eLFH - Humidity Flashcards

1
Q

Humidity definition

A

Amount of water contained within a defined volume of gas

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2
Q

Why does humid climate feel more hot

A

High levels of water in atmosphere inhibit the evaporation of sweat

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3
Q

Absolute humidity definition

A

Mass of water vapour present in a given volume of gas at a given temperature and pressureU

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4
Q

Units of absolute humidity

A

g/m^3

or

mg/L

Both are numerically the same

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5
Q

Absolute humidity equation

A

Absolute humidity = Mass of water vapour present / Mass or Volume of gas

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6
Q

Relative humidity definition

A

Ratio of actual mass of water vapour in a gas compared to the maximum amount of water vapour that a gas could contain at the same temperature and pressure

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7
Q

Units of relative humidity

A

Percentage

or

Vapour pressure

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8
Q

Relative humidity equation and working out

A

Mass is proportional to number of moles n
n = PV / RT
Therefore is temp and pressure are constant, number of moles is directly proportional to pressure

Therefore:
Relative humidity = Actual vapour pressure / Saturated vapour pressure

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9
Q

Dew point definition

A

100% relative humidity
At this temperature, air is fully saturated with water vapour so condensation occurs

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10
Q

Frost point definition

A

When dew point falls below freezing, called frost point

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11
Q

Relationship between temperature and absolute humidity

A

Increasing temp does not affect absolute humidity as mass of water vapour is the same

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12
Q

Relationship between temperature and relative humidity

A

Relative humidity decreases with increasing temperature as the maximum possible absolute humidity to cause saturation increases with increased temp

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13
Q

Approximate maximum absolute humidity at 20 degrees Celsius at sea level air saturated with water vapour

A

17 g//m^3

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14
Q

Approximate maximum absolute humidity at 37 degrees Celsius (body temperature) at sea level air saturated with water vapour

A

44 g//m^3

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15
Q

Effect of increased humidity on temperature

A

The greater the atmospheric humidity, the less likely water is to evaporate and therefore less likely to cause drop in temperature reading as a result of latent heat of vaporisation

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16
Q

Effect of pressure on humidity in a closed system

A

At full saturation, partial pressure of water vapour = SVP
SVP is unaffected by changes in pressure

When not in full saturation, ideal gas law applies in a closed system
PV = nRT
As volume of air is compressed, water vapour increases as per Dalton’s law so relative humidity increases as SVP is unchanged

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17
Q

Effect of pressure on humidity in an open space

A

Relative humidity is directly proportional to barometric pressure until relative humidity reaches 100%, then condensation occurs

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18
Q

How to measure dew point

A

Regnault’s hygrometer

Silver tube containing Ether
Air bubbled through causing cooling
Temperature at which condensation forms on tube is the Dew point

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19
Q

Benefit of measuring Dew point

A

Relative humidity can be derived from Dew point as SVP is known

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20
Q

Methods of measuring humidity

A

Mass measurement
Temp change from latent heat of vaporisation
Pressure changes affecting partial pressure of water vapour
Moisture effect on electrical circuit
Physical change in a porous material
Formation of Dew point

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21
Q

Physical change in a porous material example

A

Hair hygrometer

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22
Q

Functions of airway humidification - what does it provide?

A

Moist pulmonary secretions
Increased ciliary activity
Improved gas exchange

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23
Q

Functions of airway humidification - what does it prevent?

A

Inflammatory change in pulmonary epithelium
Mucus plugging
Heat loss
Impaired mucociliary escalator
Atelectasis

24
Q

Ideal droplet size for humidification of airways

A

1 micron - these can reach alveoli

25
Most common method of airway humidification in intubated patients
HME filter Heat and moisture exchange
26
Mechanism of HME
Internal paper, sponge or foam is impregnated with a hygroscopic substance (absorbs water from air) Water vapour passing through condenses and provides latent heat to the HME Next breath is warmed and absorbs moisture collected by HME
27
Advantages of HME
Disposable Cheap Can incorporate a bacterial filter
28
Disadvantages of HME
Secretions collected in mesh can increase resistance in breathing circuit
29
Efficiency of HME
~70%
30
Most commonly used humidification system on wards
Cold water bath / Bubble humidifier
31
Mechanism of cold water bath / bubble humidifier
Dry gas is bubbled through water at room temperature
32
Advantages of cold water bath / bubble humidifier
Cheap Easy to run Gas driven - no power source required
33
Disadvantages of cold water bath / bubble humidifier
Loss of heat through latent heat of vaporisation reduces maximum obtainable humidity
34
Efficiency of cold water bath / bubble humidifier and why
~30% due to large bubbles and heat loss
35
Commonly used humidification system on ITU
Hot water bath
36
Mechanism of hot water bath
Dry gas bubbled through water but water is heated Requires thermostatic control at both the humidifier and the patient to prevent scalding
37
Temperature of hot water bath
40 - 45 degrees Celsius
38
Advantages of hot water bath
Greatly improved efficiency No heat loss via respiratory system
39
Disadvantages of hot water bath
Risk of scalding Hyperthermia possible in young children Water vapour can condense in ventilation tubing increasing resistance in breathing circuit
40
Efficiency of hot water bath
~90%
41
Mechanisms of Nebulisers
Gas driven Ultrasonic
42
Mechanism of gas driven nebuliser
High flow gas ejected close to a tube filled with nebuliser fluid Dorp in pressure created by gas (Bernoulli effect) leads to entrainment of the fluid Fluid stream hits an 'anvil' causing droplets to divide
43
Mechanism of ultrasonic nebulisers
Fluid dropped onto vibrating plate at ultrasonic frequency, producing tiny droplets
44
Advantages of nebulisers
Full humidification
45
Disadvantages of nebulisers
Some droplets vaporise using latent heat so heater should be added
46
Efficiency of nebulisers
100% Highest with ultrasonic nebulisers
47
Two other humidifiers rarely used now
heated element humidifiers Cascade humidifier
48
Mechanism of heated element humidifier
Water vaporised by dripping onto heated element at 100 degrees Celsius High risk of burns
49
Advantages of heated element humidifier
High temp ensures sterility
50
Disadvantages of heated element humidifier
High risk of burns heat may alter chemical properties of anaesthetic / medicinal gases
51
Efficiency of heated element humidifier
100%
52
Mechanism of cascade humidifier
Gas bubbled through a perforated screen at the base of a tube within a heated water bath causing mixing within the tube Refined hot water bath system
53
Advantages of cascade humidifier
Large surface area ensure full humidification Avoids risk of burns
54
Disadvantages of cascade humidifier
Bulky equipment - reduces practical use
55
Efficiency of cascade humidifier
100%