oxygen delivery systems Flashcards

1
Q

nasal cannula flow rate

A

1-6L/min

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2
Q

nasal cannula FiO2

A

24%-44%

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3
Q

a higher flow rate increases _________

A

mucosal irritation and drying

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4
Q

low flow systems

A

nasal cannula
simple face mask
partial rebreather
non-rebreather masks

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5
Q

simple face mask FiO2

A

40%-60%

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6
Q

simple face mask minimum flow rate

A

5L/min

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7
Q

what is a simple face mask used for

A

used for SHORT term oxygen therapy emergencies

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8
Q

partial rebreather FiO2

A

60%-75%

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9
Q

flow rate partial rebreather mask

A

11L/min

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10
Q

how does the partial rebreather increase the FiO2

A

with each breathe the patient inhales 1/3 of the exhaled tidal volume

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11
Q

non rebreather FiO2

A

greater than 90% depending on the patient’s breathing pattern

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12
Q

what is the highest oxygen level of the low flow systems

A

non rebreather masks

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13
Q

flow rate of non rebreather

A

10-15 L/min

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14
Q

why is the non rebreather flow rate kept at 10-15 L/min

A

to keep the reservoir bag inflated

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15
Q

characteristics of the non rebreather mask

A

one way valve between the mask and reservoir bag and two flaps over the exhalation ports

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16
Q

high flow systems:

A

high flow nasal cannula
venturi mask
aerosol mask, face tent, tracheostomy collar

17
Q

when properly fitted, high flow systems deliver an _____

A

accurate level of oxygen

18
Q

high flow systems O2 concentrations and flow rates

A

range from:
24-100%
8-15L/min

19
Q

high flow nasal cannula flow rate

20
Q

high flow nasal cannula can give up to 60L/min of ___

A

humidified and heated medical gas

21
Q

the high flow nasal cannula is used primarily for ____

22
Q

why is the high flow nasal cannula good for neonates and critically ill?

A

it improves alveolar ventilation while decreasing anatomical dead space

23
Q

what mask delivers the most accurate oxygen concentration without intubation

A

venturi mask

24
Q

____ is not needed with the venturi mask?

25
what devices deliver high humidity
aerosol face mask, face tent, tracheostomy collar, and T-piece
26
what patients are face tents used for?
patients that are not able to tolerate a tight fitting mask -- burns, trauma to face
27
what patients are tracheostomy collars used for
patients that have a tracheostomy
28
what patients would use a T-piece
used with any patient with a tracheostomy, laryngectomy, endotracheal tube
29
what is noninvasive positive-pressure ventilation
positive pressure to keep alveoli open and improve gas exchange without the need for intubation -- "pressure" keeps the airway open
30
noninvasive positive pressure ventilation can occur with .....
oxygen supplementation or just room air
31
noninvasive positive pressure ventilation is used to treat....
sleep apnea dyspnea hypercarbia acute exacerbations of COPD cardiogenic pulmonary edema acute asthma attacks
32
what are the associated complications of noninvasive positive pressure ventilation
- skin breakdown under mask -- fits tight to get good seal - leaks can cause pressure to the patient's eyes - gastric insufflation can lead to vomiting -- thus lead to potential aspiration
33
deliver methods of noninvasive positive pressure ventilation
continuous positive airway pressure (CPAP) volume/flow limited bi-level positive airway pressure (BIPAP)
34
home O2 can be administered to those with a PaO2 level of less than ____ or an SpO2 of less than ___ at RA or rest
PaO2 = 55 mmHg SpO2 = 88%