1 medical gases we breathe earth’s atmosphere composed of: nitrogen (78%) oxygen (21%) carbon...
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MEDICAL GASES
We breathe earth’s atmosphere composed of: Nitrogen (78%) Oxygen (21%) Carbon Dioxide (0.03%) Argon and trace gases (0.93%)
Neon, Xenon, Krypton and Deon
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How Oxygen is producedFractional Distillation
Physical Separation
-Nitrogen Molecular sieve
Semi-Permeable membrane
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Fractional Distillation Atmospheric air is filtered of pollutants, carbon dioxide
and water Air is compressed and cooled to a liquid Then it is slowly heated and the nitrogen boils off. Liquid oxygen remains
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Medical Gases
Oxygen, Carbon Dioxide, Helium, Nitrous Oxide, Nitric Oxide, Nitrogen, Carbon Monoxide
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RsCr 220 5
Properties of Common Gases
Chemical symbol Molecular weight Color, odor, taste Physical state
Critical temperature, boiling point Combustion characteristics
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Oxygen
02
Molecular Weight 32 Colorless, odorless, tasteless Slightly heavier than air
Density of 1.29 g/L Nonflammable
but supports
combustion
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Compressed Air
Is the same mixture of nitrogen, oxygen, carbon dioxide and argon.
Is piped in to all modern hospitals Used to power pneumatically powered
equipment Some situations (patients are C02 retainers)
when oxygen is contraindicated
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Carbon Dioxide C02
Colorless and Odorless Does not support combustion
Used in fire extinguishers More soluble in liquids than oxygen
Easier transporting in blood then oxygen Used to treat hiccups (singulation)
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Helium He Odorless, tasteless, non-flammable Second lightest of gases Combined with oxygen (heliox) to reduce
work of breathing with swollen upper airways
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Nitrous Oxide
N20 Nonflammable but supports combustion Used as an anesthesia in OR (laughing gas) Always mixed with oxygen (Entonox) and
other anesthesia agents
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RsCr 220 11
Nitric Oxide
NO Is nonflammable but supports combustion Used experimentally in low concentrations
(ppm) for pulmonary vasodilation Recently has had excellent results with
premature babies
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Nitrogen
N2-inert gas, most abandoned in the atmosphere
Used as lab gas (liquid) for freezing tissue
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Carbon Monoxide
CO Used in Pulmonary Function Lab Very diffusible – used to test how easily gas will pass
through the lung membranes
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Cyclopropane
Strictly an anesthesia gas
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RsCr 220 15
Ethylene Oxide
Used to gas sterilize medical equipment Useful for equipment that can’t handle high
temperatures or immersion in water
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Oxygen Storage
Tanks – Liquid
Tanks - Gas
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Tank Sizes and CapacitiesLarge Cylinders
Small Cylinders made of aluminium
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RsCr 220 18
Oxygen Tank Sizes
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Types and colors of cylinders Air - Yellow Oxygen - Green –
Int’l (White) Helium - Brown CO2 - Grey Nitrogen - Black Nitrous Oxide-Blue
Do NOT trust the color
of the tank as sole
Indicator of it’s contents
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RsCr 220 20
Labels – The only sure way
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Other Oxygen Tank Markings
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Large Oxygen Supply System
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RsCr 220 23
Small Bank of Cylinders
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Liquid vs Gas
Insulated – Liquid Solid metal - Gas Large continuous demand – Liquid Small portable – Liquid or tank
Tanks act differently if they contain gas or liquid No accurate gauge on liquid tank content
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Go figure
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Liquid Oxygen
Constantly losing oxygen despite insulation Needs pressure and insulation for cold
temperature (-118oC) Low pressure (200 psi) Large system has vaporizers fins to help with
heat transfer when liquid turns to gas (frozen year round)
Small system is great for mall shopping
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RsCr 220 27
Bulk Liquid Oxygen supply
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Home LiquidOxygen
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Flowmeters
Thorpe Tube is most common Can use Bourdon Gauge
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RsCr 220 30
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RsCr 220 31
Thanks for listening