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Anesthesia Equipment Ch. 16 Nagelhout Questions and Answers 100% Solved correctly

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when the practitioner turns on the vaporizer, What happens to SVP when carrier gas (N2O & O2) passes over the liquid in the vaporize and picks it up to deliver VAA to patient? - ANSWER-SVP decreases What is needed continuously to vaporize anesthetic agents and maintain constant SVP - ANSWER-Heat The liquid agent (e.g. Iso) generates more vapor as an "inherent attempt" to keep SVP constant and this leads to - ANSWER-heat being lost, and decreased vaporizer output Concentration calibrated (Variable bypass) - ANSWER--AUTOMATIC -total carrier gas flow automatically divided into two paths - one path flowing through vapor above liquid anesthetic -the other bypassing the vapor chamber -the two flows meet and mix at the outflow tract. The concentration of the anesthetic determined by the flow ratio

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Anesthesia Equipment Ch. 16 Nagelhout
when the practitioner turns on the vaporizer, What happens to SVP when carrier gas
(N2O & O2) passes over the liquid in the vaporize and picks it up to deliver VAA to
patient? - ANSWER-SVP decreases

What is needed continuously to vaporize anesthetic agents and maintain constant SVP
- ANSWER-Heat

The liquid agent (e.g. Iso) generates more vapor as an "inherent attempt" to keep SVP
constant and this leads to - ANSWER-heat being lost, and decreased vaporizer output

Concentration calibrated
(Variable bypass) - ANSWER--AUTOMATIC
-total carrier gas flow automatically divided into two paths
- one path flowing through vapor above liquid anesthetic
-the other bypassing the vapor chamber
-the two flows meet and mix at the outflow tract. The concentration of the anesthetic
determined by the flow ratio

3 MOST common variable bypass - ANSWER-Datex Ohmeda Tec 3,4, and 5

Now, list all Variable-bypass Vaporizer - ANSWER-Tec, 3,4,5,7
SevoTec
Aladin (Aisys, Avance)
Vapor 19
Vapor 2000 & 3000

Method of Vaporization for Variable-bypass Vaporizers - ANSWER-Flow over (including
the Aladin for Des, which does not require added heat like the Tec 6)

Temperature compensation for Variable-bypass Vaporizers - ANSWER-Automatic
temperature compensation mechanism

Calibration for Variable bypass - ANSWER-Calibrated, agent specific

Position of Variable bypass - ANSWER-Out of circuit

Capacity of Tec 4,5, Vapor 19, Aladin 250 - ANSWER-Tec 4 : 125
Tec 5: 300

,Vapor 19: 200
Aladin: 250


Boiling point - ANSWER-Vapor pressure equals atmospheric pressure, all liquid is in the
vapor phase

Latent Heat of Vaporization - ANSWER-Heat required to change liquid into a vapor
Comes from liquid and environment

Vapor pressure - ANSWER-Pressure exerted on walls of a container by molecules that
broke away from the liquid surface. Equilibrium will be achieved if temperature remains
constant. All volatile anesthetics have a specific vapor pressure. The concentration can
be calculated from the vapor pressure above the liquid

A Vapor is composed of - ANSWER-molecules (in the gaseous state) of a substance
that is a liquid at room temperature and 1 atmosphere of pressure

What prevents the vaporization cooling and slowing the rate of further vaporization -
ANSWER-Cooper bc it has high thermal conductivity and high thermal capacity

The rate of vaporization depends on 3 things - ANSWER-1- the temperature
2- the vapor pressure of the liquid
3- the partial pressure of the vapor above the evaporating liquid
PP- Dalton's law (the total pressure of a mixture of gases is equal to the sum of the
partial pressures of the component gases
3- Amount of carrier Gas (N20 & O2) used


Volumes percent (Vol %) - ANSWER-the volume of gas carried per 100 volumes of
blood
"the number of units of volume of gas in relation to a total of 100 units of volume for the
total gas volume

"Liquid inside closed container"
At constant temperature: (2) - ANSWER-1- number of molecules entering and leaving
liquid are equal
2- number of molecules in vapor phase stays constant

Saturated Vapor Pressure (SVP) - ANSWER-Pressure created when molecules
"BOMBARD" the walls of container
When the gas phase on top of the liquid phase is saturated by the molecules of vapor (it
contains as much vapor as it can handle)

Volatile Anesthetic Agent (VAA) - ANSWER-Liquid that has tendency to change to a
vapor at standard temperature and pressure

, Higher volatility = - ANSWER-stronger tendency to change to vapor = higher SVP

Know SVP for Methoxyflurane, Sevo, Enflurane, Iso, Halo, Des - ANSWER-
Methoxyflurane- 23 mmhg
Sevo-160
Enflurane- 175
Iso-238
Halo-243
Des- 660

SVP and Temperature Changes
Heat increases SVP (2)
What happens in the gas and liquid phase - ANSWER-Gas phase: more molecules
enter gas phase
Less molecules "re-enter" liquid phase

Cooling decreases SVP
What happens in the gas and liquid phase - ANSWER-gas phase: less molecules enter
gas phase
More molecules "re-enter" liquid phase


What type of Vaporizer has a Dual circuit where carrier gas is not split - ANSWER-Tec 6
(Desflurane)

Method of vaporization of Tec 6 - ANSWER-Gas/Vapor blender (heat produces vapor,
which is injected into the Fresh gas flow)

Temperature compensation of Tec 6 - ANSWER-Electronically heated to a constant
temperature (39 degrees C; thermostatically controlled)

Calibration of Tec 6 - ANSWER-calibrated, agent specific

Position of Tec 6 - ANSWER-out of circuit

capacity of Tec 6 - ANSWER-390 ml

Variable bypass
The concentration of the anesthetic agent in this gas is therefore known from what? -
ANSWER-from its saturated vapor pressure, so when this gas is mixed with the
anesthetic-free bypass gas, the concentration of anesthetic in the gas leaving the
vaporizer is also known

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