CCMDB Wiki

FiO2: Difference between revisions

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


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There are special collection instructions for [[Arterial blood gas (APACHE)]], refer there for further info. FIO2 collection is impacted by this.
There are special collection instructions for [[Arterial blood gas (APACHE)]], refer there for further info. FIO2 collection is impacted by this.


Enter the FiO2 by choosing the type and LPM in the drop-down in [[CCMDB.mdb]].  
Enter the FiO2 by choosing the type and LPM in the drop-down in [[CCMDB.accdb]].  


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.  
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.  
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== FiO2 dropdown ==
== FiO2 dropdown ==
See drop-down in [[CCMDB.mdb]].
See drop-down in [[CCMDB.accdb]].


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.)
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.)


== Values missing from our list ==
[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.  
{{discussion}} We should address these and add entries to the dropdown as needed Ttenbergen 15:12, 2017 January 8 (CST)
=== "Flush" for non-BiPAPs ===
*At least at HSC, the term "flush" is also used for rebreath. In that case, it means the oxygen flow meter is set at its maximal flow. What FIO2 value should be used for this? {{discussion}} [[User:Ttenbergen|Ttenbergen]] 14:39, 9 April 2010 (CDT) as per Marie Laporte
**I spoke to some members of the Transport team (RRTs) who state that once the flow meter is set at a maximal flow above 15L/min (flush)  it becomes difficult to determine exactly what the approximate FiO2 is.   Marie
*** OK, but what is to be used for collection? [[User:Ttenbergen|Ttenbergen]] 17:24, 1 November 2010 (CDT)
**** Any confirmation? What do you use if records say flush? Ttenbergen 14:06, 2014 September 19 (CDT)
****If anyone knows the answer to what Fi02 flush is, can they post here or is this still unknown what to use? I see in our program on the apache Fi02 choices we have a 100LNRB which gives 80 percent. Is that what we should use?[[User:GHall|GHall]] 11:59, 2016 June 30 (CDT)


===OptiFlow===
===OptiFlow===
{{discussion}}
To get the FiO2 for optiflow
*We need to address what FiO2 to use for Opti flow which is a specialized system with varying Oxygen flows.  Probably will need to enlist respiratory to set up a table for this.--[[User:LKolesar|LKolesar]] 13:18, 2015 February 19 (CST)
* if available, use the optiflow or "high flow" when initiated by respiratory.
*need a volunteer.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:37, 2015 February 19 (CST)
* if that is not available, then as a default use the FIO2 you'd get with that oxygen flow with a regular nasal cannula
 
== Implementation ==
The field draws its values from the [[S_FIO2 table]].


== Data Integrity Checks ==
{{Data Integrity Check List}}


== Implementation ==
== Related articles ==
The field draws its values from table [[S_FIO2]].
{{Related Articles}}


[[Category: ABG]]
[[Category:ABG]]
[[Category: Standards and Conventions]]
[[Category:Standards and Conventions]]
Retrieved from "https://ccmdb.kuality.ca/index.php?title=FiO2"