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*water that is present in a gas mixture as vapor *Exerts water vapor pressure *temp important. Increase temp of a gas means the gas can hold more water vapor |
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water changes from liquid to a vapor Requires heat energy that comes from surroundings |
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*type of vaporization *heat is taken from the air surrounding the liquid thereby cooling the air *ex: sweating |
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*heat increases kinetic energy and more molecules escape the surface *temperature of a gas affects both capacity to hold molecular water and water vapor pressure |
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Content of water present in a given volume of gas *measured with a hygrometer *at 37° C absolute humidity (content) is 43.9 mg/L and water vapor pressure is 46.9 torr |
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Factors affecting the rate of evaporation and resulting absolute humidity |
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*temp: high temp= high rate of evaporation *pressure = indirect relationship with the rate of evaporation *surface area = more= more evaporation *time= time the gas is exposed will increase its humidity |
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Measured water vapor content divided by the saturated capacity of the gas at a given temp. *need to know saturated capacity |
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Heat, humidify, filter inspired gas |
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Isothermal saturation boundary |
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Inspired gas conditions reach 100% relative humidity at body temp *5cm below carina |
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*mouth breathing *bypassing the upper airway *higher than normal minute ventilation |
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Difference between the amount of water vapor inspired and the water vapor content contained in the gas in the lungs |
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Indications for humidity therapy |
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1. Humidifying dry medical gases 2. overcoming humidity deficit created when upper airway is bypassed 3. Managing hypothermia 4. treatment of bronchospasm caused by cold air 5. thickened secretions |
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Humidifying dry medical gases |
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Definition
*shift isb *airway dysfunction |
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Overcoming humidity deficit |
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*created when upper airway is bypassed *airway damage can occur |
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Controversial Other methods used |
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How will a pt present if they need humidification therapy |
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*atelectasis *dry, nonproductive cough *increased airway resistance *increased incidences of infection *substernal pains *thick, dehydrated secretions |
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Minimize humidity deficit |
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*passover: Wick membrane advt: no resistance, do not generate aerosols, reduce risk of infection
*bubble Bubble & bubble diffuser |
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Types of hme: simple condenser humidifier |
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*high thermal conductivity *capture about 50% of pts exhaled moisture |
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Types of hme: hygroscopic condenser humidifier |
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*lower thermal conductivity with hygroscopic salt *70% efficiency |
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Types of hme: hydrophobic condenser humidifier |
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Definition
*condenser is a water repellent *large surface area *70% efficiency *bacterial filter |
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*operate at 70% efficiency providing at least 30 mg/L water vapor *have low compliance *add minimal weight, dead space and flow resistance to a breathing circuit |
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*factors can decrease efficiency *increased surface area |
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*hot plate *wrap around *yolk or collar *immersion *heated wire |
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*control and monitor the temperature of the gas *constant temperature is delivered *servo controlled |
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*no lodd or interruption in ventilation *constant water level *avoid the need for constant checking |
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Problems associated with heated humidifier systems |
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*condensation *disruption of gas flow to pt *contamination |
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