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notes from kettering
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list of low flow devices?
nasal cannula
simple mask
partial rebreathing mask
non-rebreathing mask
list of oxygen conserving devices?
simple reservoir cannula (not tolerated well)
pulse dose flow system (well-tolerated)
what do you do if there’s no gas flow felt from a nasal cannula?
check if flow meter is on
check for system leak
check if humidifier-tube connection is obstructed (repair/replace)
what do you do if a bubble humidifier is whistling?
check for obstruction in tubing
see if flow is set too high
check if nares are obstructed (use another device)
what do you do if a reservoir bag stays inflated on inhalation?
check for a mask leak
check if inspiratory valve is jammed/reversed
what do you do if a non-rebreather does not slightly contract on inhalation?
tighten mask
what’s the best way to provide a stable FiO2 delivery?
provide total flow of at least 40 LPM so the inspiratory flow needs are met and there’s not air dilution
what’s the cause of the low exhaled Vt alarm on the vent?
pt disconnect
low spontaneous Vt
what do you do if the pt is not achieving their volume goal with IS?
check if pt is exhaling into device
check pt seal
what does it mean if the FiO2 is reading higher than set with a LVN?
there’s water in the tubing
what should you do if aerosol is disappearing with a briggs adaptor?
increase the flow