FiO2: Difference between revisions

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m (→‎Why we collect FiO2: no discussion here...)
(→‎"Flush" for non-BiPAPs: question clean up; I bet someone out there has an answer for this one!)
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**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
**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)
*** 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)


== FiO2 Reference Table==
== FiO2 Reference Table==

Revision as of 14:06, 2014 September 19

also see: S_FIO2 which is the table name in CCMDB.mdb.

FIO2 is the fraction of inspired oxygen[1] in a gas mixture.

Collection Instructions

  • Enter the FiO2 by referencing the type and LPM in the table on your laptop in CCMDB.mdb, or at the bottom of this article.
    • Once entered, your choice will translate into a number. If you go back to the dropdown later to check what you have entered, the choices 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.
  • Your FIO2 will influence how you collect ABGs, check that article for details.

Why we collect FiO2

FIO2 is used in the calculation of the APACHE score.

"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? Template:Discussion 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? Ttenbergen 17:24, 1 November 2010 (CDT)
        • Any confirmation? What do you use if records say flush? Ttenbergen 14:06, 2014 September 19 (CDT)

FiO2 Reference Table

  • The FIO2's listed in the table below 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.)
Type Code % of O2 Type Code % of O2 Type Code % of O2
No Value No Value 0 Cold Pot 35 ColdPot 35 Partial Rebreath 10 LRB 65
BIPAP 5 L 40 Cold Pot 40 ColdPot 40 Partial Rebreath 12 LRB 65
BIPAP 10 L 60 Cold Pot 50 ColdPot 50 Partial Rebreath 8 LRB 65
BIPAP 15 L 70 Cold Pot 70 ColdPot 70 Partial Rebreath 10 LRB + 3 L NP 70
BIPAP FLUSH 70 Cold Pot 100 ColdPot 100 Partial Rebreath 10 LRB + 5 L NP 70
            Partial Rebreath 13 LRB 70
Nasal Prongs Room Air 21 Non Rebreath 10 LNRB 70 Partial Rebreath 15 LRB 70
Nasal Prongs 1 LNP 24 Non Rebreath 15 LNRB 70 Partial Rebreath 15 LRB + 5 L NP 70
Nasal Prongs 2 LNP 28 Non Rebreath 100 LNRB 80 Partial Rebreath 15 LRB + 7 L NP 70
Nasal Prongs 3 LNP 32 Non Rebreath 20 LNRB 80      
Nasal Prongs 4 LNP 36 Non Rebreath 25 LNRB 80 Venturi Mask 3 LPM 24
Nasal Prongs 5 LNP 40 Non Rebreath 30 LNRB 80 Venturi Mask 4 LPM 26
Nasal Prongs 6 LNP 44       Venturi Mask 5 LPM 28
Nasal Prongs 7 LNP 48 Simple Flow 6 Lpm 35 Venturi Mask 6 LPM 30
Nasal Prongs 8 LNP 50 Simple Flow 7 Lpm 40 Venturi Mask 9 LPM 35
      Simple Flow 8 Lpm 45 Venturi Mask 12 LPM 40
OxyMask 1 LPM 24 Simple Flow 9 Lpm 50 Venturi Mask 15 LPM 50
OxyMask 2 LPM 28 Simple Flow 10 Lpm 55      
OxyMask 3 LPM 32            
OxyMask 4 LPM 36 Ventilated 25 Vent 25      
OxyMask 5 LPM 40 Ventilated 30 Vent 30      
OxyMask 6 LPM 44 Ventilated 35 Vent 35      
OxyMask 7 LPM 48 Ventilated 40 Vent 40      
OxyMask 8 LPM 50 Ventilated 45 Vent 45      
OxyMask 9 LPM 54 Ventilated 50 Vent 50      
OxyMask 10 LPM 56 Ventilated 55 Vent 55      
OxyMask 11 LPM 58 Ventilated 60 Vent 60      
OxyMask 12 LPM 60 Ventilated 65 Vent 65      
OxyMask 13 LPM 62 Ventilated 70 Vent 70      
OxyMask 14 LPM 64 Ventilated 75 Vent 75      
OxyMask 15 LPM 65 Ventilated 85 Vent 80      
      Ventilated 85 Vent 85      
      Ventilated 90 Vent 90      
      Ventilated 95 Vent 95      
      Ventilated 100 Vent 100