Go with the (low) flow devices
High Flow Devices
O2 Safety
Pulse Oximetry
Anything Goes!
100
This O2 delivery device can deliver flows <6L/min
What is a nasal cannula?
100
These two values should always be charted for any patient on high-flow nasal cannula
What are FiO2 and Flow (L/min)
100
This is the threshold at which you need to get a new/full O2 tank
What is when it starts beeping?
100
This is the shape a reliable SpO2 reading should show
What is an undulating wave
100
This is where to line up the ball on the flowmeter for an accurate reading
What is with the center of the ball aligned with the line/tickmark
200
This O2 delivery device can deliver FiO2 of approx 85-95%
What is a non-rebreather mask?
200
This is the range of flow generally used on our high flow devices here at the U
What is 30-60L/min
200
Patients' initial trial with a Passy-Muir valve requires a consult by which skilled clinician
What is an SLP
200
Some evidence exists to support the best SpO2 readings on these two fingers
What are 3rd and 4th?
200
These are the two ways you may see FiO2 written in a note
What is a decimal or percentage?
300
This O2 delivery device can be used for flows of 6-10L/min
What is a simple mask / Face mask?
300
The resting FiO2 threshold for patients to stay on the floor
What is 60% FiO2
300
These are two setups for a trach dependent patient that could be attached to the venturi
What is a t-piece or a trach mask?
300
These are the body sites for pulse-oxes that the U has regularly stocked
What are finger and forehead? (May also see earlobe and nose)
300
What do CLVN and HLVN stand for? *Bonus points: Which patients benefit from these?
What is cold (or heated) large volume nebulization (CLVN or HLVN)? *Bonus: patients who need more humidity!
400
This device is our portable, low-flow device for patients who are trach dependent
What is a venturi?
400
Trach dependent patients often use the high-flow setup regardless of FiO2 need because the high-flow devices deliver this essential component
What is humidity
400
You should never make this adjustment to a trach if it comes out of the patient
What is push it back in
400
People of color might demonstrate this inaccuracy when it comes to pulse-ox readings
What is a false high reading? (up to 2%)
400
This is the reason an AirVo (fancy/high-tech) HFNC is not portable away from bedside
What is a lack of battery backup for powering the entire device?
500
This is the basic calculation to determine FiO2 on a low-flow device
What is L/min x4 +21%
500
This is the calculation to determine FiO2 on a high-flow device
Trick question! We do not use a calculation, FiO2 and flow are titrated separately
500
Different than a patient with a tracheostomy, this is where to attach an ambu-bag to a patient with a laryngectomy who needs rescue breathing
What is their stoma?
500
This group of patients will likely have unreliable SpO2 readings due to being non-pulsatile
What are patients with LVADs
500
This is the reason the "stick" (low-tech) HFNC is not portable away from bedside
What is due to it running on pneumatic compression (a tank is not sufficient for flow)