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25 Cards in this Set

  • Front
  • Back

Indication for respiratory therapy

Hypoxia dyspnea increased myocardial work

Complications of oxygen therapy

Respiratory depression hypoxic drive atelectasis oxygen toxicity retrolental fibroplasia

Dyspnea symptoms

Nasal flaring intercostal retractions increased frequency

Hypoxia symptoms

Cyanosis low saturation 92 or below increased work if breathing tachycardia 1st symptom

Increased myocardial work

Increased heart rate increased blood pressure chest pain ekg abmornalies normally 60-100

Atelectasis

60% or higher high oxygen=nitrogen washout changing contents push nitrogen out put in oxygen collapse FIO2 24-48 hours cause atelectasis without nitrogen give positive pressure

Oxygen toxicity

<60% high level toxic to lung tissue type 1 alveolar cell

Retrolental fibroplasia

Baby blindness pao2> 80 torr nitrogen high partial pressure

Air oxygen ratio

100-fio2/fio2-20=part of at entrained/1 part oxygen use 21 on percentages higher than 40%

Calculating total flow

Air oxygen ratio adding the numbers than multiplying the sum by the O2 liter flow

3 ways to meet inspiratory demand

Horns double nebulizer high flow Misty ox

Define low flow

Does not meet patients inspiratory demands therefore room air is entrained causing a variation with the fio2

Normal inspiratory flow

25-30 liters per minute

1-6lpm. for every lpm increase in flow the FIO2 increased by 3-4% 4 liters and above give humidity

Nasal cannula

2 psi pop off with

Regular humidifier

6 psi pop off

7-15 lpm

24-45% FIO2 1-6 flow rate goes posterior

Nasal catheter

Flow delivered.25-2 lpm occlusion=problem

Transtracheal O2 catheter

20cc if oxygen 6-12 lpm no humidity O2 conserve

Oxymiser

20cc of oxygen conserving device

Pendant cannula

Minimum of 5 lpm liter flow 6-10 40-55% FIO2

Simple mask

60-80 FIO2 keep bag full and frequency volume and flow

Partial rebreather

No room air oxygen specific attached to nebulizer except Venturi mask and nonrebreather

High flow

95-100% FIO2 3 valves remove valves used when delivering heliox

Non rebreather

O2 specific COPD patients 24-40 FIO2 90% for COPD patients

Venturi