Low Flow Oxygen Therapy Delivery Devices

question
What is the most common low flow device used?
answer
Nasal cannula
question
CO2 Level can be abstained form an ?
answer
ABG
question
Which of the following provides the best indication of the adequacy of alveolar ventilations?
answer
Arterial blood gas
question
When patient has a known obstructive disease?
answer
Use O2 with caution
question
When the patient isn't known to have an obstructive disease ?
answer
Use O2 Therapy if incated
question
What do we acquire from an ABG?
answer
Oxyhemoglobin
question
Less than 90 is a decline in?
answer
PaO2
question
Weak relationship/more pressure
answer
Right shift
question
Strong relationship/less pressure
answer
Left shift
question
Tipping point on the 02 curve?
answer
60 torr
question
What is the Gail of oxygen therapy?
answer
To treat or prevent hypoxia
question
Will a low flow device meet or exceed a patients inspiratory needs? True or false
answer
False
question
Can you set FiO2 on a low flow device?
answer
No
question
This device supply O2 at flowrate less than patient inspiratory demands
answer
Low Flow Device
question
Low Flow Device
answer
Variable Performance
question
High Flow Devices
answer
Fixed performance
question
This device meet or exceed the patient inspiratory needs
answer
High Flow Device
question
Can you set FiO2 on a high Flow Device?
answer
Yes
question
Supply O2 greater than patient inspiratory demands
answer
High Flow Device
question
#1 goal of O2 Therapy?
answer
Treat or preven hypoxia
question
Low Flow Devices
answer
Nasal Cannula Nasal Catheters Transtracheal Catheters Simple mask
question
Types of reservoir cannula
answer
Mustache Pendent
question
Oxygen conserving devices
answer
Takes what's in the wall and cause you to deliver higher total flows without requiring more flow at the gas source
question
Types of oxygen conserving Devices
answer
Transtracheal Oxygen Catheters (TTO) Nasal Catheter
question
This device goes lower into the TB Tree
answer
Nasal catheter
question
Partial rebreathing mask
answer
Rebreathing some of the expired gas; dead space gas
question
Range on most low Flow oxygen devices
answer
0.22 to 0.80 FiO2
question
FiO2 Level Depend on
answer
Patients Inspiratory Flow Tidal volume Flow of supplied oxygen
question
(Almost) High Flow Devices
answer
Partial rebreathing mask Non rebreathing mask
question
Two types of nasal cannula
answer
Flaired Prongs Straight Prongs
question
Nasal cannula length
answer
6-8ft Some 100ft
question
Standard nasal cannula use what type of tubbing?
answer
Standard bore tubbing
question
Nasal cannula can be used to care for what patients
answer
Infants Peds Adults Older Patients
question
Nasal Cannula is sized by patient population? True or false
answer
True
question
Nasal Prongs
answer
Straight Curved tapered, non tapered
question
Common flow rates for standard nasal cannula in adults?
answer
1-6 Lpm
question
Common flow rates for standard nasal cannula in Peds?
answer
1-6 Lpm
question
Common flow rates for standard nasal cannula in Neonates?
answer
0.25-2 Lpm
question
Micropremature Neonates flow rates for standard nasal cannula?
answer
.1 Lpm
question
Do we add humidity to Adults , Peds, &Neonates when using a nasal cannula? True or false
answer
True
question
Oxi-Ears
answer
Padding that wrap around nasal Cannula to prevent breakdown of patient skin
question
Nasal Catheter is a low Flow Device? True or false
answer
Ture
question
Flow rate for nasal Catheter
answer
0.25-6 Lpm
question
Is the nasal Catheter a long term oxygen delivery device? Yes or no
answer
Yes
question
Should the nasal Catheter be humidified ? Yes or no
answer
Yes
question
The nasal Catheter doesn't bypass the ?
answer
UAW
question
How often should the nasal Catheter be switched?
answer
8-12 hours
question
Who the patient have an increased chance of infection with use of a nasal Catheter? True or false
answer
True
question
Transtracheal Catheter
answer
Most invasive low Flow O2 device
question
O2 is delivered directly into the trachea using what device?
answer
Transtracheal Catheter
question
FiO2 range use a transtracheal Catheter?
answer
22-35%
question
Transtracheal Charles is places at the level of ?
answer
Normal Tracheotomy
question
Transtracheal Catheter also known as ?
answer
TTO OR TTOT
question
Does the transtracheal require surgery?
answer
Minor surgery
question
With transtracheal Catheter the stent is placed ?
answer
Between 2nd and 3rd tracheal rings
question
How long will the stent be in place?
answer
1 week
question
When the stent is removed it's replaced with?
answer
9F Teflon Catheter
question
What type of solution would you use in a transtracheal Catheter procedure?
answer
Isotonic solution
question
The transtracheal Catheter is held in place by a ?
answer
Neck chain
question
When should the transtracheal be replaced?
answer
Less than 90 days
question
Reservoir cannula
answer
Fresh bolus of gas only ejected during inspiration
question
Mustache Cannula
answer
Continuously filled
question
Pendent cannula
answer
Passively filled
question
This cannula inflates in early exhalation
answer
Mustache cannula
question
Simple mask
answer
Fits over patient mouth and nose
question
Simple mask reservoir
answer
100-200 mls
question
Simple mask deliver
answer
.30-.60 FiO2 5-10Lpm
question
Minimum Flow for simple mask?
answer
5 Lpm
question
Simple mask is used for patients that need flows above
answer
4 Lpm
question
Would you put a patient who is omitting on a mask? True or false
answer
False
question
Oixmask
answer
Special O2 mask
question
Is oximask the same as a simple mask?
answer
No
question
You can deliver higher Fi02 with this mask
answer
Oximask
question
Is oximask a high Flow ? True or false
answer
False
question
The oximask deliver flow similar to what device?
answer
Nasal Cannula
question
Your patient can tolerate Micah higher flows on what device?
answer
Oximask
question
Partial rebreathing mask
answer
Face mask & reservoir bag
question
partial rebreathing mask holds?
answer
300-60mls
question
Partial rebreathing mask delivers FiO2 at a rate of
answer
.40-.70
question
The bag on the partial rebreathing mask must be maintained at
answer
2/3 full
question
Device designed to deliver highest FiO2 flows
answer
Partial rebreathing mask
question
Minimum Flow for a partial rebreathing mask?
answer
10-15Lpm
question
The average Ill patient need how much flow on a partial rebreathing mask
answer
30-60lpm
question
Non rebreathing mask
answer
Has 1-way valves between bag & mask; on exhalation parts
question
Minimum Flow for non rebreathing mask?
answer
10-15 Lpm
question
If the patient is breathing faster on non rebreathing mask
answer
FiO2 decrease
question
If the patient is breathing deep on non rebreathing mask
answer
FiO2 increase
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question
What is the most common low flow device used?
answer
Nasal cannula
question
CO2 Level can be abstained form an ?
answer
ABG
question
Which of the following provides the best indication of the adequacy of alveolar ventilations?
answer
Arterial blood gas
question
When patient has a known obstructive disease?
answer
Use O2 with caution
question
When the patient isn't known to have an obstructive disease ?
answer
Use O2 Therapy if incated
question
What do we acquire from an ABG?
answer
Oxyhemoglobin
question
Less than 90 is a decline in?
answer
PaO2
question
Weak relationship/more pressure
answer
Right shift
question
Strong relationship/less pressure
answer
Left shift
question
Tipping point on the 02 curve?
answer
60 torr
question
What is the Gail of oxygen therapy?
answer
To treat or prevent hypoxia
question
Will a low flow device meet or exceed a patients inspiratory needs? True or false
answer
False
question
Can you set FiO2 on a low flow device?
answer
No
question
This device supply O2 at flowrate less than patient inspiratory demands
answer
Low Flow Device
question
Low Flow Device
answer
Variable Performance
question
High Flow Devices
answer
Fixed performance
question
This device meet or exceed the patient inspiratory needs
answer
High Flow Device
question
Can you set FiO2 on a high Flow Device?
answer
Yes
question
Supply O2 greater than patient inspiratory demands
answer
High Flow Device
question
#1 goal of O2 Therapy?
answer
Treat or preven hypoxia
question
Low Flow Devices
answer
Nasal Cannula Nasal Catheters Transtracheal Catheters Simple mask
question
Types of reservoir cannula
answer
Mustache Pendent
question
Oxygen conserving devices
answer
Takes what's in the wall and cause you to deliver higher total flows without requiring more flow at the gas source
question
Types of oxygen conserving Devices
answer
Transtracheal Oxygen Catheters (TTO) Nasal Catheter
question
This device goes lower into the TB Tree
answer
Nasal catheter
question
Partial rebreathing mask
answer
Rebreathing some of the expired gas; dead space gas
question
Range on most low Flow oxygen devices
answer
0.22 to 0.80 FiO2
question
FiO2 Level Depend on
answer
Patients Inspiratory Flow Tidal volume Flow of supplied oxygen
question
(Almost) High Flow Devices
answer
Partial rebreathing mask Non rebreathing mask
question
Two types of nasal cannula
answer
Flaired Prongs Straight Prongs
question
Nasal cannula length
answer
6-8ft Some 100ft
question
Standard nasal cannula use what type of tubbing?
answer
Standard bore tubbing
question
Nasal cannula can be used to care for what patients
answer
Infants Peds Adults Older Patients
question
Nasal Cannula is sized by patient population? True or false
answer
True
question
Nasal Prongs
answer
Straight Curved tapered, non tapered
question
Common flow rates for standard nasal cannula in adults?
answer
1-6 Lpm
question
Common flow rates for standard nasal cannula in Peds?
answer
1-6 Lpm
question
Common flow rates for standard nasal cannula in Neonates?
answer
0.25-2 Lpm
question
Micropremature Neonates flow rates for standard nasal cannula?
answer
.1 Lpm
question
Do we add humidity to Adults , Peds, &Neonates when using a nasal cannula? True or false
answer
True
question
Oxi-Ears
answer
Padding that wrap around nasal Cannula to prevent breakdown of patient skin
question
Nasal Catheter is a low Flow Device? True or false
answer
Ture
question
Flow rate for nasal Catheter
answer
0.25-6 Lpm
question
Is the nasal Catheter a long term oxygen delivery device? Yes or no
answer
Yes
question
Should the nasal Catheter be humidified ? Yes or no
answer
Yes
question
The nasal Catheter doesn't bypass the ?
answer
UAW
question
How often should the nasal Catheter be switched?
answer
8-12 hours
question
Who the patient have an increased chance of infection with use of a nasal Catheter? True or false
answer
True
question
Transtracheal Catheter
answer
Most invasive low Flow O2 device
question
O2 is delivered directly into the trachea using what device?
answer
Transtracheal Catheter
question
FiO2 range use a transtracheal Catheter?
answer
22-35%
question
Transtracheal Charles is places at the level of ?
answer
Normal Tracheotomy
question
Transtracheal Catheter also known as ?
answer
TTO OR TTOT
question
Does the transtracheal require surgery?
answer
Minor surgery
question
With transtracheal Catheter the stent is placed ?
answer
Between 2nd and 3rd tracheal rings
question
How long will the stent be in place?
answer
1 week
question
When the stent is removed it's replaced with?
answer
9F Teflon Catheter
question
What type of solution would you use in a transtracheal Catheter procedure?
answer
Isotonic solution
question
The transtracheal Catheter is held in place by a ?
answer
Neck chain
question
When should the transtracheal be replaced?
answer
Less than 90 days
question
Reservoir cannula
answer
Fresh bolus of gas only ejected during inspiration
question
Mustache Cannula
answer
Continuously filled
question
Pendent cannula
answer
Passively filled
question
This cannula inflates in early exhalation
answer
Mustache cannula
question
Simple mask
answer
Fits over patient mouth and nose
question
Simple mask reservoir
answer
100-200 mls
question
Simple mask deliver
answer
.30-.60 FiO2 5-10Lpm
question
Minimum Flow for simple mask?
answer
5 Lpm
question
Simple mask is used for patients that need flows above
answer
4 Lpm
question
Would you put a patient who is omitting on a mask? True or false
answer
False
question
Oixmask
answer
Special O2 mask
question
Is oximask the same as a simple mask?
answer
No
question
You can deliver higher Fi02 with this mask
answer
Oximask
question
Is oximask a high Flow ? True or false
answer
False
question
The oximask deliver flow similar to what device?
answer
Nasal Cannula
question
Your patient can tolerate Micah higher flows on what device?
answer
Oximask
question
Partial rebreathing mask
answer
Face mask & reservoir bag
question
partial rebreathing mask holds?
answer
300-60mls
question
Partial rebreathing mask delivers FiO2 at a rate of
answer
.40-.70
question
The bag on the partial rebreathing mask must be maintained at
answer
2/3 full
question
Device designed to deliver highest FiO2 flows
answer
Partial rebreathing mask
question
Minimum Flow for a partial rebreathing mask?
answer
10-15Lpm
question
The average Ill patient need how much flow on a partial rebreathing mask
answer
30-60lpm
question
Non rebreathing mask
answer
Has 1-way valves between bag & mask; on exhalation parts
question
Minimum Flow for non rebreathing mask?
answer
10-15 Lpm
question
If the patient is breathing faster on non rebreathing mask
answer
FiO2 decrease
question
If the patient is breathing deep on non rebreathing mask
answer
FiO2 increase