Humidity Flashcards

1
Q

Define humidity?

A

Humidity is the amount of water contained within a defined volume of gas

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2
Q

What is the difference between absolute and relative humidity?

A

Absolute humidity is mass of water vapour present in a given volume of gas at a given temperature and pressure. It is expressed as mg/L or g/m3.

Relative humidity is the ratio of the actual mass of water vapour present in a volume of gas compared to the maximum amount of water vapour that the gas could contain.

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3
Q

What is the formula for relative humidity?

A

Actual vapour pressure/saturated vapour pressure

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4
Q

What is the relationship between temperature and humidity?

A

Temperature does not affect absolute humidity as the mass of water vapour will be the same.

However as temperature increases (saturated vapour pressure (SVP) increases. Relative humidity is actual vapour pressure/SVP, therefore as temp increases relative humidity decreases.

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5
Q

At sea level what is the SVP of water at 20 degrees and 37 degrees?

A

At sea level, 20°C, SVP = 17g/m3

At sea level, 37°C, SVP = 44g/m3

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6
Q

Explain how a wet and dry bulb thermometer can be used to measure humidity?

A

As water evaporates heat is lost due to latent heat.

In a more humid environment water is less likely to evaporate.

A wet and dry bulb thermometer can be used to calculate relative humidity.

A dry thermometer measures the temp. A wet thermometer with a wick is in water, as the water evaporates the temp of the wet thermometer drops.

Comparing the temp of the wet and dry thermometer you can extrapolate the relative humidity.

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7
Q

How does pressure affect humidity?

A

Consider Boyle’s law Pressure*Volume is constant.

Therefore if you increase pressure then the volume of a gas will decrease.

If the volume of the gas decreases but the mass of water vapour stays the same the the absolute humidity will increase and therefore the relative humidity will also increase.

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8
Q

What is the dew point?

A

The temperature to which a given volume of gas must be cooled in order for water vapour to condense out into water – this is the point at which 100% relative humidity is achieved.

The higher the relative humidity, the less temperature drop is required to reach dew point and vice versa.

Remember SVP increases with temp and conversely drops as temp drops.

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9
Q

How does a Regnault’s Hygrometer work?

A

Air is bubbled through a silver tube containing ether. As air is bubbled through the temperature drops. The temperature at which condensation occurs on the outside of the tube is the dew point i.e. 100% relative humidity.

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10
Q

List the different ways humidity can be measured? (6)

A

Mass measurement

Temperature change from latent heat of vaporization (wet/dry bulb thermometer)

Pressure changes affecting the partial pressure of water vapour

Effect of moisture on an electrical circuit

Physical change in a porous material such as in the hair hygrometer

Formation of the dew point

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11
Q

Why is humidification important in the respiratory tract?

A

Moistens secretions
Prevents mucus plugs
Improves gas exchanges
Prevents ciliary dysfunction

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12
Q

Why is humidification an issue in-invasively ventilated patients?

A

Normally, air entering the upper trachea has 34 g/m3 and is humidified in the oro and nasopharynx.

In invasively ventilated patients the mucosal membranes of the pharynx are bypassed and piped gases are dry and minimally humidified.

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13
Q

What are the methods of humidification?

A

HME filter
Cold water bath/bubble humidifier
Hot water bath
Heated element humidifier
Cascade humidifier
Nebuliser

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14
Q

How does a HME (humidity and moist exchanger) filter work, what are the advantages and disadvantages?

A

It has an internal paper/sponge/foam impregnated with a hygroscopic substance (i.e. absorbs moisture).

When water vapour passes through, it condenses and provides latent heat to the HME so that the next inhale will warm the
cooler inspired air and absorb the moisture.

A bacterial and viral filter can be added to the HME.
They are cheap, however they can cause increased resistance leading to higher ventilatory pressures.

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15
Q

How does a cold water bath/bubble humidifier work, what are the advantages and disadvantages?

A

Most commonly used in the ward setting.

Dry gas is bubbled through water at room temperature.

Advantages: Cheap and easy to run with no power source required.

Disadvantages: There is a loss of heat through latent heat of vaporisation so relative humidity is reduced. It is 30% efficient due to this and the formation of large bubbles.

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16
Q

How does a hot water bath/cascade humidifier work, what are the advantages and disadvantages?

A

Dry gas is bubbled through heated water this prevents heat lost
through latent heat of vaporisation increasing
the efficiency to 90%.

There is a possibility of scalding and hyperthermia in young children. There is therefore a controlled temperature at
the humidifier site and patient end. Temp is usually 40-45°C.

A cascade humidifier is a refined version of a hot water bath humidifier: gas is bubbled through a perforated screen at the base of a tube within the heated water bath. It has a large surface area, however the equipment is bulky.

17
Q

How does a heated element humidifier work?

A

Water is vaporised by dropping onto a 100°C heated element.

Not common due to the risk of burns and alteration of chemical properties of anaesthetic agents.

18
Q

How does a nebuliser work?

A

These may be gas driven or ultrasonic.

Gas driven: high flow gas is ejected close to the exit of a tube filled with water. This causes a drop in pressure (Bernoulli effect) and
brings up water. The steam then hits an anvil
to divide the droplets:

Ultrasonic: Water is dropped onto a vibrating plate at ultrasonic frequency where tiny droplets are formed (most effective).

19
Q

What is the significance of the droplet size when providing humidification?

A

Droplet size is important when providing humidification:
1 micron – deposited in the alveoli and exhaled.
5 microns – deposited in trachea (does not humidify the distal airways)
20 microns – condensation on equipment