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					                                                            Lab #1 – Cylinders, Regulators and Flowmeters


RsCr 220 - Lab Exercise 1                 Name ____________________________________

Cylinders, Regulators and Flowmeters

1.    Inspect a H cylinder and in the space below list
      as many of the symbols or markings found on the
      shoulder of the tank. Understand any?




      Become familiar with the transportation of H size cylinders by doing the following:
      (Have an instructor initial in the space provided when you have accomplished each
      task).

_____Instructor Initials a. Push an H cylinder across the room and back (while on the cart.)


_____Instructor Initials b. Remove the H cylinder and roll it 10 feet away from the cart and
                            then return it to the cart and re-chain it.

      a. Remove the cylinder cap and carefully “crack” the cylinder (make sure the outlet is
         facing away from anyone!) We do this to remove any possible debris from the tank
         connection. Why is the oxygen coming out of the tank cold? Eventually even the top
         half of the tank will become quite cold.




      (Hint. What happens to the pressure and volume of the gas in the tank upon entering
      the atmosphere? How are pressure and temperature (Gay-Lussac’s Law) related? )

      b. Obtain an appropriate wrench, regulator and attach it to the cylinder that you just
         cracked. Open the cylinder valve by turning it at least two full turns. Check for leaks
         (listen and feel). What is the amount of pressure indicated on the regulator? What is
         the pressure of a full cylinder? When is it considered medically empty?




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                                                          Lab #1 – Cylinders, Regulators and Flowmeters


     Turn the cylinder off and release the pressure in the regulator by turning on the
     flowmeter. Once flow has ceased, use the wrench to remove the regulator from the
     cylinder. Facing the regulator rotate the nut counter-clockwise to remove.
     DO ALL OF THESE MANIPULATIONS - MANY TIMES - UNTIL YOU ARE PROFICIENT
     REMEMBER:



2.   Obtain an E cylinder and attach an appropriate regulator. Open the cylinder valve
     and check for leaks. Note the internal tank pressure. Write the amount in the space
     below.


     a. What safety system is employed in these regulator connections? Why do we need a
        safety system anyway?


     b. Turn the flow onto 3 L/m. Slowly cover the outlet with your hand at the same time
        watching the flow gauge. What happens to the flow reading?


     c. Release your hand. Check to make sure the flow is still 3 L/m. Now attach a
        Christmas Tree adapter (oxygen nipple) and a length of small bore oxygen hose.
        Does the flow change?


     d. Turn the cylinder off. Turn the flowmeter on until the flow ceases to release the
        pressure inside the regulator. Remove the Christmas tree adapter and oxygen hose.
        Remove the regulator.

     e. On this sheet below, draw (as best you can) each of the following:

     The stem of the E cylinder (the side        The E cylinder regulator (label all parts as
     with the greatest number of holes).         best you can) i.e. Pins, washer, pressure
                                                 gauge, flow-meter




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                                                            Lab #1 – Cylinders, Regulators and Flowmeters



3.      Obtain a Wall Flowmeter (Thorpe tube), a Christmas tree adapter and a length of
        oxygen tubing. Attach and re-attach the flowmeter to the appropriate outlet. What is
        stopping you from putting an air flowmeter on an oxygen outlet? What safety system
        governs this Station Outlet connection? What is the alternate system? (We don’t have it
        here in the lab!)




       a. Turn the flowmeter to 4 L/m. (Make sure the ball-float is in the center of the
          appropriate marking.) Attach the Christmas tree and oxygen tubing. Did the flow
          change?



       b. Now firmly cover the outlet with your hand. Did the flow change? If so how? Why?
          Release your hand and make sure the flow setting is still 4 L/m.




       c. According to the text, what are the two types of Thorpe tube flow-meters. Explain
          as fully as you can what kind of Thorpe tube flowmeters are here in lab?




       d. Why (pressure balance) does the ball in the Thorpe tube balance in mid-air?




       e. Why can both an air and oxygen flowmeter attached to air and 02 outlets be
          potentially hazardous?




    Turn the flowmeter off, disconnect it from the outlet and return all the equipment to the
countertop.
Answer the following questions.       This entire Lab is due at the end of this period.

     1. A flowmeter attached to an "H" cylinder is running at 8 LPM. The cylinder pressure is
        1220 PSI. How long will the cylinder last? (Show your work)

                                     Page 3 of 6
                                                        Lab #1 – Cylinders, Regulators and Flowmeters




2. Calculate how long an "E" cylinder will last during transport at 6 LPM with 1400 psi.
   (Show your work.)




3. Give an example of a connection that utilizes the PISS safety system. (Be specific and
   use complete sentences.)




4. Which type of flowmeter must be used in the upright position? Why?



5. What is the standard hospital wall pressure? So most flowmeters are calibrated to
   operate at what pressure?




6. Is this considered a high pressure or low pressure system?




                                 Page 4 of 6
                                                               Lab #1 – Cylinders, Regulators and Flowmeters


REGULATOR COMPENTENCY

Attachment

   1. Obtain the proper flowmeter for the cylinder connections system (i.e. Pin Index for E
      cylinder and A.S.S.S for H cylinder)
   2. Using the correct wrench, crack the cylinder valve to remove possible debris.
   3. Using correct wrench, attaches regulator securely. (Verifies presence of washer with E
      cylinder)
   4. Turns cylinder valve on and ensures no leak present.
   5. Confirms cylinder pressure.
   6. Adjusts flow to proper rate.

Able to calculate cylinders duration (0.28 for E and 3.14 for H cylinders)

Removal
  1. Turns cylinder valve off.
  2. Bleeds off the pressure from the regulator by turning on the flow.
  3. Loosen the yoke or threads and remove the regulator appropriately.

Note: Most common omissions clinically are steps #2 in attachment and removal. Many hospital
       therapists skip cracking the cylinder and bleeding off the regulator.




                                       Page 5 of 6
                                                           Lab #1 – Cylinders, Regulators and Flowmeters


Student’s Name: ___________________________________________

CLINICAL PERFORMANCE CHECKOFF
MJC ALLIED HEALTH DIVISION
RESPIRATORY CARE PROGRAM


CYLINDER SAFETY AND TRANSPORT

Place a check in each line if the student satisfactorily completed each area of the procedure.
A student must satisfactorily complete each area to be checked-off on a procedure. A student
must be checked-off twice on any given procedure before being allowed to perform this procedure
without direct supervision.

TASKS                                                 Therapist      Faculty

   1. Obtains the appropriate cylinder from           _________ _________
      storage area. (E or H may be used)

   2. Cracks the cylinder.                            _________ _________

   3. Safely secures cylinder to cart and             _________ _________
      transports it effectively.

   4. Selects the appropriate regulator and           _________ _________

   5. Turns on cylinder and checks for and            _________ _________
      corrects any leaks.

   6. Reads pressure correctly and turns              _________ _________
      flowmeter to prescribed flowrate.

   7. Accurately calculates the time cylinder         _________ _________
      can be used at the prescribed flowrate.


Therapist Signature__________________________ Date __________

Faculty Signature____________________________ Date __________

Comments_____________________________________________________________

______________________________________________________________________




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