Physics and Gases Flashcards

(69 cards)

1
Q

3 components of pressure regularators

A

tightly wound spring attached to diaphragam which is connected to a valve controlling high pressure gas input.

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2
Q

PSI of central oxygen tank

A

55 psi, primary source for anesthesia machine

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3
Q

Pipeline pressure

A
  1. psi. Pipeline gauge located on pipeline side of check valve to avoid checking pressure within machine. Has both pressure regulators for pipeline and cylinder
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4
Q

secondary gas source for anesthesia maachine

A

e-cylinders. Pressurized to 2200 psi and have a regulator bc they need lower pressures. Separate regulators for each cyclinder

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5
Q

Regulator in O2 reserve cylinder reduces pressure from ___ to ___

A

2200 to 45 psi, second stage will reduce to 14

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6
Q

Regulator in nitrous reserve cylinder reduces pressure from ___ to ___

A

745 to 45 psi, second stage will reduce to 26

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7
Q

what happens if 2 cylinders are open at same time what will gauge read

A

cylinder w higher pressure

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8
Q

Oxygen e-cylinder (color, pressure at room temp, physical state)

A

green, 2000, gasN

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9
Q

Nitrous oxide (color, pressure at room temp, physical state)

A

blue, 745, liquid/vapor

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10
Q

Carbon dioxide (color, pressure at room temp, physical state)

A

Grey, 840, liquid/vapor

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11
Q

Air (color, pressure at room temp, physical state)

A

yellow, 1800, gas

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12
Q

Entonox (color, pressure at room temp, physical state)

A

blue, 2000, gas

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13
Q

heliox (color, pressure at room temp, physical state)

A

Brown, 2000, gas

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14
Q

Full e-cylinder of O2

A

660 L

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15
Q

Full e-cylinder nitrous

A

1600L at 750 psi. Volume cannot be determined by pressure guage. Pressure will remain at 750 until it has all been vaporized which means 20% of intial volume remains when there’s a drop in pressure

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16
Q

laminar flow, relationship to pressure gradient

A

directly proportional to pressure gradient (flow related to pressure), R is a constant, F=deltaP/R

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17
Q

turbulent flow, relation to pressure

A

nonlinear relationship between flow and pressure. flow rate is proportional to square root of pressure gradient

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18
Q

reynolds number

A

Re = densityvelocitydiameter/viscosity, point at which a fluid transitions from laminar to tubrelnt

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19
Q

Poueuille equation

A

Q = delta Ppir^4/ 8viscosity*length
describes relationship between variables that affect flow rate and laminar fluids

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20
Q

Bernoulli’s equation

A

sum of all energies per unit volume remains constant at all points along line of fluid when laminar
P1 + 1/2(densityvelocity^2) = P2 + 1/2(densityvelocity^2)

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21
Q

Venturi effect

A

when a fluid passes through a tube with varying diameters, lateral pressure exerted by fluid drops because of increase in velocity when there’s constriction

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22
Q

hyperechoic

A

strong reflection, white dot
bones, tendons, ligaments, diaphragm, nerves, liver angiomas, tumor, blood vessels, fibrosis, liver steatosis
weaker - solid organs, thick fluid, gray

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23
Q

anechoic (no reflection)

A

cysts, ascites, fluid

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24
Q

ultrasound transducer frequency and wavelength

A

increase frequency, increases image resolution, decreases ability of waves to penetrate
12Mhz waves - good resolution, not deep
3Mhz goes deep, but bad resolution

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25
doppler effect
change in frequency of a wave due to relative motion between wave source and receiver
26
desflurane boiling point
22.8C
27
desflurane vapor pressure
700
28
Nitrous boiling pt
-88C
29
nitrous vapor pressure
38770
30
sevo boiling point
58.5C
31
sevo vapor pressure
157
32
iso boiling point
48.5C
33
iso vapor pressure
240
34
halothane boiling point
50.2C
35
halothane vapor pressure
244
36
Highest boiling pt to lowest boiling point gases
Sevo > Halothane > Iso > Des >> Nitrous
37
Highest vapor pressure to lowest vases
Nitrous >> des > halothane > iso > sevo
38
Daltons law of partial pressures
partial pressure of a gas in a mixure of gases is the pressure that gas would exert if it occupied the total volume P = (barometric pressure - water vapor pressure)*F (F is fractional concentration of gas)
39
alveolar gas equation
used to predict alveolar PO2 based on the alveolar PCO2 PaO2 = PIO2 - (PaCO2/R) + correction
40
Henry's law
used to determine concentration of a gas that has been dissolved in solution. at equilibrium, partial pressure of a gas in liquid phase equals partial pressure in gas phase. Henry's law is used to convert the partial pressure of gas in liquid phase to conc of gas in liquid phase. solubility used to describe tendence of a gas to equilibrate with a solution Cx = Px * solubility
41
variable bypass vaporizers
consist of the conc control dial, bypass chamber, vaporizing chamber, filler port, filler cap splits fresh gas flow into two portions - first (20%) going into vaporizing chamber where it is saturated with the anesthetic vapor and the second portion going to bypass chamber. gases mix at patient outlet side of vaporizer
42
amount of liquid anesthesitc equations
3 * FGF (L/min) * volume % = liquid of volatile anesthetic/hr
43
desflurane vaporizer
vapor pressure is 3-4x that of other gases Tec 6, two independent gas circuits arranged in parallel. fresh gas enters at inlet, passing through a fixed restrictor R1 and exits the vaporizer gas outlet. Vapor circuit arises at desflurane sump which is electrolly heated to 39C above boiling point. Sump is a reservoir for desflurane vapor. Downstream is shutoff valve. Output controlled by adjusting concentration control valve R2 which is variable restrictor. Pressure supplying R1 and R2 are equal and is called working pressure.
44
pharmacologic effect of inhalation agent determined by
determined by partial pressure of anesthetic in the brain, at equilibriu,, brain partial pressure = anesthestic pp in arterial blood
45
two variables of alveolar concentration (FA)
1. delivery of agent to lungs 2. uptake of agent by blood
46
rate of rise of FA increases with ____ rate of anesthestic delivery
higher rate
47
rate of rise of FA decreases with ____ degree of anesthetic blood uptake from lungs
greater
48
if volatile is not as blood soluble, does increased ventilation help rate of rise
No because of minimal blood uptake. FA will rise rapidly irresepective of ventilation
49
Low blood solubility = _____ rate of rise FA
faster
50
High blood solubility = _____ rate of rise FA
slower, can be helped with increased ventilation
51
higher solubility = _____ rate of blood uptake from lungs
higher
52
lower solubility = ____ rate of blood uptake from lungs
lower
53
higher cardiac output = ____ induction
slower induction. greater volume of blood, perfuses lungs and removes inhaled anesthetic more, increased uptake decreases concentration of anesthetic in lungs, lowers alveolar arterial and prain partial pressure
54
changes in CO affect FA of _____ soluble agents more
highly. any significant reduction in CO decreases blood uptake
55
vessel rich group
brain, heart, splachnic, liver - less than 10% of body weight, receives 75% of CO. complete equilibrium within 4-8 min
56
muscle group
muscle and skin - 50% body weight, 20% CO, responsible for most of uptake beyond 8 min and requires 2-4hr for equilibrium
57
fat group
poorly perfused, great affinity for anesthetic
58
factors that enhance FA
increased ventilation, decreased CO, low blood solubility
59
blood solubity affect on FA
low blood solubility --> increased FA
60
ventilation affect on FA
increased ventilation --> increased FA
61
CO affect on FA
decreased CO --> increased FA
62
increasing FI _____ rate at which FA approaches FI
increases
63
factors that enhance FA increase or decrease rate of rise in FA/FI
increase
64
Nitrous oxide affect on CO and SVR
crease also does not inhibit hypoxic pulmonary vasoconstriction
65
Nitrous affect on uterine tone and skeletal muscle relaxation
no affect
66
nitrous oxide can cause a ___ in volume
increase. volume depends on 2 variables - time and inspired concentration
67
Contraindications for nitrous
intenstinal obstruction, pneumo, vascular air embolus, COPD, laparoscopy, introcular air, tympanoplasty, pneumocephalus, enotraceal tube cuffs
68
FA/FI ratio rises ____ when CO is doubled
rises slower, more so for soluble agents than insoluble agents
69
acoustic impedence is product of what and what
density and propagation speed