問題一覧
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Patient one-quarter turn from prone with the right side up, supported by pillows, and with head of the bed flat
c. Posterior segments of right upper lobe
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- popular for pediatric and neonatal patients with disorders including bronchiolitis and bronchopulmonary dysplasia.
High-flow nasal cannula (HFNC)
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Patient supine with the bed flat
b. Anterior segments of both upper lobes
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Patient one-quarter turn from supine with right side up and foot of the bed elevated 12 in.
e. Medial and lateral segments of right middle lobe
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maintain adequate tissue oxygenation while minimizing cardiopulmonary work.
goal of O2 therapy
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The cardiopulmonary system compensates for hypoxemia by increasing
COMPENSATION
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transtracheal O2 catheter is a thin polytetrafluoroethylene (Teflon) catheter inserted into the trachea between the second and third tracheal rings.
Transtracheal catheter
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- incorporate a mechanism for gathering and storing O2 between patient breaths. - Patients draw on this reserve supply whenever inspiratory flow exceeds O2 flow into the device.
RESERVOIR SYSTEMS
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Patient supine, with foot of the bed elevated 20 in
h. Anteromedial segment of left lower lobe and anterior segment of right lower lobe
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Decreases in ventilation of nearly 20% have been observed in these patients with accompanying elevations in arterial partial pressure of carbon dioxide (PaCO2) of 20 to 23 mm Hg.
DEPRESSION OF VENTILATION
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- also called retrolental fibroplasia.
RETINOPATHY OF PREMATURITY
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is provided by an optional heating element.
2. Temperature control
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- free radicals can overwhelm the body’s normal antioxidant system and cause cell damage.
Presence of high PaO2
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can maintain acceptable tissue oxygenation only by increasing cardiac output or, if the hypoxemia is chronic, by increasing the red blood cell mass.
Patients with arterial hypoxemia
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Rather than manually mixing air and O2, the RT more often uses an O2 blender.
Oxygen blenders
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- O2 therapy corrects hypoxemia by increasing alveolar and blood levels of O2. - is the most tangible objective of O2 therapy and the easiest to measure and document.
Correcting Hypoxemia
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- is among the oldest approaches to O2 therapy.
Enclosures
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- the most commonly used oxygen delivery device.
Nasal cannula (low flow) (1 – 5 L/min)
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- O2 therapy can help relieve the symptoms associated with certain lung disorders, including dyspnea. - O2 therapy also may improve mental function among patients with chronic hypoxemia.
Decreasing Symptoms of Hypoxemia
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- defined as PaO2 greater than 300 mm Hg.
Hyperoxia
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is the most common mode of respiratory care.
Gas therapy
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- are almost exclusively used for limited, short-term O2 administration during specialized procedures such as a bronchoscopy.
Nasal catheters
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- The condition formerly known as oxygen toxicity.
Hyperoxic acute lung injury
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Patient one-quarter turn from supine with left side up and foot of the bed elevated 12 in.
f. Superior and inferior segments of lingula:
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supplemental O2 can decrease demands on both the heart and the lungs.
Acute hypoxemia –
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Patient one-quarter turn from prone with the left side up, supported by pillows, and with head of the bed elevated 30 degrees
d. Apical-posterior segment of left upper lobe
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- direct a high-pressure O2 source through a small nozzle or jet surrounded by air-entrainment ports.
AIR-ENTRAINMENT SYSTEMS
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less than 55 – 60 mm Hg
PaO2
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a disposable plastic unit designed to cover both the mouth and the nose.
Simple mask
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- Commonly used than a partial rebreathing mask, prevents rebreathing with one-way valves.
nonrebreathing mask
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is achieved through production of aerosol at the nebulizer jet.
Humidification
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this increased workload over the long term can lead to right ventricular failure (cor pulmonale).
Patients with chronic hypoxemia
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are designed to conserve O2 and are an alternative to the pulse-dose or demand-flow O2 systems.
Reservoir cannulas
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- often involves the administration of supplemental O2 and greatly increases fire risk.
Hyperbaric oxygen (HBO) therapy
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- has no valves - During inspiration, source O2 flows into the mask and passes directly to the patient. - During exhalation, source O2 enters the bag.
Partial rebreathing mask
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- helps overcome esthetic concerns by hiding the reservoir under the patient’s clothing on the anterior chest wall.
Pendant reservoir system
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- When gases are mixed manually, separate air and O2 flowmeters must be adjusted for the desired FiO2 and flow.
Mixing gases manually
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are the most commonly used reservoir systems.
RESERVOIR MASKS
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History)The use of an O2 mask with controlled FiO2 by means of air entrainment was first reported in 1941 by Barach and Eckman.
Air-entrainment (venturi) mask
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- use air-entrainment or gas blending, and supply a given O2 concentration at a flow equaling or exceeding the patient’s peak inspiratory flow.
HIGH-FLOW SYSTEMS
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- is associated with retinopathy of prematurity (ROP) and bronchopulmonary dysplasia in infants.
High PO2
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: Patient prone with head of the bed flat and pillow under the abdominal area
g. Superior segments of both lower lobes
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- use a self-inflating bag and nonrebreathing valve features to provide up to 100% O2 - are often used in emergency life support
Bag-mask devices
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Patient in semi-Fowler's position with head of the bed raised 45 degrees
Apical segments of right and left upper lobes:
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appear on chest x-rays and usually are most prominent in the lower lung fields.
Patchy infiltrates
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- allows precise control over both FiO2 and total flow output.
Blending systems