Test 1 Module 1 +NBRC/AARC
Questions and Answers.
What are the RESPIRATORY identifiable symptoms of hypoxia/hypoxemia? -
\-Increased RR (tachypnea)
-Dyspnea (perceived SOB)
-Paleness (cyanosis=severe)
What are the CARDIOVASCULAR identifiable symptoms of hypoxia/hypoxia? -
\-Mild hypertension (secondary to vasoconstriction)
*if severe, leads to eventual hypotension.
What are the NEUROLOGIC identifiable symptoms of hypoxia/hypoxemia? -
\-Restlessness
-Disorientation
-Headaches
-Severe case lead to (distressed appearance, confusion, blurred vision, loss of
coordination, slow reaction time, somnolence, coma)
Patient need of 02 based on LAB DOCUMENTATION. -
\-Pa02 is <60mmHg
-Sp02 is less than 90% on RA.
Patient need of 02 based on CLINICAL findings at bedside. -
\-Tachycardia
-Tachypnea
-Confusion
Patient need of 02 via Non-rebreather based on SPECIAL CONSIDERATIONS. -
\-Pneumothorax
-CO/ cyanide poisoning
-Acute myocardial infarction (MI)
Patient need of 02 via Simple Mask based on SPECIAL CONSIDERATIONS. -
\-Post anesthesia
What are the LOW FLOW devices? (Hint: There are 7) -
\-Nasal Cannula
-Nasal Catheter
-Transtracheal Catheter
-Reservoir Cannula
-Simple Mask
, -Partial Rebreather
-Non Rebreather
What is the flow rate for a NASAL CANNULA? -
\1/4-6L/min
What is the Fi02 rate for a NASAL CANNULA? -
\24-44%
What is the flow rate for a SIMPLE MASK? -
\5-10L/min
What is the Fi02 range for a SIMPLE MASK? -
\35%-50%
What is the flow rate for a NON RE-BREATHER? -
\10L/min-inflation of the bag-15L
What is the Fi02 rate for a NON RE-BREATHER? -
\60-80%
What is the conversion factor for an E tank? -
\0.28
What is the conversion factor for an H tank? -
\3.14
What is Patient Demand? -
\When you provide all of the 02 the patient is inspiring and no RA is allowed in. (Minute
Ventilation) x 3.
What factors are needed to calculate a Pts demand? -
\RR (Respiratory rate) x Vt (Tidal Volume)= Ve (Minute Ventilation) x 3= Patient
Demand
What type of relationship does the size of the jet to the Fi02 have? -
\Direct. The size of the jet increases, the Fi02 increases.
What type of relationship does the size of the entrainment port to the Fi02 have? -
\Indirect. The size of the port increases, the Fi02 decreases.
When do you need to increase the flow? -
\When the applied L/min is not causing the Sp02 to return to normal.
Sp02 for normal patient= 95% and above
COPD patient= low 90%s
Questions and Answers.
What are the RESPIRATORY identifiable symptoms of hypoxia/hypoxemia? -
\-Increased RR (tachypnea)
-Dyspnea (perceived SOB)
-Paleness (cyanosis=severe)
What are the CARDIOVASCULAR identifiable symptoms of hypoxia/hypoxia? -
\-Mild hypertension (secondary to vasoconstriction)
*if severe, leads to eventual hypotension.
What are the NEUROLOGIC identifiable symptoms of hypoxia/hypoxemia? -
\-Restlessness
-Disorientation
-Headaches
-Severe case lead to (distressed appearance, confusion, blurred vision, loss of
coordination, slow reaction time, somnolence, coma)
Patient need of 02 based on LAB DOCUMENTATION. -
\-Pa02 is <60mmHg
-Sp02 is less than 90% on RA.
Patient need of 02 based on CLINICAL findings at bedside. -
\-Tachycardia
-Tachypnea
-Confusion
Patient need of 02 via Non-rebreather based on SPECIAL CONSIDERATIONS. -
\-Pneumothorax
-CO/ cyanide poisoning
-Acute myocardial infarction (MI)
Patient need of 02 via Simple Mask based on SPECIAL CONSIDERATIONS. -
\-Post anesthesia
What are the LOW FLOW devices? (Hint: There are 7) -
\-Nasal Cannula
-Nasal Catheter
-Transtracheal Catheter
-Reservoir Cannula
-Simple Mask
, -Partial Rebreather
-Non Rebreather
What is the flow rate for a NASAL CANNULA? -
\1/4-6L/min
What is the Fi02 rate for a NASAL CANNULA? -
\24-44%
What is the flow rate for a SIMPLE MASK? -
\5-10L/min
What is the Fi02 range for a SIMPLE MASK? -
\35%-50%
What is the flow rate for a NON RE-BREATHER? -
\10L/min-inflation of the bag-15L
What is the Fi02 rate for a NON RE-BREATHER? -
\60-80%
What is the conversion factor for an E tank? -
\0.28
What is the conversion factor for an H tank? -
\3.14
What is Patient Demand? -
\When you provide all of the 02 the patient is inspiring and no RA is allowed in. (Minute
Ventilation) x 3.
What factors are needed to calculate a Pts demand? -
\RR (Respiratory rate) x Vt (Tidal Volume)= Ve (Minute Ventilation) x 3= Patient
Demand
What type of relationship does the size of the jet to the Fi02 have? -
\Direct. The size of the jet increases, the Fi02 increases.
What type of relationship does the size of the entrainment port to the Fi02 have? -
\Indirect. The size of the port increases, the Fi02 decreases.
When do you need to increase the flow? -
\When the applied L/min is not causing the Sp02 to return to normal.
Sp02 for normal patient= 95% and above
COPD patient= low 90%s
