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53 Cards in this Set
- Front
- Back
What is a pulse ox used for? |
Measures oxygen saturation of the hemaglobin (not as specific as taking a blood sample from artery) |
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For Adults the alarm is set to |
85% for low 100% for high |
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What are some reasons that you would need to be careful about where to give it. |
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Pulse ox works how? |
There is an infrared lights on one side and a photo detector on the other and the hemoglobin absorbs the light coming through and the photo detector can sense how much hemoglobin is saturated in the oxygen. |
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If you can't use a finger, where should you get the pulse ox? |
(she didn't mention nose but it is in the book) |
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infants alarm |
80 is low alert 95 is high alert |
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infant heart rate 02 Sat alram |
Low is 100 High is 200 |
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tell kids not to be scared and show the kid that it doesn't hurt by putting it on your own finger and showing them that it doesn't hurt and then they will usually be compliant... |
They will have a smaller 02 sat for kids and it can be good to use it on the toes and hold the toes really still. |
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If your patient looks normal and you get a low reading, don't panic, there may be a bad reading. So check the reading. |
... |
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Concentrated oxygen comes in different sizes and may be portable in smaller containers for patients to take with them. |
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What do we know about oxygen dangers? |
It is combustible |
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How many feet away should the oxygen tank be from open flames? |
10 feet or more (patient can't smoke while on oxygen) |
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Oxygen can be continuous or |
PRN |
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To qualify for oxygen at home the patient |
they have to have the 02 sat monitored with their activity level. They also have the 02 sat monitored at night. Below 85% in order to qualify for oxygen at home. |
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The two types of oxygen we use are |
liquid Concentrated |
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which is more expensive |
liquid |
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is liquid portable? |
yes |
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They usually have a large liquid tank at home where they can refill their small portable tank but it is more expensive |
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What are the pros and cons of using concentrated |
The concentrated uses air and puts it in the form of oxygen and you have to have electricity It is also cheaper than liquid. |
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Who decides what type of oxygen the patient has? |
the doctor |
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Patients get oxygen delivered to them with what? |
A nasal cannula |
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What gives you the lowest amount of oxygen as far as delivery goes? |
nasal cannula |
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How much are you given when on a nasal canula? |
2-5 l |
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What do you do if it is over 4 liters? |
The oxygen would need to be moisturized |
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What do we need to check for if using a nasal canula? |
Check airway May have bleeding due to dryness |
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the reason we don't like to use nasal canula on a patient receiving 6 liters of oxygen or more is because |
it will really dry them out so we go to a face mask at that point. |
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Mask without the bag is called |
a simple face mask |
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simple face mask gets what percentage and how many liters? |
40%-60% 5-8 liters |
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The flow of the oxygen needs to be great enough to reduce the amount of CO2 building up in the mask because you are exhaling CO2. So that is why you would not put a patient on how many liters per minute when using a mask? |
2-4 liters |
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nebulizer treatments can attach to the mask |
... |
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Describe a partial rebreather |
it has a resoirvoir bag and we have two types that have that bag (a nonrebreather has is). You are going to partially be rebreathing part of your own air. |
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Should a partial rebreather be deflated? |
no Always have to be inflated. never deflated |
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The book says and she says that we are rebreathing how much of our air? |
1/3 |
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How full should the bag stay? |
1/3 of the way full |
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The sides allow co2 to escape. If the bags are deflated that puts me at risk for what? |
breathing in my CO2 |
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If it is deflated on a partial rebreather or nonrebreather what do I do? |
Check for kinks and make sure oxygen is going through it. First assess and if there are no issues the oxygen may need to be turned up. |
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What is the percentage and liters for a partial rebreather? |
40-60% 6-10 l/min |
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What is the percentage and liters for a non-rebreather? |
95-100% 10-15 L |
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The highest amount of oxygen given without being inabated is given by a |
nonrebreather mask so if you have a patient and we are not intabating at that time and the person is in severe respiratory distress, we would put them on a nonrebreather |
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Why is it called a nonrebreather |
it has a one way valve that keeps the CO2 from coming back in the side and there is a valve that keeps the cO2 out of the bag so you can get the highest amount of oxygen when you are breathing it. |
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Venturi mask gives you what |
the most specific amount |
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What does a Venturi mask do? |
You can dial in a very specific amount and put exactly how much oxygen the doctor prescribes |
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Face tent mask are really mostly just used on who? |
Neonatal. It is a full tent that goes over the head. We need to protect their eyes could cause retinopathy. So we have to protect their eyes. |
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Use Hood for who? |
pediatric |
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what is the hood |
it goes over the entire crib and with that amount of oxygen we have to provide humidity. |
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The humidity can put you at risk for |
hypothermia They can get chilled with all that humidity in there so they don't stay wet. |
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Hood gives up to how much oxygen |
30% |
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A child in a hood should be provided with what? |
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Tracheostomy has the mask where? |
straight to the trach, not on the face |
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CPAP and BiPAP |
are two other forms of oxygen delivery sometimes for patients who don't want to be inabated or put on a ventilator |
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CPAP |
Continuous one level of pressure going in |
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Bilevel gives you what? |
2 different pressures One for inhalation one for exhalation |
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check for what with a nasal canula? |
skin break down behind ears and around nose. also check for skin break down with mask as well |