FiO2: Difference between revisions

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'''FiO<sub>2</sub>''' is the '''fraction of inspired oxygen''' in a gas mixture. [http://en.wikipedia.org/wiki/FiO2]
{{Data element
|field_name=Ap_FIO2
|CCMDB_label=FIO2
|Rank=Apache
|in_table=L Log table
|data_type=number
|datafield_length=single
|program_collecting=CC
|created_raw=Raw
|data_element_sort_index=67
|CCMDB_tab=Apache
|element_description=FIO2 is the '''fraction of inspired oxygen'''[http://en.wikipedia.org/wiki/FiO2] in the gas mixture breathed by the patient.
}}
It is an element of the [[Arterial blood gas (APACHE)]].


Estimates only
See http://en.wikipedia.org/wiki/FiO2
NOTE: Most FiO<sub>2</sub>s listed in this table are '''estimates only''' for the completion of the APACHE II score. The actual FiO<sub>2</sub> that a patient gets varies due to a number of factors.


{| class="wikitable" border=0
== Collection Instructions ==
|- style="font-size:11pt"
There are special collection instructions for [[Arterial blood gas (APACHE)]], refer there for further info. FIO2 collection is impacted by this.
| style="background-color:#8DB4E3" width="100" colspan="2" height="16" valign="bottom" | Nasal Prongs
| width="20"  valign="bottom" | &nbsp;
| style="background-color:#8DB4E3" width="97" colspan="2"  valign="bottom" | Partial Rebreath Mask
| width="20"  valign="bottom" | &nbsp;
| style="background-color:#8DB4E3" width="80" colspan="2"  valign="bottom" | Simple Flow Mask


|- style="font-size:11pt"  valign="bottom"
Enter the FiO2 by choosing the type and LPM in the drop-down in [[CCMDB.accdb]].
|style="background-color:#C5D9F1" height="15" width="80" | Room Air
|style="background-color:#C5D9F1" width="50" | 21%
| &nbsp;
|style="background-color:#C5D9F1" | 8 LRB
|style="background-color:#C5D9F1" | 65%
| &nbsp;
|style="background-color:#C5D9F1" width="80" | 6 Lpm
|style="background-color:#C5D9F1" width="50" | 35%


|- style="font-size:11pt"  valign="bottom"
Once entered, your choice will translate into a number. If you go back to the dropdown later to check what you have entered, ''the type/LPM may not be what you entered'', but they will be something that corresponds to the same percentage FiO2. In other words, you can not go back to this field later to see the type or LPM you entered originally.
|style="background-color:#C5D9F1" height="15" | 1 LNP
|style="background-color:#C5D9F1" | 24%
| &nbsp;
|style="background-color:#C5D9F1" | 10 LRB
|style="background-color:#C5D9F1" | 65%
| &nbsp;
|style="background-color:#C5D9F1" | 7 Lpm
|style="background-color:#C5D9F1" | 40%


|- style="font-size:11pt"  valign="bottom"
|style="background-color:#C5D9F1" height="15" | 2LNP
|style="background-color:#C5D9F1" | 28%
| &nbsp;
|style="background-color:#C5D9F1" | 12 LRB
|style="background-color:#C5D9F1" | 65%
| &nbsp;
|style="background-color:#C5D9F1" | 8 Lpm
|style="background-color:#C5D9F1" | 45%


|- style="font-size:11pt"  valign="bottom"
{{APACHE physiological variable
|style="background-color:#C5D9F1" height="15" | 3 LNP
|AP phys name= fraction of inspired oxygen
|style="background-color:#C5D9F1" | 32%
|AP phys unit= percentage
| &nbsp;
|AP phys absMax= 100
|style="background-color:#C5D9F1" | 13 LRB
|AP phys warnMax= 100
|style="background-color:#C5D9F1" | 70%
|AP 0as per [[AaDO2]]
  | &nbsp;
|AP phys warnMin= 20
|style="background-color:#C5D9F1" | 9 Lpm
|AP phys absMin= 20
|style="background-color:#C5D9F1" | 50%
}}


|- style="font-size:11pt"  valign="bottom"
== FiO2 dropdown ==
|style="background-color:#C5D9F1" height="15" | 4 LNP
See drop-down in [[CCMDB.accdb]].
|style="background-color:#C5D9F1" | 36%
| &nbsp;
|style="background-color:#C5D9F1" | 15 LRB
|style="background-color:#C5D9F1" | 70%
| &nbsp;
|style="background-color:#C5D9F1" | 10 Lpm
|style="background-color:#C5D9F1" | 55%


|- style="font-size:11pt"  valign="bottom"
These FIO2's are '''estimates''' only that we use for the collection of arterial blood gas (ABG's) data for APACHE II scoring]] purposes. The actual FiO2 that a patient gets varies due to a number of factors that are not accounted for in these estimates. (breath rate and depth, distance of O2 diffuser from face, resistance to flow etc.)
|style="background-color:#C5D9F1" height="15" | 5 LNP
|style="background-color:#C5D9F1" | 40%
| &nbsp;
|style="background-color:#C5D9F1" | 15 LRB + 5 L NP
|style="background-color:#C5D9F1" | 70%
|| &nbsp;
|| &nbsp;
|| &nbsp;


|- style="font-size:11pt"  valign="bottom"
[https://bloggingforyournoggin.wordpress.com/2016/03/29/oxygen-flow-rate-and-fio2-understand-the-relationship/ Here is a link] for an article that deals with the relationship between FiO2 and flow rate.
|style="background-color:#C5D9F1" height="15" | 6 LNP
|style="background-color:#C5D9F1" | 44%
| &nbsp;
|style="background-color:#C5D9F1" | 10 LRB + 5 L NP
|style="background-color:#C5D9F1" | 70%
| &nbsp;
|style="background-color:#8DB4E3" colspan="2" | Cold Pot


|- style="font-size:11pt"  valign="bottom"
===OptiFlow===
|style="background-color:#C5D9F1" height="15" | 7 LNP
To get the FiO2 for optiflow
|style="background-color:#C5D9F1" | 48%
* if available, use the optiflow or "high flow" when initiated by respiratory.
| &nbsp;
* if that is not available, then as a default use the FIO2 you'd get with that oxygen flow with a regular nasal cannula
|style="background-color:#C5D9F1" | 10 LRB + 3 L NP
|style="background-color:#C5D9F1" | 70%
| &nbsp;
|style="background-color:#C5D9F1" | &nbsp;
|style="background-color:#C5D9F1" | 35%


|- style="font-size:11pt"  valign="bottom"
== Implementation ==
|style="background-color:#C5D9F1" height="15" | 8 LNP
The field draws its values from the [[S_FIO2 table]].
|style="background-color:#C5D9F1" | 50%
| &nbsp;
|style="background-color:#C5D9F1" | 15 LRB + 7 L NP
|style="background-color:#C5D9F1" | 70%
| &nbsp;
|style="background-color:#C5D9F1" | &nbsp;
|style="background-color:#C5D9F1" | 40%


|- style="font-size:11pt"  valign="bottom"
== Data Integrity Checks ==
| height="15" | &nbsp;
{{Data Integrity Check List}}
|
| &nbsp;
| &nbsp;
| &nbsp;
| &nbsp;
|style="background-color:#C5D9F1" | &nbsp;
|style="background-color:#C5D9F1" | 50%


|- style="font-size:11pt"
== Related articles ==
|style="background-color:#8DB4E3" colspan="2" height="15" valign="bottom" | Non Rebreath Mask
{{Related Articles}}
|  valign="bottom" | &nbsp;
|style="background-color:#8DB4E3" colspan="2" valign="bottom" | Venturi Face Mask
|  valign="bottom" | &nbsp;
|style="background-color:#C5D9F1"  valign="bottom" | &nbsp;
|style="background-color:#C5D9F1"  valign="bottom" | 70%


|- style="font-size:11pt"  valign="bottom"
[[Category:ABG]]
|style="background-color:#C5D9F1" height="15" | 10 LNRB
[[Category:Standards and Conventions]]
|style="background-color:#C5D9F1" | 70%
| &nbsp;
|style="background-color:#C5D9F1" | 3 Lpm
|style="background-color:#C5D9F1" | 24%
| &nbsp;
|style="background-color:#C5D9F1" | &nbsp;
|style="background-color:#C5D9F1" | 100%
 
|- style="font-size:11pt"  valign="bottom"
|style="background-color:#C5D9F1" height="15" | 15 LNRB
|style="background-color:#C5D9F1" | 70%
| &nbsp;
|style="background-color:#C5D9F1" | 4 Lpm
|style="background-color:#C5D9F1" | 26%
| &nbsp;
| &nbsp;
| &nbsp;
 
|- style="font-size:11pt"  valign="bottom"
|style="background-color:#C5D9F1" height="15" | 20 LNRB
|style="background-color:#C5D9F1" | 80%
| &nbsp;
|style="background-color:#C5D9F1" | 5 Lpm
|style="background-color:#C5D9F1" | 28%
| &nbsp;
|style="background-color:#8DB4E3" colspan="2" | BiPAP
 
|- style="font-size:11pt"  valign="bottom"
|style="background-color:#C5D9F1" height="15" | 25 LNRB
|style="background-color:#C5D9F1" | 80%
| &nbsp;
|style="background-color:#C5D9F1" | 6 Lpm
|style="background-color:#C5D9F1" | 30%
| &nbsp;
|style="background-color:#C5D9F1" | 5 L
|style="background-color:#C5D9F1" | 40%
 
|- style="font-size:11pt"  valign="bottom"
|style="background-color:#C5D9F1" height="15" | 30 LNRB
|style="background-color:#C5D9F1" | 80%
| &nbsp;
|style="background-color:#C5D9F1" | 9 Lpm
|style="background-color:#C5D9F1" | 35%
| &nbsp;
|style="background-color:#C5D9F1" | 10 L
|style="background-color:#C5D9F1" | 60%
 
|- style="font-size:11pt"  valign="bottom"
|style="background-color:#C5D9F1" height="15" | 100 LNRB
|style="background-color:#C5D9F1" | 80%
| &nbsp;
|style="background-color:#C5D9F1" | 12 Lpm
|style="background-color:#C5D9F1" | 40%
| &nbsp;
|style="background-color:#C5D9F1" | 15 L
|style="background-color:#C5D9F1" | 70%
 
|- style="font-size:11pt"  valign="bottom"
| height="15" | &nbsp;
| &nbsp;
| &nbsp;
|style="background-color:#C5D9F1" | 15 Lpm
|style="background-color:#C5D9F1" | 50%
| &nbsp;
|style="background-color:#C5D9F1" | Flush
|style="background-color:#C5D9F1" | 70%
 
|}
 
== Relevance ==
The FiO<sub>2</sub> is used to calculate the AaDO2 which is a component of the APACHE score as follows:
for FiO<sub>2</sub> >= 50 %,
AaDO<sub>2</sub> = ((FiO<sub>2</sub> * 713) - [[PO2]]) - [[Serum CO2]]
 
== to do before de-stubbing ==
* is "VENTURI FASK MASK" a typo? What is the right spelling?
FACE MASK. Can you fix the table please. thanks Trish
 
 
{{stub}}
[[Category:Data_Collection_Guide]]
[[Category:APACHE II]]