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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 |
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Patient's ______ pattern affects amount of _____ received |
Breathing O2 |
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Methods which Increase FiO2 |
Higher O2 input Mouth Closed Low inspiratory flow Low tidal volume Small minute volume Slow respiratory rate Long inspiratory time
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Methods that DECREASE FiO2 |
Lower O2 input Mouth open High inspiratory flow High tidal volume High minute volume Fast Respiratory rate Short inspiratory time |
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Low flow/variable performance gas delivery system Gas flow is ____ _____, doesn't meet patient's ____ _____ |
Not sufficient Flow needs |
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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 |
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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 |
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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
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Nasal catheter Placed into _____ used Placement how? Reinsert how often? |
Nasopharynx Rarely Lubricate Check for patency Length Insert Tape Q8H |
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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 |
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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 |
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What is it? Easily ______ |
Nasal cannula Dislodged (only 1 cm) |
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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
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Nasal cannula may cause ______ , _____ and _____ drying |
Headaches, earaches, nasal drying |
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Transtracheal oxygen catheter ______ implanted at level of second ______ ring |
Surgically cartilaginous |
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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) |
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Transtracheal oxygen reservoir _____ not necessary ____ to ____ lpm, _____ to _____ precent |
Humidification 1/4-4 lpm, 22 to 35 percent |
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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) |
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Transtracheal Oxygen Catheter Use _____ term continuous _____ |
Long oxygen |
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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) |
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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 |
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Non rebreathing mask circuit Considered a ______ flow system Untilizes the non re-breather mask but contains two _____ Up to ____ percent |
High Flowmeters 100 percent |
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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 |
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Reservoir cannula ____ flow system Picture show _____ cannula |
Low flow Mustache cannula |
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Which reservoir cannula |
Pendant reservoir cannula |
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Reservoir cannula Designed to conserve ______ Operates by storing _____ ml of oxygen |
Oxygen 20 ml |
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Reservoir cannula Mostly used in ______ An alternative to the _______ oxygen |
Home care Pulse dose (oxygen is already stored)
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Reservoir cannula Liter flow is _____ to _________. No _____ necessary FiO2 of ______ to ____ percent |
1/4 to 4 lpm Humidification 22-35 percent |
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Enclosure type oxygen systems 3 types Which one is pictured? All are: |
Tents Isolette/incubator Oxyhoods Incubator is pictured Humidified |
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Encluse type, which kind? |
Tent |
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Which type of oxygen system? |
Oxyhood |
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All enclosure oxygen type systems are _________ Warm or cold? Tents are _______ Oxyhood is ________ Incubator is ________
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Humidified Cool Warm Warm |
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The tents and oxyhoods are normally not used, and instead _____ is used |
Nasal cannula |
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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 |
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Partial Rebreathing mask _____ to ______ FiO2 Resp less than _____ bpm _____-_____ tidal volume |
40-70 percent 25 breaths per min 300-700 tidal volume |
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All devices are humidified over _____ lpm |
4 |
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Venturi mask ________ ________ system There is a _____ orifice which oxygen flows at _____ velocity |
High flow Jet High |
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Venturi mask The colores are |
The Jets |
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Chart |
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Bernoulli principal Used in |
Venturi mask |
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High flow nasal cannula Max flow of ______ liters per minute FiO2 ______ to ______
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50 lpm 22-100 percent
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High flow nasal cannula Delivers high _____ Delivers ______ temp |
Humidity Body |
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What is it? |
High flow nasal cannula |
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High flow nasal cannula Can add _____ to aveoli Better compliance than ________ Alternative before _________ |
PEEP Mask Intubation |
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High flow nasal cannula Can be high flow and _____ _____ variable ______ |
Low flow Performance |
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High flow cannula can deliver _____ FiO2 |
Percise |
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High flow cannula can be used by patients of ______ _____ |
All ages |
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High flow _____ _____ needs High patient ______ take in room air Low flow _____ _____ patient's
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Meets patient's needs Doesn't Does not
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_____ mask |
Venturi Mask |
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Venturi mask Largest jet lowest _____ _____, least ______ _______ and highest ______ |
O2 velocity Air entrainment (entrapment) FiO2 |
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The Venturi mask is only high flow system at low ______ because the jet valve is _____ more |
FiO2 Open |
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Venturi mask 25:1 means the O2 percentage will be _______
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Low (24 percent)
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Venturi mask 8:1 ratio, 8 means _____ 1 means. 8 parts _______ for 1 part _______ |
Air Oxygen Air Oxygen |
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Venturi mask 0:1 ration means oxygen will be _____ percent. The port is letting ______ air through |
100 No |
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Venturi mask air to O2 ratio 8:1 equals how many parts |
9 parts = total flow |