Ch.42
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Questions and Answers

What is the primary purpose of medical gas regulation devices?

  • To manufacture medical gases
  • To transport medical gases
  • To store medical gases
  • To control the flow of medical gases to patients (correct)
  • What is a common complication associated with oxygen therapy in premature infants?

  • Oxygen toxicity
  • Ventilatory depression
  • Absorption atelectasis
  • Retinopathy of prematurity (correct)
  • What is the term for the damage caused by breathing 100% oxygen at sea level?

  • Retinopathy of prematurity
  • Oxygen toxicity (correct)
  • Hypoxemia
  • Ventilatory depression
  • What is the primary goal of oxygen therapy?

    <p>To correct hypoxemia</p> Signup and view all the answers

    What is the purpose of high-flow nasal cannula systems?

    <p>To provide high-flow oxygen therapy</p> Signup and view all the answers

    What is the term for the condition in which the body, or a region of the body, is deprived of adequate oxygen supply?

    <p>Hypoxemia</p> Signup and view all the answers

    What is the purpose of extra corporeal membrane oxygenation systems?

    <p>To provide cardiopulmonary support</p> Signup and view all the answers

    What is a common indication for medical gas therapy?

    <p>Hypoxemia</p> Signup and view all the answers

    What is the primary concern when using oxygen therapy in neonatal enclosures?

    <p>Maintaining a neutral thermal environment</p> Signup and view all the answers

    What is the purpose of mechanical gas blending devices?

    <p>To produce therapeutic gas mixtures</p> Signup and view all the answers

    What is the effect of downstream resistance on air entrainment devices?

    <p>Decreases oxygen output</p> Signup and view all the answers

    What is the primary goal of administering oxygen therapy?

    <p>To increase oxygen saturation</p> Signup and view all the answers

    What is the purpose of enclosures used in aerosol therapy?

    <p>To deliver aerosol medications</p> Signup and view all the answers

    What is the function of oxygen analyzers?

    <p>To analyze oxygen concentrations</p> Signup and view all the answers

    What is the primary consideration when selecting a delivery approach for administering oxygen therapy?

    <p>All of the above</p> Signup and view all the answers

    What is the primary hazard associated with hyperbaric oxygen therapy?

    <p>All of the above</p> Signup and view all the answers

    What is the purpose of calculating the required oxygen and air flow needed to produce a given FiO2?

    <p>To ensure accurate oxygen delivery</p> Signup and view all the answers

    What is the primary implication of hypoxemia?

    <p>The oxygen content in arterial blood is decreased</p> Signup and view all the answers

    What percentage of systemic venous blood from the myocardial capillaries drains into the Thebesian vein?

    <p>About 1/2</p> Signup and view all the answers

    What is the primary significance of the term 'availability' in the context of hypoxia?

    <p>The sufficient oxygen supply for tissue cells</p> Signup and view all the answers

    What is the consequence of having a large number of under-ventilated alveoli in the lungs?

    <p>Decreased oxygen content of arterial blood</p> Signup and view all the answers

    What happens to the alveoli in pneumonia?

    <p>They become consolidated and fill with fluid</p> Signup and view all the answers

    What is the primary purpose of deliberately formed shunts in medicine?

    <p>To relieve pressure in the body</p> Signup and view all the answers

    What is the effect of intrapulmonary shunting on the oxygen content of arterial blood?

    <p>It decreases the oxygen content of arterial blood</p> Signup and view all the answers

    What is the term used to describe the mixing of poorly oxygenated blood with well oxygenated blood in the pulmonary veins?

    <p>Venous admixture</p> Signup and view all the answers

    What is the primary characteristic of physiologic shunts?

    <p>They are part of the normal anatomy</p> Signup and view all the answers

    What is the primary difference between hypoxia and hypoxemia?

    <p>Hypoxia refers to tissue cells, while hypoxemia refers to arterial blood</p> Signup and view all the answers

    What is the primary reason clinicians need to make a 'mental differentiation' between hypoxia and hypoxemia?

    <p>To distinguish between the two conditions in different contexts</p> Signup and view all the answers

    What is the primary cause of intrapulmonary shunting?

    <p>All of the above</p> Signup and view all the answers

    What is the term used to describe the intrapulmonary shunting that occurs in pneumonia and atelectasis?

    <p>Capillary shunt</p> Signup and view all the answers

    What is the primary implication of the presence of abnormal shunts in the body?

    <p>The mixing of low oxygen systemic venous blood with high oxygen arterial blood</p> Signup and view all the answers

    What is the term used to describe the mixing of systemic venous blood from the bronchial capillaries with blood in the pulmonary veins?

    <p>Venous admixture</p> Signup and view all the answers

    What is the consequence of having a large number of under-ventilated alveoli in the lungs on the oxygen content of arterial blood?

    <p>It decreases the oxygen content of arterial blood</p> Signup and view all the answers

    Study Notes

    Medical Gas Therapy

    • Medical gas therapy involves the use of laboratory, therapeutic, and anesthetic gases
    • Physical characteristics of these gases include:
      • Laboratory gases: used for diagnostic and analytical purposes
      • Therapeutic gases: used for medical treatment and therapy
      • Anesthetic gases: used to induce anesthesia and sedation

    Manufacture, Transport, and Storage of Medical Gases

    • Medical gases are manufactured through various methods, including air liquefaction and gas separation
    • They are transported in cylinders or pipelines and stored in specialized facilities

    Medical Gas Regulation Devices

    • Devices regulate the flow and pressure of medical gases
    • They ensure safe and controlled delivery of gases to patients

    Hypoxemia and Hypoxia

    • Hypoxemia: decreased oxygen content in arterial blood (CaO2)
    • Hypoxia: inadequate oxygen availability for tissue cells to function
    • Shunt: abnormal or normal (physiologic) bypass or diversion of fluid, including mixing of low-oxygen systemic venous blood with high-oxygen arterial blood

    Medical Gas Therapy Indications

    • Medical gas therapy is indicated for various medical conditions, including respiratory disorders, cardiovascular diseases, and anesthesia

    Oxygen Therapy

    • Oxygen therapy is used to treat hypoxemia and hypoxia
    • Clinical goals of oxygen therapy include improving oxygenation, relieving respiratory distress, and supporting cardiovascular function

    Oxygen Toxicity

    • Oxygen toxicity occurs when 100% oxygen is breathed at sea level
    • Time sequence for toxic damage: 4-6 hours, 12-14 hours, and 24 hours
    • Symptoms include convulsions, lung damage, and absorptive atelectasis

    Oxygen Delivery Systems

    • Fixed performance and variable performance oxygen delivery systems are used
    • Systems include nasal cannulas, masks, and mechanical ventilators

    High-Flow Nasal Cannula Systems and Extracorporeal Membrane Oxygenation

    • High-flow nasal cannula systems deliver high flows of heated and humidified oxygen
    • Extracorporeal membrane oxygenation (ECMO) is a life-support system that oxygenates blood outside the body

    Hazards Associated with Oxygen Therapy

    • Physical and environmental hazards include fire, explosions, and oxygen toxicity
    • Invasive and non-invasive methods are used to assess oxygen therapy, including pulse oximetry and blood gas analysis

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