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55 Cards in this Set

  • Front
  • Back

Differences in the amount of O2 delivered


Some systems, based on design, provide _____ concentrations and some provided _____ concentrations

Lower


Higher

Patient's ______ pattern affects amount of _____ received

Breathing


O2

Methods which


Increase FiO2

Higher O2 input


Mouth Closed


Low inspiratory flow


Low tidal volume


Small minute volume


Slow respiratory rate


Long inspiratory time


Methods that DECREASE FiO2

Lower O2 input


Mouth open


High inspiratory flow


High tidal volume


High minute volume


Fast Respiratory rate


Short inspiratory time

Low flow/variable performance gas delivery system


Gas flow is ____ _____, doesn't meet patient's ____ _____

Not sufficient


Flow needs


Low flow/variable performance (LF/VP)


Factors affect the O2 concentration


Change in


_____


_____


_____


_____

O2 reservoir


O2 flow rate


Change in PT's Ventilatory pattern


Use of patient's anatomical reservoir


Low flow variable performance LF/VP


Criteria for use:


VT = _____ - _____


Respiratory rate <______ bpm


Ventilatory pattern is _____ and _____

300-700


Less than 25 bpm


Regular consistent

General classification


High flow/ fixed performance gas delivery system


Gas flow is ______


O2 Concentration must meet _______ needs


Criteria for use

Sufficient


Patient's


Does not need low flow system


Nasal catheter


Placed into


_____ used


Placement how?


Reinsert how often?


Nasopharynx


Rarely


Lubricate


Check for patency


Length


Insert


Tape


Q8H


Nasal catheter


how many liters


Limitations- how many liters Up to which percent FiO2


Up to which percent FiO2


Disadvantages

1/4-5 liters


22-45 percent


Difficult to insert


Gagging


Change because of clogging

Nasal Cannula


________ and _______ performance


________ cm prongs extend into _________ slightly


Do not use in

Low flow, variable


1 cm nares


Severely deviated septums, mucous drainage, nasal polyps

What is it?


Easily ______

Nasal cannula


Dislodged (only 1 cm)

Nasal cannula


Limitations


________ to _________ lpm, up to _______ -________ (normally _______-_______ ) fiO2


For every ________ lpm of flow, there is ________to ________ percent increase in inspired O2


________ ________ may effect FiO2

.25-6 pm 40-50 percent (22-40 percent)


1 lpm 3-4 percent


Mouth Breathing


Nasal cannula may cause ______ , _____ and _____ drying

Headaches, earaches, nasal drying

Transtracheal oxygen catheter


______ implanted at level of second ______ ring


Surgically cartilaginous

Transtracheal oxygen catheter


Increases anatomical ______


Reduce consumption to _____ to ____


The anatomical reservoir is a part of _____, with the air flowing

Reservoir


40-60%


Body up the trachea (O2 sitting there)

Transtracheal oxygen reservoir


_____ not necessary


____ to ____ lpm, _____ to _____ precent


Humidification


1/4-4 lpm, 22 to 35 percent

Transtracheal oxygen catheter


Adverse reactions


________


________


________


________


Increase

Pneumothorax


Bleedings


Subcutaneous emphysema


Bronchospasm


Increase mucus production


Abscess (small pocket infection)


Catheter displacement


Inspissated (dry and hard secretions low humidity)

Transtracheal Oxygen Catheter


Use


_____ term continuous _____


Long oxygen

Transtracheal oxygen Catheter


Criteria that must be met to get equipment


Cannot be adequately ____ by standard methods


Patient doesn't want _____


Need for increased _____


Patient must be able to ____


Oxygenate


Other devices (nasal cannula)


Mobility


Care for one's self (clean it)

Masks in general


Higher concentration


Limitations


______ retentions (mask on face)


______ _______ retention


Lack of patient ______


_____


Delivered ______ may vary from _____ FiO2


Heat retentions


Carbon dioxide


Compliance


FiO2


Inhaled


Non rebreathing mask circuit


Considered a ______ flow system


Untilizes the non re-breather mask but contains two _____


Up to ____ percent


High


Flowmeters


100 percent

Non rebreathing mask


Minimum of ____ lpm


FiO2 range


Bag must stay inflated ___ full at all times


One way valves where?

10


60-80 percent


Half full


One on one side of mask and between mask and bag


Reservoir cannula


____ flow system


Picture show _____ cannula

Low flow


Mustache cannula

Which reservoir cannula


Pendant reservoir cannula

Reservoir cannula


Designed to conserve ______


Operates by storing _____ ml of oxygen



Oxygen


20 ml

Reservoir cannula


Mostly used in ______


An alternative to the _______ oxygen

Home care


Pulse dose (oxygen is already stored)


Reservoir cannula


Liter flow is _____ to _________.


No _____ necessary


FiO2 of ______ to ____ percent

1/4 to 4 lpm


Humidification


22-35 percent

Enclosure type oxygen systems


3 types


Which one is pictured?


All are:

Tents


Isolette/incubator


Oxyhoods


Incubator is pictured


Humidified

Encluse type, which kind?

Tent

Which type of oxygen system?

Oxyhood

All enclosure oxygen type systems are _________


Warm or cold?


Tents are _______


Oxyhood is ________


Incubator is ________



Humidified


Cool


Warm


Warm

The tents and oxyhoods are normally not used, and instead _____ is used

Nasal cannula

Simple mask


Flow rate ________ to ________ L/min


Flow rate less than ________ can cause _________ rebreathing


FiO2 _______ to ________

5 to 10


Less than 5 L/m CO2


35-50

Partial Rebreathing mask


_____ to ______ FiO2


Resp less than _____ bpm


_____-_____ tidal volume



40-70 percent


25 breaths per min


300-700 tidal volume




All devices are humidified over _____ lpm

4

Venturi mask


________ ________ system


There is a _____ orifice which oxygen flows at _____ velocity

High flow


Jet


High

Venturi mask


The colores are

The Jets

Chart

Bernoulli principal


Used in


Venturi mask

High flow nasal cannula


Max flow of ______ liters per minute


FiO2 ______ to ______


50 lpm


22-100 percent


High flow nasal cannula


Delivers high _____


Delivers ______ temp

Humidity


Body

What is it?

High flow nasal cannula

High flow nasal cannula


Can add _____ to aveoli


Better compliance than ________


Alternative before _________

PEEP


Mask


Intubation

High flow nasal cannula


Can be high flow and _____ _____ variable ______

Low flow


Performance

High flow cannula can deliver _____ FiO2

Percise

High flow cannula can be used by patients of ______ _____


All ages

High flow _____ _____ needs


High patient ______ take in room air


Low flow _____ _____ patient's



Meets patient's needs


Doesn't


Does not


_____ mask

Venturi Mask

Venturi mask


Largest jet lowest _____ _____, least ______ _______ and highest ______

O2 velocity


Air entrainment (entrapment)


FiO2


The Venturi mask is only high flow system at low ______ because the jet valve is _____ more

FiO2


Open

Venturi mask 25:1 means the O2 percentage will be _______


Low (24 percent)


Venturi mask 8:1 ratio, 8 means _____ 1 means. 8 parts _______ for 1 part _______

Air


Oxygen


Air


Oxygen

Venturi mask 0:1 ration means oxygen will be _____ percent. The port is letting ______ air through

100


No


Venturi mask air to O2 ratio 8:1 equals how many parts

9 parts = total flow