Heliox Therapy
What is Heliox used for?
A medical gas mixture of helium and oxygen used to reduce airway resistance and improve gas flow.
What is the primary goal of respiratory therapy protocols?
To standardize patient care by ensuring appropriate treatment based on clinical assessment and evidence-based guidelines.
Primary alarm
initiated when 150L is left in the cylinder
Measurement after inhalation but before exhalation
Plateau pressure
ASV stands for
Adaptive Support Ventilation
Why shouldn't Heliox be used for patients requiring high FiO₂?
The oxygen concentration in Heliox mixtures is limited (typically 20-30%), making it unsuitable for patients needing >40% FiO₂.
The RT should transfer MDI medication to nursing when?
The patient is on no other respiratory therapy, has demonstrated proper technique with spacer, and is not in an exacerbated state.
The process of physically following the oxygen tubing from the interface back to the oxygen source.
Trace the line
Normal range for static compliance
50-100 ml/cmH2O
A narrow and high safety window indicates
Obstructive lung disease
This must be performed on the G5 ventilator before initiating Heliox therapy.
Calibration of flow sensor
The frequency of racemic epinephrine given per protocol
Once
Secondary Alarm sounds when
15 minutes are left in the tank
Increased PIP and Increased Plateau
Low Lung Compliance
A timer begins when
The patient is within the weaning zone
Heliox is delivered at this flow when running through an oxygen flow meter.
1.8 times the indicated flow.
When tracheostomy weaning and decannulation can begin.
Weaned from ventilator for at least 24 hours, tolerating t-piece with SpO2 >90% and on <40% FiO2, and a cough reflex strong enough to clear secretions.
Card that is signed off by nursing overseeing patient care when a patient is being transported
Ticket to Ride
RCexp > 0.7 m ay indicate...
An increase in resistance
RR, Vt, and I-time depending on the patient's lunch mechanics and efforts.
Your H tank and is now whistling, what is the cause?
Flow is too low, you must increase it to at least 50-55L on your regulator.
Required for patients who have been diagnosed with central or mixed sleep apnea
Unit with ST and back up rate and call pulmonary physician for settings.
Most recent addition to the Oxygen Policy
A patient can not be left on home oxygen tank or concentrator until they have left the building.
Patient has a sudden drop in SpO2 with no change to RCexp may indicate
Pulmonary embolism or decrease in cardiac output
Set ETS% at what level if patient has been diagnosed as having ARDS
5%-25%. Longer inspiratory time.