WEEK 3
FIO2 AND LPM RANGE FOR NC
FIO2 24-44%; FLOW 1-6L ON FLOWS GREATER THAN 4L ADD BUBBLE HUMIDIFIER
A GAS MIXTURE OF 70/30 HELIOX IS RUNNING AT A FLOW RATE OF 5 LPM ON AN OXYGEN FLOWMETER. WHAT IS THE ACTUAL FLOWRATE OF THE GAS MIXTURE?
5LPM X 1.6= 8LPM
Isothermic saturation boundary is normally _____ cm below the carina?
5cm
Hyperinflation modalities provide methods for increasing____.
Inspiratory volumes
When should chest physiotherapy or bronchopulmonary hygiene therapy be scheduled for patients who have feeding tubes or scheduled meals?
before or at least 1.5 to 2 hours after a meal
FIO2 AND FLOW RANGES FOR SIMPLE MASK
FIO2 40-55%; FLOW 6-10L
IF A PHYSICIAN WANTED 80/20 HELIOX TO RUN AT A DESIRED RATE OF 10 LPM, WHAT SHOULD BE THE FLOW RATE SET ON THE OXYGEN FLOWMETER?
10LPM/1.8= 5.6LPM
Most bubble humidifiers incorporate a pressure pop-off valve set at ___psi or ____mmHg.
2psi, 40mmHg
A patient is having difficulty initiating each breath with an IPPB machine. The RCP should adjust the ____
Sensitivity
False
FIO2 RANGE AND LPM FOR NON-REBREATHER
FIO2 60-80%, FLOW 10-15LPM;NBRC MINIMUM 10L AND FIO2 OF 21-100%
FIO2 AND FLOW FOR AIR ENTRAINMENT MASK
24-50%, VARIABLE FLOW.
If your patient coughed up thick yellow secretions and it soiled the HME making your vent alarm high pressure. What would you do?
Take out the HME and change to a heated humidifier.
Which control is used to increase the volume delivered by the IPPB machine?
Pressure
If you had a Emphysematic patient, CF, or bronchiectsis patient, which cough would be affective for them?
Forced expiratory technique (FET) "HUFF" cough
FIO2 AND LPM RANGE FOR PARTIAL REBREATHING MASK
FIO2 60-65%, FLOW 6-10L
WHAT IS THE FIO2 WHEN YOU MIX 9LPM OF AIR WITH 7LPM OF OXYGEN
(.21*9LPM)+(1.0*7LPM)/9LPM+7LPM
=1.89+7/16
=.555625
=56%
If you are going to take your patient on transport from the ICU to MRI, what would you attach to the circuit, an heater or HME?
HME
If flow is increased during IPPB, what would happen to the I-time?
decreases
If you had a patient with spinal cord injuries or had a disease state where abdominal muscles are weak, what cough would be effective for them?
Quad cough
WHAT IS THE DIFFERENCE BETWEEN A HIGH FLOW AND LOW FLOW NASAL CANNULA?
HIGH FLOW GIVES PRECISE FIO2 AND A HIGHER LITER FLOW
CALCULATE THE AIR/O2 RATIO FOR 40%
Magic Box 100-40=60/20=3
40-20=20/20=1
3parts air:1 part O2 or 3:1
4 total parts (3+1=4)
By the time inspired air reaches the _____, inspired air should be____*C, ____mg/L, and ____mmHg.
ISB (isothermic saturation boundary), 37*C, 44mg/L, and 47mmHg.
If you had a post op patient for a c-section. Her xray showed signs of scattered infiltrates at the bases. What therapeutic modality would you recommend?
Incentive spirometry
If you had a muscular dystrophy, multiple sclerosis or neuromuscular diseased patient what ACT (airway clearance therapy) modality would you prescribe to them?
Cough assist.