Shared Flashcard Set

Details

Medical Gas: Storage and Supply
Week 5- Thursday
33
Nursing
Graduate
09/23/2015

Additional Nursing Flashcards

 


 

Cards

Term
E- cylinder
Definition

2'x4" (2 feet x 4 inches)

 

5000 cc (5 L)

Term
H-cylinder
Definition

Used for bulk storage

 

4' x 9" (4 feet x 9 inches)

Term
Compressed Gas Cylinder
Definition

Designed to withstand approximately 2x their working pressure

 

Wall thickness is specified according to the pressure the tank must withstand 

Term
Oxygen
Definition

32 grams/mole

 

Boiling point is -183 degrees C

 

Critical Point is -118 degrees C

Term
Working E-cylinder tank Pressure and Volume
Definition

1900-2200 psi

 

660 L of O2 in full tank 

 

B/C O2 must exist as a gas at room temp, the tank pressure is proportional to tank content 

Term
Oxygen Tank manufacturing
Definition

By fractional distillation of air 

 

Contain a very low water content (0% relative humidity)

 

Tank color in US is green

Term
Full H-Cylinder
Definition
6900 L
Term
Nitrous Oxide
Definition

44 grams/mole

 

Boiling point -88 degrees C 

 

Critical Temperature is 36.5 

 

This is why it is a liquid in our tanks 

Term
Nitrous Oxide E-Cylinders
Definition

90-95% liquid 

 

1590 L (Full Cylinder)

 

745 psi will be the tank pressure until all the liquid N2O is vaporized

 

253 L or 16% of full tank volume (gas) 

 

Term
Removing N20 from tanks
Definition

Removing N2O at rates 4L/min or greater can result in cooling and pressure loss- may freeze regulator

 

Cooling is the result of expansion of the gas as the required heat of vaporization 

Term
N2O Tank Manufacturing
Definition

Thermal decomposition on ammonium chloride 

 

Supports combustion 

 

Tanks are colored blue 

Term
Air
Definition

78% N2O, 21% O2, 1% Argon, and trace gases

 

Compressed air constains a considerable about of water vapor

 

1900-2200 psi

 

Follows Boyle's Law as gas is removed

Term
Cylinder Markings
Definition

Working pressure of tank marked

 

Tanks tested every 10 years to 1.66x working pressure marked on tank

Term
Relieving Excess Pressure
Definition

Fusible metal alloy

 

Frangible disk

 

Safety Relief Valve

Term
Fusible Metal Alloy
Definition
Will melt in case of fire and decompress tank
Term
Frangible Disk
Definition
Relieves excess pressure
Term
Safety Relief Valve
Definition

Located in cylinder valve

 

Valve is reclosable 

Term
H-cylinder Connectors
Definition
Use diameter and thread coding to prevent accidental attachment
Term

Pin-Index-Safety-System 

 

(PISS)

Definition

Yoke assembly has pins placed in specific positions to prevent improper tank placement

 

Six pin position (Right to Left is 1-6)

 

Also used by gas suppliers when filling the tanks

Term
Oxygen Pins
Definition
2,5
Term
N2O Pins
Definition
3,5
Term
Air Pins
Definition
1, 5
Term
Yoke Assembly
Definition

Pressure gauge

 

Filter

 

PISS

 

Clamping Device

 

Permanent Identification Markings 

 

Gas color code

 

Check Valve- to prevent cross filling

 

Yoke Plug 

Term
Storage and Handling
Definition

Upright position

 

Cool, dry, fire resistant room

 

Valves open slowly

 

170 of 14500 tanks probably have dangerous irregularities 

Term
Central Supply of H-Cylinders
Definition

Small hospital can use 2 banks

 

Use exceeds 100,000L/week then economical to use liquid O2

Term
Central Supply NFPA Requirements
Definition

Must be two central supply systems

 

Requires that reserve be present for one full day of use

 

Liquid O2 is boiled off- heated and piped to various hospital locations

Term
Liquid O2
Definition

One ft3 of liquid O2 evolves 860 ft3 of O2 gas 

 

~24,338 L of O2

Term
Regulators
Definition
50 psi
Term
Liquid O2 systems must be in Constant Use
Definition

Cost effective

 

O2 boils off and must be vented to prevent pressure accumulation

Term
Cental Supply Safety Devices
Definition

Low Liquid Alarm

 

High and Low pressure alarms 

Term
Nitrous Oxide Cental Supply
Definition

Stored in H-cylinder banks with automatic cross over system 

 

50 psi regulator

 

Potential to deliver hypoxic gas mixture when N20 banks are switched as a result of increased delivery pressure 

Term
Cental Vaccum System
Definition

Must be able to remove 99 L/m

 

Traps are placed to collect solid and liquid contaminants 

Term
Evacuation System
Definition

ORs have separate vaccum system used exclusively for the removal of anesthetic gases

 

This system should not be used as central vaccum system as it may lack traps needed to collect contaminants 

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