front 85

2 TYPES OF STATION OUTLETS

Back 85

DISS AND QUICK CONNECT

Front 86

JTF: DISS STATION OUTLET
FEMALE FITTING GOES OVER OPENING TILL CONTACTS PLUNGER TILL HITS STEM ALLOWING GAS TO FLOW
PRESSURE LESS THAN 200 PSI

Back 86

JTF: QUICK CONNECT
MUST HAVE GAS LABEL
5 FT FROM FL
USES PLUNGER

Front 87

3 AA CYLINDER MARKING MEANS?

Back 87

STEEL

Front 88

3AL CYL MARKING MEANS

Back 88

ALUMINIUM

Front 89

STAR ON CYL MARKING MEANS

Back 89

STEEL CYL CAN GO FOR 10 YRS W/O TESTING

Front 90

+ AFTER DATE CYL MARKING MEANS

Back 90

PASSED

Front 91

WORKING PRESSURE OR SVC P ON A CYL IS INDICATED ON SHOULDER AND CAN BE OVER FILLED BY ? %

Back 91

10%

Front 92

MARKING ON A CYLINDER

Back 92

DOT (REG AGENCY)
3AA OR 3AL (MATERIAL MADE OF)
2015 (SVC PRESSURE)
HYROSTATIC TEST DATE
SER #
OWNERSHIP MARK AND COLOR CODE

Front 93

LARGE CYL REGULATOR ATTACHMENT
(SPECIAL THREADS)

Back 93

ASSS
AMER STANDARD SAFETY SYS

Front 94

SMALL CYL REGULATOR ATTACHMENT

Back 94

PISS
PIN INDEX SAFETY SYTEM

Front 95

H CYLINDER TANK FACTS?
L OF 02 AND CU FT
TANK FACTOR

Back 95

H CYL CONTAINS 6900 L OF O2 AND 244 CU FT
TANK FACTOR 3.14

Front 96

E CYLINDER TANK FACTS?
L OF 02 AND CU FT
TANK FACTOR

Back 96

622 L OF 02 AND 22 CU FT
TANK FACTOR .28

Front 97

JTF: CYL VALVE
DIRECT ACTING:VALVE OPEN AND CLOSES DIRECTLY
INDIRECT ACTIONG:DIAPHRAGM OPENS OR CLOSES THE VALVE SEAT

Back 97

JTF: REDUCING VALVE
REDUCES THE P FROM CLY TO WORKING P IN STAGES,
EACH STAGE HAS OWN P RELIEF VALVE

Front 98

WHAT IS A REGULATOR

Back 98

WHEN A FLOWMETER AND A REDUCING VALVE ARE JOINED TOGETHER

Front 99

2 TYPES OF FLOW METERS

Back 99

THORP TUBE
AND BOURDON

Front 100

JTF: THORP TUBE FLOW METER
COMPENSATED IS ACCURATE EVEN IN BACK PRESSURE
DISadv: MUST BE UPRIGHT

Back 100

JTF:BOURDON GAUGE FLOW METER
RESPONDS TO P BUT IS CALIBRATE TO READ FLOW.
INACURRATE WITH BACK PRESSURE

Front 101

PROPORTIONER BLENDER DO WHAT?

Back 101

MIX AIR AND O2
ALLOW PRECISE O2 TO BE DELIVER TO PT
NEED 50PSI OF O2 AND 50 OF AIR
STABEL 50 PSI SOURCE

Front 102

HOW DOES A PROPORTIONER BLENDER WORK?

Back 102

AiR AnD O2 ENTER CHAMBER ON OPPOSITE SIDES OF DIAPHRAM. DIAPHPRAM BALANCES PRESSURES W/ A REGULATOR. GAS PASSES THRU PROPORTING VALVE. IF GAS P DROPS ALAMS SOUNDS.

Front 103

ADV , DISADV OF BLENDERS

Back 103

ADV: CAPACITY TO DELIVER GAS AT FLOWS EXCEEDING 100 LPM

DISADV:$$ COMPARED TO 2 FLOW METERS, VARIATION IN INLET P WILLSOUND ALARM,DEBRIS KEEPS CK VALVE FROM SEATING AND DIAPHRAM MOVING PROPERLY

Front 104

IF NO BLENDER USE 2 FLOWMETERS AND CALCULATE FLOW AND FIO2 HOW?

Back 104

FIO2=(AIR FLOWx21)+(O2 FLOW X 100)/TOTAL FLOW

Front 105

WHAT DO YOU NEED TO KNOW TO DESPENSE O2

Back 105

DR ORDER
TYPE OF EQUIP
FREQUENCY(CONTIUNOUS OR PRN)
LITER FLOW OR FIO2

Front 106

PT REQUIREMENT FOR LOW FLOW device

Back 106

PT SHOULD HAVE
AVG Vt, RR and specific FIO2 SHOULD NOT BE Required

Front 107

anatomic reservoir in adults is

Back 107

1 cc per lb of ideal body weight about 150 cc

Front 108

the anatomic reservoir is filled at what % of o2 between end of expiration and beginnin of inspiration

Back 108

100% o2

Front 109

cannula
flow lpm?

Back 109

6-8 lpm
dries nasal mucosa at 6 lpm
anatomic resevior full at 6 lpm

Front 110

cannula adv and disadvantages

Back 110

adv:inexpensive,well tolerated, easy to be mobile
disadv:easily dislodged, drying, FIO2 varies

Front 111

catheter advatages and disadv

Back 111

adv:good for restless pt
disadv:easily plugged,overinstertion causes gastric insufflation
can't use w/ nasal obstuction

Front 112

simple mask
lpm?
fio2?

Back 112

6-10 lpm provide 35 -60%

Front 113

nasal cannula: fio2 after 20% is increase by ??% for every lpm of flow

Back 113

4%

Front 114

remove catheter how often

Back 114

every 8 hrs

Front 115

simple mask adv and disadv

Back 115

advantages higher fio2, use w pts after nasal surgery
disadv: more $$,can't eat or have oral care,closterphobic

Front 116

partial rebreather
lpm and
fio2 ??

Back 116

8-10 lpm enough to keep bag inflated!!!
35-60%

Front 117

non rebreather
lpm and fio2?

Back 117

12-15 lpm enough to keep bag inflated!!
60-100% on a good day 100% WITH PERFECT FIT

Front 118

JTF:NON REBREATHER
ONE PORT OPEN ON SIDE
ONE WAY VALVE BETWEEN MASK AND BAG

Back 118

JTF:NON REBREATHER MASK
POOR FIT CAN USE MASK AND CANNULA

Front 119

? RANGE % OF LOW O2 CONCENTRATION?

Back 119

21%-39% LOW

Front 120

? RANGE % OF MODERATE O2 CONCENTRATION?

Back 120

40-59% MODERATE

Front 121

? RANGE % OF HIGH O2 CONCENTRATION?

Back 121

GREATER THAN 60%