Respiratory Therapy - Air to Oxygen ratios, Venturi devices, Large volume nebulizers, Total Flow
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- Опубліковано 25 сер 2024
- This video explains air to oxygen ratios. How to calculate, and why it's important? Thank you for watching and please subscribe.
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BEST WISHES!!!
The healthcare systems across the world need more experts like you who are deeply passionate about their domain and, importantly, who care about ensuring the ill persons receive just the right interventions.
Even after 10+ years, I still come to watch your videos. Thank you!
Love it, Robel! Thanks for watching and commenting!!
@@RespiratoryCoachcan you do video put on those masks on your face like how to put on non rebreather or oxygen mask on your face
Thank you so much for this. I just started RT school and feel overwhelmed. Thank you for your time explaining this topic.
I understand the feeling I am seriously overwhelmed.
From the heart of an Old schooler taking TMC on 10/19. Thankyou for clinical application and understanding. Not only do I know how to work this out but I comprehend, Christ be the Glory! Thankyou for your time and attention, when I was in school such videos were not available that would have made my academic journey less frustrating. Lol…our professors would say form study groups, the class as a whole was as confused as I was 🤪
Thank you for your help! The first week of school and I am drowning with all this new info
It's tough, but it should be. You're learning how to support the most organic element to life! GO GET THAT RRT!
I passed my exam! Thanks Coach!
@@miacharee7127 Nice!
Joe!!!!! Very well done sir. I've been an RT for a long time. The way you articulated the concepts in your lesson make it very easy to understand. I'm sure the RT student appreciates your content as much as I do especially by the end of this lesson. God bless you brother!
I like the way you explained it here. I am a visual learner and the box did it for me. 😊
Hey Joe thanks for the excellent videos. You helped me get my RRT recently, after I've been a RT for quite a while. And by the way I still have my copy of Egans 1st Ed.
WOW!! Egan's 1!!!! That's impressive and congratulations on becoming a RRT! Proud of you!
Thank you Coach this met my needs and understanding
Awesome, Nicholas! Thanks for watching and kindly commenting! GO BE GREAT!
Next month i will graduate the BS in RT but still this topic is still blurry to my. With this video, its a lot clearer now. Thank u ❤️
This helped me a lot! I've been extremely confused in school on air entrainment and which devices used it. Been feeling behind but in 20 minutes you cleared pretty much everything for me.
At the beggining i have not understand , but after i understood this video 100% i feel myself physiotherapist for respiratory .
Graduated as an RT back in 2012 and got my CRT in 2013. Since 2015 I have worked in the DME world and due to Covid just got hired at a hospital. I am so nervous. The DME world is so different from a hospital setting. Thanks so much for taking the time with your videos. Looking forward to getting schooled all over again in order to provide the best care for my future patients and finally in taking the plunge on obtaining my RRT. I would like to one day become an RT instructor once I have gained much needed experience in the field.
Idk what to say other than you’re an awesome teacher and I’m incredibly grateful.
terrific explanation of the air to oxygen ratios and the math behind the magic box. Thank you!
Thank you so much for this video, I have a much better understanding for the magic box calculation, also thank you for your encouragement👍
Thank you coach! I take my test next week and I feel so much more confident because of your help
my professors do well for us as we graduate, but you explain waaay more than they did...granted, they trying to shove a ton of info into our pea brains, but this info is making sense! for my boards, i will be watching all your vids!!!
Thanks for watching Gavin. Don't forget about the TMC Boot Camp to prep for your boards. Link below.
respiratorycoach.teachable.com/p/tmc-boot-camp
if i may ask, where in USA are you? I am praying as a foreign student to get work visa and move to Kentucky...
This is a lifesaver! Our teacher has us just using 21 no matter what but this video definitely helped explain everything. Thank you!
Just started my rt classes. This is great
Congratulations on starting RT school. Enjoy the journey to RRT!
Studying to take the TMC in June. I had forgotten this and this refresher was so helpful! Thanks for what you do for the profession. :)
Love you sir.No one has ever explained like you.
Damn bro you're so good at teaching, I understood everything you said. I'm a first semester student and I barely had to rewind, I'm subscribing for sure.
Finally i got all my questions answered about a Venturi mask here... thank you so much 👍👍
WOW ! thank you for this video. I just started respiratory school and have been so overwhelmed & confused, this really helps :)
Matters cause we are saving peoples' lives!
I love your videos~! My professor told me to memorize the FiO2 ratio and I'm so happy I don't need to NOW!!! THANK YOU!
Thanks Coach! This helped me understand it better!!
Thank you, coach! It all makes sense to me now!
Perfect! Glad it makes sense!
Thank you for that explination. It really helped bring everything together.
This makes so much more sense to me now! Thank you so much
You are very welcome!! Thank you for watching and commenting!!
thank you so much! best expanation and reasons for the calculations ever made! Better than Egan's!
Thank you for your kindness! Glad it helped and thanks for watching!
Well explained. Good job
Thank you, Samson, for watching and commenting!!!
Smokin Joe!
on da roll
Your videos are always my go-to when I'm confused in RT related things..pls make more of these❤❤
Thank you sooo much, this topic was so confusing in class. This explination helped me out alot.
Thank you! Very helpful!
I have been struggling with understanding this and you just gave me my AH HAH! moment. Ohhhhh this makes so much more sense
I live for AH HAH moments! Glad you you had one. Thanks for watching.
Great concept, made simple. Thank you
Thanks for watching, Lashonda! I appreciate you!
Thank you, thank you, thank you!
You are so smart Joe! Thank you for being a good teacher!
Best explained.Thank you !
Thank you!🤗
simply and clear.. thank you sir
Glad it helped! Thank you!!!
This video just made this topic very easy...Thankyou✨✨
Can you please also make video regarding carrier guidance like what to do after bachelors and stuff.
Dope. Luv your style, efficiency, passion, and way of explaining things.
Thank you! Blew my mind! Very insightful.
Awesome. Thank you so much
You're very welcome!
Thank you for another great video!
YOOOOOO THANK YOU JOE THIS HELPED OUT ALOT
Makes lots and lots of sense!! Thank you very much professor
Awesome 👍🏼👍🏼👍🏼 thank you
Beautiful lecture!
Omg youre so smart. thank you!!
Thank you kind sir! I appreciate your time and words.
Thanks coach its helpful
Cool! Thank you for watching!!!
I really enjoyed it and it was clear
Awesome! That's my goal!
Thanks a million.
You're welcome a million!
Thank you. This video helped me a lot!
Perfect
Thank you so much! I was struggling with this topic 😩
You're amazing! Thank you! You need to come teach in Bham, AL.
Thank you
Excelldnt vídeo. Thanks
Excellent
You are very welcome! Thank you for watching and commenting!!
Thanks
I find Egan’s textbook challenging to read. Can you make videos on the 12th edition? My professor has us using 12th edition.
Hello. If we want to give 60% fio2 to a patient the air to oxygen ratio is 1:1. If we set the total flow on our oxygen flow meter to 12-15 lpm our total flow would be 2x12 or 2x15 for a total flow between 24-30lpm. If patient wob is increased and has flow demands greater than that are we really giving them that 60%. Thank you!!!
Hi, I have a question so the magic box when you get your answer why do you named the numerator R/A and the denominator O2. When the numerator was derived from the oxygen and the denominator from the R/A. And my second question is I noticed at my rotation when using the high flow when we lower the flow the fio2 would increase, but when we increase the flow the fio2 would decrease. Could you explain why the flow affected the fio2 when flow shouldn’t affect it ? In this case could having less flow entrained less air therefore increasing fio2, but if thats the case it doesnt follow the logic from what i just learned from you. Hope you can clarified my q’s. Thank you kindly!!
Than you
Hello Joe, While doing some TMC practice questions ; Patient on 30% air entrainment mask running at 5L/min , question was about Total Flow. Before watching your video I was using 20 instead of 21 for FIO2 values les than 35% and it I made me select the wrong answer: (40L/min) instead of 45 L/min. So your advice for this type of questions is to use 21 for FIO2 =35 or < , and 20 for FIO2 > than 35? Thank you in advance!!
Absolutely! Crazy how a small difference leads to a difference answer. Thanks for watching and commenting!
Thank you sir
Welcome!!! Thank you for watching and kindly commenting!
thank you coach Joe, if you can make a video about how to calculate pediatric inspiratory flow demand in a distressed child(Bronchiolitis)and how to know if using 15 L NRM meets their inspiratory flow demand and when to go for HFNC thanks again
Hello! I would love to, but I don't do pediatrics or neonates, so I don't pretend to be an expert in those areas. Maybe some day a neo/pedi expert will join me on my channel to answer all of these neo/pedi questions!!!
@@RespiratoryCoach thanks for your romt reply, hopefully this will be soon ,till then can we use this formula to calculate pediatric inspiratory flow demand =
Tidal volume× RR × 6,where TV equals weight× 8ml.
Thanks again.
my study group need help with humidity and aerosol therapy
Best explanation. Does anyone help me to get Egans 11 edition please?
What about Dilutions?
Can you please do Dilutions?
I'm having trouble with it.
What happens when we dial a wrong set?
If there is no relation between minute ventilation and inspiratory flow , this will bother the patient? And if the high flow deliver devices can meet the inspiratory flow why this device cannot tell us that there is no relation or there is wrong because that will decrease minute ventilation or increase it (worsen it)
Hi can you do video on chapter 39-40 43-44 in Egans
Well I guess it went well
I have another question please , if i set forty at the high delevered devices while the room air is twenty, the device will continue to give the patient forty like the dial set? Or reduces itself to twenty alone?
Whatever you set the fio2 to on a high flow o2 device that will be the delivered fio2 during proper setup and delivery.
How to calculate the flow rate of oxygen that is needed to be set in the flow meter based on the oxygen saturation ? in other words For eg., I have a covid +ve case with SpO2 of 90%, how much oxygen should I administer in LPM ?
I also want to know 😢
Is there a way to remeber Fio2 formula, O2 flow formula and total flow formula in mixing gases? Having hard time remembering them.. once I get the formala..math isn't a big deal. Thank you 😊
i use
100 - fi02/fio2- 20
100- 60/ 60-20
40/40 is 1 to 1 ratio =2 total parts
100-40/40-20
60/20 is 3 to 1 ratio = 4 total parts
I understand your method very easily but I have a question. The Egans 12th edition said you should not round 21 to 20. Whats the difference because you have 20 and the book as 21? hope you see my comment
I just want to understand why mv 6lpm times 3 , why multiply 3 times? The number 3 means the resistance of the airways per one minute?🙃
If you use a pressure of 60 liters and you have an f102 of 30 how much oxygen and air mix?
That last part could you explsin sir at 5lit per min fio2 is 40% why can at 10lit fio2 is 60% ....
I have a question here , if i set wrong fio2 set , the ventilator can correct this after exceeding respiratory rate? Or will continue
@6:50 he starts explains the magic box 😂 you’re welcome
What if you get a ratio of 0.6 : 1 ?
Coach is this the same way to calculate patients flow needs if my patient is fully controlled mechanical ventilated ??
Coach i’m just having a hard time understanding why having an increased minute ventilation would decrease someone’s fio2 while on nasal cannulas and vice versa.Could you explain that?
How to increase total part?
AEM’s say they only deliver between 24-50% fio2 but you chose 60% as an example, so is the book wrong and it can go higher than 50%?
Hey coach, Do you know what the average inspiratory flow would be?
Three times your minute ventilation. So normal minute ventilation is 5-7 lpm, so normal insp flow is approximately 15-21lpm.
@@RespiratoryCoach how inspiratory flow higher than total flow lol
I found it in the book : estimated peak inspirstory flow=(Vt*f)*3
What if venturi is on 21% what air to oxygen ratio is that
There is no 21% venturi. Think about it. If you mix oxygen with room air then you'll increase fio2 to something greater than 21%. Make sense?
Makes perfect logical sense,however i been around a patient that had some type of air entrainment device similar to venturi and RT reported to me he is on 21% (and I don’t remember how many liters of O2 maybe 6)RT said Pt can actually be disconnected and breath on RA,as I looked on the dial it was set to 21%(i know venturi starts @24%)thats why i got confused,also what if we push Med Air thru such device can we compensate for inspiratory flow demand by increasing total flow?
I absolutely hate the 12th edition, should I consider buying the 11th Edition even though my class uses the 12th?
Also I love YOU!!!