B. A clinical emergency exists in which a profound hypoxia is determined to be present.
|
|
- Alexia Sullivan
- 6 years ago
- Views:
Transcription
1 I. Subject: Oxyhood-Oxygen Therapy for Neonates II. Policy: Oxygen therapy by oxyhood shall be initiated upon a physician's order by nurses and Respiratory Therapy personnel trained in the principles of oxygen administration. Oxygen therapy may be initiated by nursing personnel or Respiratory Therapy personnel pending a specific order by a physician in the following situations: A. Oxygen administration is included in an approved written treatment protocol, or B. A clinical emergency exists in which a profound hypoxia is determined to be present. III. Indications: Hypoxemia- A. Documented hypoxemia- 1) PaO2 less than 60 mmhg and/or SpO2 less than90% or capillary oxygen tension (PaO2) < 40 mmhg B. An acute situation in which hypoxemia is suspected C. Disease states in which hypoxemia may accompany include: 1) Transient tachypnea of newborn 2) Meconium aspiration 3) Persistent fetal circulation or persistent pulmonary hypertension 4) Respiratory distress syndrome of the newborn (hyaline membrane disease) 5) Pneumonia 6) Bronchopulmonary dysplasia (BPD) 7) Congenital heart defects 8) Lung hypoplasia 1
2 IV. Contraindications: There are no specific contraindications for oxygen administration when indications are judged to be present. V. Rationale: Oxygen therapy is the administration of oxygen at concentrations greater than that in ambient air with the intent of treating or preventing the symptoms and manifestations of hypoxia. The direct effect of breathing increased oxygen concentration is to increase alveolar oxygen tensions, thus increasing the pressure gradient for oxygen diffusion into the blood system. These increased alveolar oxygen concentrations may result in less pulmonary work needed to maintain a given alveolar oxygen tension and/or less myocardial work. Oxygen can be administered by oxyhood in concentrations up to 100%. The specific concentration prescribed depends on the patient's condition and the therapeutic goal. Administration of oxygen by oxyhood is a high flow system which provides the entire gas flow inspired by the patient. The flow rate must be great enough to exceed the patient's minute ventilation requirements and clear the neonate's expired gas from the enclosure. Oxygen therapy by oxyhood utilizes an oxygen blender for precise control of FIO2. The system also provides heated humidification by use of a large volume nebulizer. Care must be taken to prevent over-cooling of the neonate and over-hydration. VI. Materials: Oxygen blender with flowmeter Large volume nebulizer prefilled with sterile water Aerosol tubing Drain bag Heater Thermometer Oxyhood Adaptor for bleed in of additional oxygen and oxygen supply tubing (optional) Oxygen analyzer 2
3 VII. Procedure: A. Check order- Verify the physician's order as follows: 1) Compare the requisition with the physician's order to ensure that no discrepancies exist. 2) Review the order to ensure that the oxygen concentration is prescribed. 3) If any part of the order is unfamiliar, question its accuracy. B. Confirm patient- Check armband for correct name and birthdate. C. Review chart- Based on the patient data, identify the following: 1) Conditions that indicate the need for oxygen therapy 2) Potential hazards of oxygen for the patient D. Maintain cleanliness- While performing the remainder of this procedure, it is expected that clean conditions will be maintained. E. Obtain equipment- Collect the equipment and supplies listed in Section VI. Select the appropriate size oxyhood. F. Assemble equipment- Prepare equipment for use as follows: 1) Place the heater collar on the large volume, prefilled nebulizer and attach the nebulizer to the blender flowmeter. 2) Set the oxygen percentage on the nebulizer to 21% or that prescribed by physician order. 3) Connect adequate lengths of large bore aerosol tubing to the nebulizer, place the drain bag in line at the lowest point, and connect the distal end to the oxyhood. 4) Connect the blender gas supply hoses to the oxygen and air source gases. G. Test Equipment- 1) Turn on the oxygen blender flowmeter to a flowrate of 6-10 L/min and verify the presence of aerosol into the oxyhood. 3
4 H. Implement procedure- 1) Set the prescribed oxygen concentration on the oxygen blender. 2) Turn on the flowmeter to the range of 6-10 L/min. Adjust heater to 5-6 on the temperature control dial. 3) Carefully place the hood over the infant's head. 4) Place a previously calibrated oxygen analyzer probe inside the oxyhood and continuously monitor the FIO2. Make any adjustments to the blender settings as needed to achieve desired outcome. 5) Place temperature probe on oxyhood and maintain environment at 37 degrees C. Adjust heated control dial on the nebulizer heater as necessary. 6) Assess patient for appropriate clinical signs which indicate adequate oxygenation. I. Record results- Document each shift the therapy as follows: 1) Record the following data on the patient's chart: a. Date/Time b. Oxyhood device in use. Indicate the gas flow rate and FIO2. c. Oxyhood environment temperature d. Any complications, abnormal patient conditions, and observations of patient's condition. VIII. Special Considerations: A. Administration of additional oxygen flow may be necessary to achieve very high (greater than90%) oxygen concentrations. This may be accomplished by adding an adaptor connected at the inlet part of the oxyhood and connecting this to a flowmeter by oxygen supply tubing. The flowmeter is turned on and flowrate adjusted until the desired FIO2 is achieved. Precautions must be taken to avoid cooling of neonate, or inadequate humidification. B. Retinopathy of prematurity may occur with exposure of premature infants with immature retinal vasculature to PaO2 levels greater than 80 mmhg and durations as short as six (6) hours. 4
5 C. In all cases, the minimum FIO2 should be employed to assure adequate oxygenation. IX. Hazards/Complications: A. Oxygen toxicity- 1) In general, the lowest FIO2 should be used that achieves an acceptable PaO2, and the oxygenation status of the infant monitored closely. B. Absorption atelectasis C. Retinopathy of prematurity 1) In premature infants PaO2 >80 mmhg should be avoided D. Increased PaO2 can contribute to closure or constriction of the ductus arteriosus which is a possible concern in infants with ductus dependent heart lesions. E. Excessive cooling of infant F. Over-Hydration G. BPD H. Fire Hazard 5
2) an acute situation in which hypoxemia is suspected.
I. Subject: Oxygen Therapy II. Policy: Oxygen therapy shall be initiated upon a physician's order by health care professionals trained in the set-up and principles of safe oxygen administration. Oxygen
More informationOXYGEN THERAPY. (Non-invasive O2 therapy in patient >8yrs)
OXYGEN THERAPY (Non-invasive O2 therapy in patient >8yrs) Learning aims Indications and precautions for O2 therapy Targets of therapy Standard notation O2 delivery devices Taps, tanks and tubing Notation
More informationAll Programs. CROSS REFERENCE: Initiation, Titration and Discontinuation of Oxygen Therapy for Adult Patients Medical Directive
1 All Programs SUBJECT: Oxygen Standard of Care for the Adult Patient ISSUING BODY: Nursing Practice Council, Respiratory Therapy Services, Physiotherapy Practice Council and Occupational Therapy Practice
More informationOther Oxygen Delivery Systems
53 Oxygen is the most commonly used drug in the NICU. Excessive use of oxygen is linked to BPD and RDP. At the same time, hypoxemia is equally harmful and is associated with increased risk of mortality.
More informationThe aim of this guideline is to describe the indications and procedure for using high flow nasal prong oxygen
High flow nasal prong HFNP oxygen therapy o Introduction & aim o Indications o Contraindications o Management equipment setup patient management o Weaning o Complications Introduction Humidified high flow
More informationPHTY 300 Wk 1 Lectures
PHTY 300 Wk 1 Lectures Arterial Blood Gas Components The test provides information on - Acid base balance - Oxygenation - Hemoglobin levels - Electrolyte blood glucose, lactate, renal function When initially
More informationRespiratory Signs: Tachypnea (RR>30/min), Desaturation, Shallow breathing, Use of accessory muscles Breathing sound: Wheezing, Rhonchi, Crepitation.
Respiratory Signs: Tachypnea (RR>30/min), Desaturation, Shallow breathing, Use of accessory muscles Breathing sound: Wheezing, Rhonchi, Crepitation. Paradoxical breathing Hyper-resonance on percussion:
More information3100A Competency Exam
NAME DATE (Circle the appropriate answer) 3100A Competency Exam 1. Of the following, which best describes the mechanics of ventilation used by the 3100A? a. Active inspiration with passive exhalation b.
More informationStandards and guidelines for care and management of patients requiring oxygen therapy.
PURPOSE Standards and guidelines for care and management of patients requiring oxygen therapy. STANDARDS Ongoing management of oxygen therapy requires a prescriber s order. The order must specify oxygen
More informationHIGH FREQUENCY JET VENTILATION (HFJV): EQUIPMENT PREPRATION
POLICY The physician orders High Frequency Jet Ventilation (HFJV). The Respiratory Therapist in discussion with the physician will determine blood gas targets and ventilation settings for the treatment
More informationUsing the Lifebox oximeter in the neonatal unit. Tutorial 1 the basics
Using the Lifebox oximeter in the neonatal unit Tutorial 1 the basics Lifebox 2014. 2011. All rights reserved The Lifebox Pulse Oximeter In this tutorial you will learn about: The function of a pulse oximeter
More informationPROCEDURE (TASK): AEROSOL ENCLOSURES (TENTS) 6. Connects aerosol generator to Selects gas source corresponding to F I O2 appropriate gas source.
PROCEDURE (TASK): AEROSOL ENCLOSURES (TENTS) I. KEY PERFORMANCE ELEMENTS IMPLEMENTATION AND ASSESSMENT Procedural Element (Step): Description of Satisfactory Performance: 6. Connects aerosol generator
More informationPolicies and Procedures. Title: OXYGEN ADMINISTRATION
Policies and Procedures Title: OXYGEN ADMINISTRATION ID Number: 1115 Authorization [X] Former SKtnHR Nursing Practice Committee Source: Nursing, Respiratory Therapy, Physiotherapy Date Revised: May 2018
More informationEmergency Medicine High Velocity Nasal Insufflation (Hi-VNI) VAPOTHERM POCKET GUIDE
Emergency Medicine High Velocity Nasal Insufflation (Hi-VNI) VAPOTHERM POCKET GUIDE Indications for Vapotherm High Velocity Nasal Insufflation (Hi-VNI ) administration, the patient should be: Spontaneously
More informationCorporate Overview and Product Summary
2008 Corporate Overview and Product Summary Vapotherm Summary: Market leader and originator of High Flow Therapy Founded in 1999 Headquartered in Stevensville, MD Clinical and education leadership in High
More informationCHAPTER 6. Oxygen Transport. Copyright 2008 Thomson Delmar Learning
CHAPTER 6 Oxygen Transport Normal Blood Gas Value Ranges Table 6-1 OXYGEN TRANSPORT Oxygen Dissolved in the Blood Plasma Dissolve means that the gas maintains its precise molecular structure About.003
More informationSection Two Diffusion of gases
Section Two Diffusion of gases Lecture 5: Partial pressure and the composition of gasses in air. Factors affecting diffusion of gases. Ventilation perfusion ratio effect on alveolar gas concentration.
More informationUnit 15 Manual Resuscitators
15-1 Unit 15 Manual Resuscitators GOAL On completion of this unit, the student should comprehend the proper operation of self-inflating resuscitation bags, flow-inflating resuscitation bags and gas-powered
More informationBoards and Beyond: Pulmonary
Boards and Beyond: Pulmonary A Companion Book to the Boards and Beyond Website Jason Ryan, MD, MPH i ii Table of Contents Pulmonary Anatomy 1 Treatment of COPD/Asthma 45 Pulmonary Physiology 4 Pneumonia
More informationEMS INTER-FACILITY TRANSPORT WITH MECHANICAL VENTILATOR COURSE OBJECTIVES
GENERAL PROVISIONS: EMS INTER-FACILITY TRANSPORT WITH MECHANICAL VENTILATOR COURSE OBJECTIVES Individuals providing Inter-facility transport with Mechanical Ventilator must have successfully completed
More informationBlood Gas Interpretation
Blood Gas Interpretation Pa O2 Saturation (SaO 2 ) Oxygen Therapy Monitoring Oxygen content (O( 2 Ct) Venous Oximetry Mixed venous oxygen saturation SvO 2 Surrogate for Systemic oxygen delivery and
More informationRESPIRATORY CARE POLICY AND PROCEDURE MANUAL. a) Persistent hypoxemia despite improved ventilatory pattern and elevated Fl02
The University of Mississippi AND PROCEDURE MANUAL Effective Date: June 30, 1990 Revised Date: December 2009 MANUAL CODE Page 1 of 5 PREPARED BY: Respiratory Care Policy and Procedure Review Committee
More informationMechanical Ventilation
PROCEDURE - Page 1 of 5 Purpose Scope Physician's Order Indications Procedure Mechanical Artificial Ventilation refers to any methods to deliver volumes of gas into a patient's lungs over an extended period
More informationPICU Resident Self-Study Tutorial The Basic Physics of Oxygen Transport. I was told that there would be no math!
Physiology of Oxygen Transport PICU Resident Self-Study Tutorial I was told that there would be no math! INTRODUCTION Christopher Carroll, MD Although cells rely on oxygen for aerobic metabolism and viability,
More informationHyperbaric Oxygen Therapy
Hyperbaric Oxygen Therapy WWW.RN.ORG Reviewed September 2017, Expires September 2019 Provider Information and Specifics available on our Website Unauthorized Distribution Prohibited 2017 RN.ORG, S.A.,
More informationAARC Clinical Practice Guideline
Reprinted from RESPIRATORY CARE (Respir Care 1991;36:1410-1413) AARC Clinical Practice Guideline Oxygen Therapy in the Acute Care Hospital OT-AC 1.0 PROCEDURE: The procedure addressed is the administration
More informationMINI- COURSE on Management of OXYGEN in babies with RESPIRATORY DISTRESS
MINI- COURSE on Management of OXYGEN in babies with RESPIRATORY DISTRESS Instructions: Read each sheet and answer any questions as honestly as possible The first sheets have 5 questions to allow you to
More informationOxygen prescription. Dr Julian Forton. Consultant in paediatric respiratory medicine Noah s Ark Children s Hospital for Wales
Oxygen prescription Dr Julian Forton. Consultant in paediatric respiratory medicine Noah s Ark Children s Hospital for Wales Oxygen prescription chart EXCEPTION: Oxygen may be given without a prescription
More information1. NAME OF THE MEDICINAL PRODUCT. Medicinal oxygen Praxair Scandinavia 100%, medicinal gas, cryogenic 2. QUALITATIVE AND QUANTITATIVE COMPOSITION
1. NAME OF THE MEDICINAL PRODUCT Medicinal oxygen Praxair Scandinavia 100%, medicinal gas, cryogenic 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Oxygen 100% 3. PHARMACEUTICAL FORM Medicinal gas, cryogenic
More information4. For external respiration to occur effectively, you need three parameters. They are:
Self Assessment Module D Name: ANSWER KEY 1. Hypoxia should be assumed whenever the PaO 2 is below 45 mm Hg. 2. Name some clinical conditions that will result in hyperventilation (respiratory alkalosis).
More informationVENTILATORS PURPOSE OBJECTIVES
VENTILATORS PURPOSE To familiarize and acquaint the transfer Paramedic with the skills and knowledge necessary to adequately maintain a ventilator in the interfacility transfer environment. COGNITIVE OBJECTIVES
More informationVENTILATION AND PERFUSION IN HEALTH AND DISEASE. Dr.HARIPRASAD VS
VENTILATION AND PERFUSION IN HEALTH AND DISEASE Dr.HARIPRASAD VS Ventilation Total ventilation - total rate of air flow in and out of the lung during normal tidal breathing. Alveolar ventilation -represents
More informationBack to basics. 2 therapy.
SALLY BEAniE, RN, MS. CNS, GNP Back to basics 2 therapy. For many patients, supplemental oxygen is indeed the breath of life. Your nursing skills can make all the difference in how patients respond to
More informationDialflow Regulator. Instructions for Use
Dialflow Regulator Instructions for Use 702-0030.11 May 2014 1. Symbols Warning! Caution! Indicates a potentially hazardous situation which, if not avoided, could result in personal injury to the user
More informationDRAFT U S E R M A N U A L CAUTION. Model: 19MFA1001 Series. Federal (USA) law restricts this device to sale by or on the order of a physician.
U S E R M A N U A L Model: 19MFA1001 Series SAVE THESE INSTRUCTIONS Federal (USA) law restricts this device to sale by or on the order of a physician. 300 Held Drive Tel: (+001) 610-262-6090 Northampton,
More informationUNDERSTANDING THE BLUE PATIENT Amy Breton Newfield, CVT, VTS (ECC) BluePearl Veterinary Partners, Waltham, MA USA
UNDERSTANDING THE BLUE PATIENT Amy Breton Newfield, CVT, VTS (ECC) BluePearl Veterinary Partners, Waltham, MA USA Amy.Newfield@bluepearlvet.com INTRODUCTION As a veterinary nurse you will likely be the
More informationPROCEDURE (TASK): ROUTINE VENTILATOR CHECK. 5. Verifies current ventilator Insures correspondence between physician's
PROCEDURE (TASK): ROUTINE VENTILATOR CHECK I. KEY PERFORMANCE ELEMENTS Procedural Element (Step): Description of Performance: 5. Verifies current ventilator Insures correspondence between physician's settings
More informationHumidity Therapy. Terms to know:
RC-170 Humidity Therapy Terms to know: Humidity: Water in a vapor state of matter. Absolute Humidity (mg/liter) actual amount of water in a vapor form. Relative Humidity (% up to 100) absolute compared
More informationSARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: ENDO TRACHEAL SUCTIONING OF THE ADULT PATIENT (suc03) Nursing, Respiratory DATE: REVIEWED: PAGES: 11/82 12/18 1 of 5 RESPONSIBILITY: RN,
More informationCOALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION - Medications POLICY NUMBER: 512. Effective Date: August 31, 2006
SUBJECT: OXYGEN (O 2 ) THERAPY COALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION - Medications POLICY NUMBER: 512 Effective Date: August 31, 2006 1. GENERAL CONSIDERATIONS A. Individuals
More informationCSHCN Services Program Prior Authorization Request for Oxygen Therapy Form and Instructions
General Information CSHCN Services Program Prior Authorization Request for and Instructions Ensure the most recent version of the Prior Authorization Request for Oxygen Therapy form is submitted. The form
More informationOxygen Dialflow Meter. Instructions for Use
Oxygen Dialflow Meter Instructions for Use 702-0031.9 May 2014 1. Symbols Warning! Caution! Indicates a potentially hazardous situation which, if not avoided, could result in personal injury to the user
More informationPROBLEM SET 9. SOLUTIONS April 23, 2004
Harvard-MIT Division of Health Sciences and Technology HST.542J: Quantitative Physiology: Organ Transport Systems Instructors: Roger Mark and Jose Venegas MASSACHUSETTS INSTITUTE OF TECHNOLOGY Departments
More information1. NAME OF THE MEDICINAL PRODUCT. Medicinal oxygen Praxair Scandinavia 100 %, medicinal gas, compressed 2. QUALITATIVE AND QUANTITATIVE COMPOSITION
1. NAME OF THE MEDICINAL PRODUCT Medicinal oxygen Praxair Scandinavia 100 %, medicinal gas, compressed 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Oxygen 100 % at a pressure of 200 bar (15 C). 3. PHARMACEUTICAL
More informationDeborah Dewaay MD Division of General Internal Medicine and Geriatrics Hospital Medicine Acknowledgment: Antine Stenbit MD
Deborah Dewaay MD Division of General Internal Medicine and Geriatrics Hospital Medicine 2013 Acknowledgment: Antine Stenbit MD Objectives Knowledge: Understand the difference between hypoxia and hypoxemia
More informationOXYGEN PHYSIOLOGY AND PULSE OXIMETRY
Louis Al-Saleem 5/4/13 OXYGEN PHYSIOLOGY AND PULSE OXIMETRY A very experienced senior resuscitation nurse approached me at work recently, and asked if there was any circulating academic evidence about
More informationRespiratory Medicine. A-A Gradient & Alveolar Gas Equation Laboratory Diagnostics. Alveolar Gas Equation. See online here
Respiratory Medicine A-A Gradient & Alveolar Gas Equation Laboratory Diagnostics See online here Alveolar gas equation helps to calculate the partial pressure of oxygen in alveoli and A-a gradient is the
More informationOxygen Dialflow Meter. Instructions for Use
Oxygen Dialflow Meter Instructions for Use 702-0031.12 December 2017 1. Symbols Warning! Caution! Indicates a potentially hazardous situation which, if not avoided, could result in injury to the patient,
More informationPressure Regulator. Instructions for Use
Pressure Regulator Instructions for Use 702-0083.9 December 2017 1. Symbols Warning! Caution! Indicates a potentially hazardous situation which, if not avoided, could result in injury to the patient, the
More informationNotes on BIPAP/CPAP. M.Berry Emergency physician St Vincent s Hospital, Sydney
Notes on BIPAP/CPAP M.Berry Emergency physician St Vincent s Hospital, Sydney 2 DEFINITIONS Non-Invasive Positive Pressure Ventilation (NIPPV) Encompasses both CPAP and BiPAP Offers ventilation support
More informationUnit II Problem 4 Physiology: Diffusion of Gases and Pulmonary Circulation
Unit II Problem 4 Physiology: Diffusion of Gases and Pulmonary Circulation - Physical principles of gases: Pressure of a gas is caused by the movement of its molecules against a surface (more concentration
More informationVolume Diffusion Respiration (VDR)
Volume Diffusion Respiration (VDR) A therapy with many uses Jeffrey Pietz, MD April 15, 2016 VDR ventilation has been used to treat patients with: ARDS Meconium Aspiration Burn and Inhalation Injury RDS
More informationClinical Skills. Administering Oxygen
Clinical Skills Administering Oxygen Updated July 2017 Clare Cann Original 2012 Carole Loveridge, Lecturer in Women`s Health Aims and Objectives Aims and Objectives The aim of this module is to facilitate
More informationA SIMPLE WAY TO VENTILATE BABIES UTILIZING A MARK VII BIRD VENTILATOR AND A MODIFIED MAPLESON "D" BREATHING CIRCUIT*
A SIMPLE WAY TO VENTILATE BABIES UTILIZING A MARK VII BIRD VENTILATOR AND A MODIFIED MAPLESON "D" BREATHING CIRCUIT* J.A. BAIN~ AND D. REIn) Most PAED~ATam WNTmATOlas have complicated circuitry and are
More informationChapter 4: Ventilation Test Bank MULTIPLE CHOICE
Instant download and all chapters Test Bank Respiratory Care Anatomy and Physiology Foundations for Clinical Practice 3rd Edition Will Beachey https://testbanklab.com/download/test-bank-respiratory-care-anatomy-physiologyfoundations-clinical-practice-3rd-edition-will-beachey/
More informationMicro Dial-Flowmeter. Instructions for Use
Micro Dial-Flowmeter Instructions for Use 702-0082.8 May 2014 1. Symbols Warning! Caution! Indicates a potentially hazardous situation which, if not avoided, could result in personal injury to the user
More informationNOTE: If not used, provider must document reason(s) for deferring mechanical ventilation in a patient with an advanced airway
APPENDIX: TITLE: Mechanical Ventilator Use REVISED: November 1, 2017 I. Introduction: Mechanical Ventilation is the use of an automated device to deliver positive pressure ventilation to a patient. Proper
More informationNeonatal tidal volume targeted ventilation
Neonatal tidal volume targeted ventilation Colin Morley Retired Professor of Neonatal Medicine, Royal Women s Hospital, Melbourne, Australia. Honorary Visiting Fellow, Dept Obstetrics and Gynaecology,
More informationbirth: a transition better guidelines better outcomes the birth experience a challenging transition the fountains of life: 2/8/2018
better guidelines better outcomes neonatal resuscitation Anne G. Wlodaver, MD neonatology OU medical center the birth experience a challenging transition birth requires major and sudden transitions some
More informationTABLE OF CONTENTS PART 2 - CONFINED SPACES
May 11, 2006 TABLE OF CONTENTS PART 2 - CONFINED SPACES Page DEFINITIONS... 2-1 GENERAL... 2-2 RESPONSIBILITIES... 2-2 HAZARD ASSESSMENT AND WORK PROCEDURES... 2-3 IDENTIFICATION AND ENTRY PERMITS... 2-3
More informationGiving neonates a future
Giving neonates a future Comprehensive respiratory support solutions Our heart beats for premature infants and newborns Our full commitment and knowledge are focused on lung-protective solutions for respiratory
More informationEndotracheal Suctioning: In Line ETT
Approved by: Endotracheal Suctioning: In Line ETT Gail Cameron Senior Director Operations, Maternal, Neonatal & Child Health Programs Dr. Paul Byrne Medical Director, Neonatology Neonatal Policy & Procedures
More informationLung Volumes and Ventilation
Respiratory System ssrisuma@rics.bwh.harvard.edu Lung Volumes and Ventilation Minute ventilation Volume of an inspired or expired air per minute = tidal volume (V T ) x respiratory rate Dead space ventilation
More information660 mm Hg (normal, 100 mm Hg, room air) Paco, (arterial Pc02) 36 mm Hg (normal, 40 mm Hg) % saturation 50% (normal, 95%-100%)
148 PHYSIOLOGY CASES AND PROBLEMS Case 26 Carbon Monoxide Poisoning Herman Neiswander is a 65-year-old retired landscape architect in northern Wisconsin. One cold January morning, he decided to warm his
More informationMinimum size for maximum performance
HAMILTON-C1 HAMILTON-C1 Minimum size for maximum performance Minimum size for maximum performance HAMILTON-C1 - One for all The high-performance capabilities of the HAMILTON-C1 include advanced lung protective
More informationHypoxia Following Rapid Decompression to 18,288 m (60,000 ft) Attributable to Alveolar Hypoventilation
Hypoxia Following Rapid Decompression to 18,288 m (60,000 ft) Attributable to Alveolar Hypoventilation Desmond M Connolly PhD QinetiQ Aircrew Systems Senior Medical Officer Timothy J D Oyly BSc Amanda
More informationCertified Hyperbaric Specialist Application
The American Board of Wound Healing / Copyright 2010 The American Board of Wound Healing Endorsed By Certified Hyperbaric Specialist Application INSTRUCTIONS & REQUIREMENTS The following items must be
More informationRodney Shandukani 14/03/2012
Rodney Shandukani 14/03/2012 OXYGEN THERAPY Aerobic metabolism accounts for 90% of Oxygen consumption by tissues. generates ATP by oxidative phosphorylation. Oxygen cascade: Oxygen exerts a partial pressure,
More informationS2c Oxygenation & Ventilation
1 Neonatal/Pediatric Cardiopulmonary Care Assessment of Oxygenation and Ventilation 2 Blood Gases Blood Gas Analysis 3 Infants can make dramatic changes in status very quickly Very difficult to base therapeutic
More informationPulmonary Circulation Linda Costanzo Ph.D.
Pulmonary Circulation Linda Costanzo Ph.D. OBJECTIVES: After studying this lecture, the student should understand: 1. The differences between pressures in the pulmonary and systemic circulations. 2. How
More informationBROCKTON AREA MULTI-SERVICES, INC. MEDICAL PROCEDURE GUIDE. Date(s) Reviewed/Revised:
Page 1 of 6 DEFINITION: Oxygen is a colorless, odorless, and tasteless gas that makes up about 20% of the air we breathe. Oxygen is essential to human, animal, and plant life. This training is intended
More informationBunnell LifePulse HFV Quick Reference Guide # Bunnell Incorporated
Bunnell Incorporated n www.bunl.com n 800-800-4358 (HFJV) n info@bunl.com 436 Lawndale Drive n Salt Lake City, Utah 84115 n intl 801-467-0800 n f 801-467-0867 Bunnell LifePulse HFV Quick Reference Guide
More informationAdvanced nasal CPAP system www.hamilton-medical.com/arabella Noninvasive, low-cost, effective and safe Neonatal nasal CPAP therapy Nasal CPAP therapy aims to support neonates, especially pre-term and
More informationAIR/OXYGEN BLENDER INSTRUCTION MANUAL
BIO-MED DEVICES AIR/OXYGEN BLENDER INSTRUCTION MANUAL CATALOG #2120 REV 042203 BIO-MED DEVICES INC. 1445 BOSTON POST ROAD, GUILFORD, CT 06437 (203) 458-0202 FAX (203) 458-0440 www.biomeddevices.com TABLE
More informationSEP-1 Additional Notes for Abstraction for Version 5.0b
SEP-1 Additional Notes for Abstraction for Version 5.0b Data Element Administrative Contraindication to Care Blood Culture Collection Date Blood Culture Collection Time Broad Spectrum or Other Antibiotic
More informationDOWNLOAD OR READ : VENTILATION BLOOD FLOW AND DIFFUSION PDF EBOOK EPUB MOBI
DOWNLOAD OR READ : VENTILATION BLOOD FLOW AND DIFFUSION PDF EBOOK EPUB MOBI Page 1 Page 2 ventilation blood flow and diffusion ventilation blood flow and pdf ventilation blood flow and diffusion Title:
More informationCollin County Community College. Lung Physiology
Collin County Community College BIOL. 2402 Anatomy & Physiology WEEK 9 Respiratory System 1 Lung Physiology Factors affecting Ventillation 1. Airway resistance Flow = Δ P / R Most resistance is encountered
More informationPressure Regulators. Instructions for Use
Pressure Regulators Instructions for Use 702-0032.11 May 2014 1. Symbols Warning! Caution! Indicates a potentially hazardous situation which, if not avoided, could result in personal injury to the user
More informationUSER MANUAL. AIR-OXYGEN BLENDER (DISS and NIST Connections) Model No. PM5200 Series PM5300 Series (shown) SAVE THESE INSTRUCTIONS
USER MANUAL (DISS and NIST Connections) Model No. PM5200 Series PM5300 Series (shown) SAVE THESE INSTRUCTIONS CAUTION Federal (USA) law restricts this device to sale by or on the order of a physician.
More informationDay-to-day management of Tracheostomies & Laryngectomies
Suctioning Suctioning the airway is an essential part of routine care of the tracheostomy and laryngectomy patient. Sputum is continually produced in health and our native airways deal with this load without
More information(Delivery System) Pocket Guide. Series 3 software
(Delivery System) Pocket Guide Series 3 software Automated Pre-Use Procedure Integrated Pneumatic Backup INOMAX Delivery Transport Regulator/Cap Assembly Oxygen Dilution Chart INOMAX Cylinder Duration
More informationRespiration (revised 2006) Pulmonary Mechanics
Respiration (revised 2006) Pulmonary Mechanics PUL 1. Diagram how pleural pressure, alveolar pressure, airflow, and lung volume change during a normal quiet breathing cycle. Identify on the figure the
More informationFor more information about how to cite these materials visit
Author(s): Louis D Alecy, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
More informationSenTec OxiVenT Illuminate Ventilation and Oxygenation PCO2 PO2. Digital Transcutaneous Blood Gas Monitoring
Digital Transcutaneous Blood Gas Monitoring SenTec OxiVenT Illuminate Ventilation and Oxygenation MONTHS COMPLETE WARRANTY PCO2 PO2 Continuous Noninvasive Safe Easy to Use Accurate OxiVenT overcoming limitations
More informationONLINE DATA SUPPLEMENT. First 24 hours: All patients with ARDS criteria were ventilated during 24 hours with low V T (6-8 ml/kg
APPENDIX 1 Appendix 1. Complete respiratory protocol. First 24 hours: All patients with ARDS criteria were ventilated during 24 hours with low V T (6-8 ml/kg predicted body weight (PBW)) (NEJM 2000; 342
More informationPage: 1 of 6 Responsible faculty: (Signature/Date)
Author: Tiffanie Brooks Brad Goodwin Paul B Stonum 1 of 6 Responsible faculty: (Signature/Date) I. Purpose: This document was created by the ACS staff as a guideline for anesthesia monitoring during surgery,
More informationOXYGEN DELIVERY DEVICES. MD SEMINAR Dr Hemanth C Internal Medicine
OXYGEN DELIVERY DEVICES MD SEMINAR Dr Hemanth C Internal Medicine INTRODUCTION Tissue oxygenation Assessment of tissue hypoxia Indications for oxygen therapy Techniques of oxygen administration - Oxygen
More informationEmergency Medical Technician 60 Questions
Emergency Medical Technician 60 Questions 1. Which of the following is your primary goal during airway management? a. Ensure clear, unobstructed breathing. b. Ensure that CPR is effective. c. Provide a
More informationSLE4000. Infant Ventilator with touch-screen operation. When the smallest thing matters
SLE4000 Infant Ventilator with touch-screen operation When the smallest thing matters SLE4000 - The Total Solution for Conventional Infant Ventilation SLE is a world leader in the design and manufacture
More informationSECOND EUROPEAN CONSENSUS CONFERENCE ON HYPERBARIC MEDICINE THE TREATMENT OF DECOMPRESSION ACCIDENTS IN RECREATIONAL DIVING
SECOND EUROPEAN CONSENSUS CONFERENCE ON HYPERBARIC MEDICINE THE TREATMENT OF DECOMPRESSION ACCIDENTS IN RECREATIONAL DIVING MARSEILLE, May 8-10, 1996 RECOMMENDATIONS OF THE JURY* QUESTION 1 : Is there
More informationQUICK REFERENCE GUIDE
cm H O 2 cm H O 2 cm HO 2 PSI cm H O 2 ON OFF UPPER LIMIT LOWER LIMIT UPPER LIMIT LOWER LIMIT LIFE PULSE HIGH-FREQUENCY VENTILATOR QUICK REFERENCE GUIDE 01388-08.11 MONITOR PIP JET VALVE ALARMS READY SILENCE
More informationTITLE: Pulse Oximetry COMPETENCY #: Resp #1 NEW COMPETENCY REVISION DATE: 10/18/12 EMPLOYEE NAME. DATE INITIAL RE-EVALUATION ANNUAL (if required) PRN
: Pulse Oximetry COMPETENCY #: Resp #1 NEW COMPETENCY REVISION : 10/18/12 INITIAL RE-EVALUATION ANNUAL (if required) PRN 1. Verifies physician order. 2. Gathers equipment and supplies. 3. Knocks on door
More informationSupplementary Appendix
Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Talmor D, Sarge T, Malhotra A, et al. Mechanical ventilation
More informationRespiratory Pulmonary Ventilation
Respiratory Pulmonary Ventilation Pulmonary Ventilation Pulmonary ventilation is the act of breathing and the first step in the respiratory process. Pulmonary ventilation brings in air with a new supply
More informationI Physical Principles of Gas Exchange
Respiratory Gases Exchange Dr Badri Paudel, M.D. 2 I Physical Principles of Gas Exchange 3 Partial pressure The pressure exerted by each type of gas in a mixture Diffusion of gases through liquids Concentration
More informationPlano Independent School District Health Service Oxygen in Use Administrative Guideline
Plano Independent School District Health Service in Use Administrative Guideline Purpose This in Use Guideline is provided to schools and school personnel in planning for the safety of students when oxygen
More informationBY GREGGERSEN CATA LOG
MEDICAL DEVICES BY GREGGERSEN CATA LOG COMBINATION UNITS t h e r e i s n o s u b s t i t u t e CATALOG COMBINATION UNITS Hawk variants AND THEIR AREAS OF APPLICATION The HAWK PORTABLE EMERGENCY TREATMENT
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER. Neophyr 225 ppm mol/mol medicinal gas, compressed
PIL p. 1/6 PACKAGE LEAFLET: INFORMATION FOR THE USER Nitric oxide 225 ppm, 450 ppm, 1000 ppm mol/mol Read all of this leaflet carefully before you start using this medicine because it contains important
More informationLung recruitment maneuvers
White Paper Lung recruitment maneuvers Assessment of lung recruitability and performance of recruitment maneuvers using the P/V Tool Pro Munir A Karjaghli RRT, Clinical Application Specialist, Hamilton
More informationNeonatal Assisted Ventilation. Haresh Modi, M.D. Aspirus Wausau Hospital, Wausau, WI.
Neonatal Assisted Ventilation Haresh Modi, M.D. Aspirus Wausau Hospital, Wausau, WI. History of Assisted Ventilation Negative pressure : Spirophore developed in 1876 with manual device to create negative
More information