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51 Cards in this Set

  • Front
  • Back
What is humidity?
Water in a gaseous state or
vapor.
What are the goals of humidity therapy?
Humidify dry therapeautic gases.

Provide 100% humidity for patients with artificial airway.

Compensate for humidity deficit
What is absolute humidity?
What is formula to calculate?
Actual amount of water in a given volume of gas at a specific temperature.

AH=RH x capacity
What is capacity?
Total amount of water in a given volume of gas at a specific temperature.
What is partial pressure-water vapor pressure?
The pressure exerted by water vapor molecules in a given volume of gas.
What is relative humidity?
What is formula to calculate?
Measurement of amount of moisture present in the air.

RH= AH÷Capacity x 100
What is Body humidity?
What is formula to calculate?
Water saturation condition of gas in the lungs.

BH=AH÷44mg/L x 100
What is the water vapor pressure at 37°C and 100% saturation?
47mmHg
What is the total amount of water required to saturate a gas at body temperature?
44 mg/L
What is the capacity of water vapor at 37°C
44mg/L
What does humidity deficit mean?
Moisture deficit between the inspired air and the needs of the body.
Calculate Humidity deficit. (2 ways)
HD=44mg/L - AH

%DH=HD÷44mg/L x 100
What is a humidifier and how does it operate?
A device that produces water in a gaseous state through the process of evaporation.
Efficiency of humidifiers is dependent on what 3 factors?
Time of contact between gas & water.

Surface area involved in gas & water contact.

Temperature of gas & water.
What type of humidifier is commonly used with low flow oxygen delivery devices?
Bubble humidifer
Is a cascade humidifier heated?
Yes.
Does a cascade humidifier supply 100% body humidity?
Yes.
What would cause the whistling noise to come from a bubbler humidifier?
Kinked or obstructed tubing.

Flow set too high.
What is the purpose of the whistling sound from the humidifier?
Acts as an alarm.
Condensation that occurs in the tubings of a heated humidifier should be drained back into the humidifier or water reservoir? Why or why not.
No. Bacteria cross contamination.
How does a heated moisture exchanger(HME)artificial nose work?
It traps exhaled gas at body temperature. As the next air is inspired it is heated by exchanger.
When would you want to switch a patient from using a HME to a conventional humidifier?
If a patients secretions begin to thicken.
What is aerosol?
Water in a particulate form or mist.
What are other names for a large volume nebulizer?
Pneumatic, Air entrainment, Jet.
What type of microorganism can grow in the water of a nebulizer? What problem does this cause?
Pseudomonas. Contamination.
When the dilution control on a large volume nebulizer is changed from 35% to 60% what happens to:
a) air entainment
b) density of the mist
c) output of the mist
a) decreases
b) increases
c) decreases
When the dilution control on a large volume nebulizer is changed from 60% to 35% what happens to:
a) air entainment
b) density of the mist
c) output of the mist
a) increases
b) decreases
c) increases
List the FiO2, the liter flow range and if high or low flow on Aerosol Mask.
21-100%
8-15 LPM
HF
List the FiO2, the liter flow range and if high or low flow on Face Tent.
21-40%
8-15 LPM
HF
List the FiO2, the liter flow range and if high or low flow on T-Tube
21-100%
8-15%
HF
List the FiO2, the liter flow range and if high or low flow on Tracheostomy Collar.
21-100%
8-15LPM
HF
List the FiO2, the liter flow range and if high or low flow on Oxyhood.
21-100%
7-15 LPM
HF
List the FiO2, the liter flow range and if high or low flow on O2 Tent.
21-50%
12 and up LPM
HF
What types of patients would you use a face tent for?
Burn victims, Facial trauma,
Irritated by regular masks.
What types of patients would you use a T-Tube for?
Pts that have had a Tracheostomy or have been intubated.
What type of patients would you use a Tracheostomy collar for?
Pt that had Tracheostomy proceedure.
What are the types of aerosol enclosure devices?
Incubator, Hood, Tent
What item should never be allowed in an oxygen tent? Explain why.
Anything that can vause a spark or combustion. Oxygen acts as an accelerant to fire.
If there is a restriction or obstruction in the tubing of an aerosol set up explain what happens to the FiO2.
Increases
You should drain condensation that accumulates in the aerosol tubing back into the nebulizer jar?
No. Bacteria contamination.
After setting up a patient on an aerosol delivery device you should see mist coming out of the device at all times?
Yes.
If the mist disappears on inspiration from an aerosol delivery device explain what happens and how do you correct it.
FiO2 needs are not being met.

Room air is being entrained.

Join 2 units in tandem or tun up flow
What are the goals of a large volume nebulizer?
Provide continuous Oxygen

Provide continuous aerosol.

Compensate for humidity deficit.

Thin mucous secretions.
Can a large volume nebulizer be heated and cooled?
Yes
What are the hazards of a large volume nebulizer?
Fluid overload
Overheating of inspired gas
Cross contamination
Bronchospasms
Secretions swell and cause obstruction.
What types of patients should use cool aerosol and humidity?
Patients with croup, stridor, upper airway intubation.
What types of patients should use heated aerosol and humidity?
Patients with bypassed upper airway, viscous secretions, hypothermia, and neonates.
What 3 things does an oxygen analyzer measure?
FiO2
O2 concentration
Percent of O2 being delivered.
Accuracy of analyzers is affected by what factors?
Water on the sensor

High system pressures

Changes in altitude
If you cannot calibrate a galvanic fuel cell what should be done?
Change the fuel cell.
What are the 3 ways to measure humidity?
Absolute
Relative
Partial Pressure