RTH 121 Module II Review: Humidity and Aerosol Therapy

Vocabulary practice flashcards covering humidity therapy, equipment identification, aerosol drug delivery, and ISB specifications.

What are the three values to support Isothermic saturation boundary (ISB

37 degrees celsius, 100% RH and $44\,\text{mg/L}$

Where does ISB occur?

5cm below the carina

Provide one example that can occur if ISB is not achieved

Thick/dry secretions, mucus plugging

List three GOALS of Humidity therapy

Aid removal of thick secretions, treat hypothermia, prevent airway response to cold air

What type of Humidifier is this called?

Heated passover humidifier

Provide ONE type of Respiratory Equipment or set up that can be used with the humidifier listed in question

High Flow Nasal Cannula

What type of Humidification is this called?

heated bubbler humidifier 

The patient is intubated, what should the temperature be set to achieve ISB?

37 degrees celcius

What is the piece of Respiratory Equipment called?

Heat-Moisture Exchange (HME)

Provide two possibilities that can cause Hypoxemia and Hypercapnia

increased mechanical dead space, thick mucus 

What should the RT do if the complications set in?

Switch to heated circuit 

What is the standard time to change this type of Respiratory Equipment?

Every 24-48 hours depending on the pt’s needs 

Provide two types of complications that can occur with this type of Respiratory Therapy Equipment?

VAP , mucus plugging

The RT needs to set up a 40% heated trach mask collar, list all the parts that are need to complete the task

$1$ LVN, trach mask, Bohr tubing ($6$ links on each side), drain bag, heater, T-piece, temp adapter, oxygen, and an oxygen flow meter.

List two indications for Bland Aerosol Administration

Stridor/upper airway inflammation, post intubation

Before administration of a Hypertonic Saline treatment, what should the RT have to support the possibility of bronchoconstriction

Albuterol

Provide the therapeutic name for each image, provide the purpose for the therapeutic set up and state the humidity level (heated or non-heated

1. Aerosol mask-provides cool mist, post inubation, non heated 

2. Briggs adapter- intubated, T-piece and reservoir, endotracheal tube, non heated used as an artificial airway

What type of humidifier is this?

Bubbler Humidifier

What type of oxygen device supports this type of humidifier?

Nasal cannula

To support ISB, what liter flow should the RT provide humidification? What is the max liter flow it can provide?

Greater than 4, max flow is 6 L/m

Aerosol droplets measuring _____ in diameter that successfully deposit into the lower respiratory tract.

1-5 um

List two Aerosol drug therapy advantages

Onset of action occurs more quickly.

Therapeutic effect is achieved with fewer side effects.

Medication left in the Jet Nebulizer is known as

Residual Volume (Dead Volume)

What is the name of the respiratory equipment?

SVN, breath activator, Breath-Actuated Nebulizer

What is the name of the respiratory equipment?

Small Particle Aerosol Generator (SPAG)

What type of medication is administered to the device? What disease support the medication and equipment?

Ribavirin & RSV Respiratory syncytial virus

Before administrating an MDI, the RT should have the patient exhale to and inhale to 

Exhale to inhale for 10 seconds

T or F: During DPI administration, that patient must be able to generate inspiratory flows of 40 L/min or higher. 

False it should be 60 L/min

To deliver the respiratory medication, what is the respiratory equipment called?

Vibrating Mesh