Medical Gas Therapy：医用气体的治疗.ppt

Medical Gas Therapy Goals of O2 Therapy Relieve hypoxemia Pneumonia, V/Q mismatch Decrease WOB Asthma, COPD Decrease myocardial work MI, pulmonary edema Effects of Hypoxemia Peripheral vasodilation Patient feels warm Pulmonary vasoconstriction Shunting, increased PVR Tachycardia Primary indication of hypoxemia A 56 year old female patient is receiving oxygen at 1.5 L/min. via a pulsed-dose oxygen delivery system attached to a reservoir cannula. As you are doing your oxygen rounds, the patient complains of severe shortness of breath and states she is not getting enough air. What would be your first immediate response at this time? A.Attach the patient’s reservoir cannula to a thorpe tube flowmeter at 1.5 L/min. B.Remove the cannula and verify the flow C.Troubleshoot the equipment D.Increase the liter flow to 2 L/min. The best way to check the accuracy of an air/oxygen proportioner is by using: A.polarographic electrode analyzer B.precision geisler tube analyzer C.infrared absorption analyzer D.teflon membrane analyzer ALL Equipment! Know When to use it. How to fit it. Increase flow is the most common troubleshooting answer on the exam. The physician has requested that you administer 80% helium and 20% oxygen mixture to a patient. Which of the following equipment would you need to administer the therapy? I.????Air/oxygen proportioner II.????Venturi mask III.????Oxygen analyzer IV.????Non-rebreather mask A.IV only B.I and III only C.II only D.I, III and IV only A patient is receiving oxygen via a Venturi mask at an FIO2 of 0.45. The nurse is complaining that the patient keeps removing the Venturi mask from his face. You would do which of the following at this time? A.Tape the Venturi mask to the patient’s face B.Restrain the patient C.Switch to a nasal cannula at 6 L/min. D.Intubate the patient orally The recommended effective dose for Nitric Oxide Therapy is: 0.5 – 1.5 ppm 2 – 20 ppm 80 – 150 ppm 400 – 600 ppm A patient is receiving 100% oxygen via an aerosol mask at