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Humidity therapy
Fund. of resp therapy II
28
Histology
Undergraduate 3
02/04/2012

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Term
Humidity
Definition
*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
Term
Vaporization
Definition
water changes from liquid to a vapor
Requires heat energy that comes from surroundings
Term
Evaporation
Definition
*type of vaporization
*heat is taken from the air surrounding the liquid thereby cooling the air
*ex: sweating
Term
evaporation II
Definition
*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
Term
Absolute humidity
Definition
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
Term
Factors affecting the rate of evaporation and resulting absolute humidity
Definition
*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
Term
Relative humidity
Definition
Measured water vapor content divided by the saturated capacity of the gas at a given temp.
*need to know saturated capacity
Term
Function of upper airway
Definition
Heat, humidify, filter inspired gas
Term
Isothermal saturation boundary
Definition
Inspired gas conditions reach 100% relative humidity at body temp
*5cm below carina
Term
Shifting the ISB
Definition
*mouth breathing
*bypassing the upper airway
*higher than normal minute ventilation
Term
Humidity deficit
Definition
Difference between the amount of water vapor inspired and the water vapor content contained in the gas in the lungs
Term
Indications for humidity therapy
Definition
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
Term
Humidifying dry medical gases
Definition
*shift isb
*airway dysfunction
Term
Overcoming humidity deficit
Definition
*created when upper airway is bypassed
*airway damage can occur
Term
Managing hypothermia
Definition
Controversial
Other methods used
Term
How will a pt present if they need humidification therapy
Definition
*atelectasis
*dry, nonproductive cough
*increased airway resistance
*increased incidences of infection
*substernal pains
*thick, dehydrated secretions
Term
Goal of humidity therapy
Definition
Minimize humidity deficit
Term
Active humidifiers
Definition
*passover:
Wick
membrane
advt: no resistance, do not generate aerosols, reduce risk of infection

*bubble
Bubble & bubble diffuser
Term
Passive humidifiers
Definition
HME= artificial nose
Term
Types of hme: simple condenser humidifier
Definition
*high thermal conductivity
*capture about 50% of pts exhaled moisture
Term
Types of hme: hygroscopic condenser humidifier
Definition
*lower thermal conductivity with hygroscopic salt
*70% efficiency
Term
Types of hme: hydrophobic condenser humidifier
Definition
*condenser is a water repellent
*large surface area
*70% efficiency
*bacterial filter
Term
Ideal HME
Definition
*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
Term
Problems with HME
Definition
*factors can decrease efficiency
*increased surface area
Term
Heating systems
Definition
*hot plate
*wrap around
*yolk or collar
*immersion
*heated wire
Term
Heated wire circuits
Definition
*control and monitor the temperature of the gas
*constant temperature is delivered
*servo controlled
Term
Feed system
Definition
*no lodd or interruption in ventilation
*constant water level
*avoid the need for constant checking
Term
Problems associated with heated humidifier systems
Definition
*condensation
*disruption of gas flow to pt
*contamination
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