56 - Adult - Central Line

Question 1

In CHF, patients with CPAP benefit from what changes to cardiac function?

Answer 1

• reduction in preload/afterload of the failing heart

Question 2

Indications of CPAP

Answer 2

• asthma/COPD (ALS only)
• pulmonary edema/CHF
  
  • shortness of breath with wheezes/crackles
  • awake and able to follow commands
  • able to fit within the CPAP mask
  • SBP over 90 mmHg
  • has been using accessory muscles

Question 3

Contraindications for CPAP

Answer 3

• SBP under 90 mmHg (contact MedCom if you believe the patient will benefit)
• severe cardiorespiratory distress/impending arrest
• cardio/respiratory arrest
• upper airway abnormality/trauma
• penetrating chest trauma
• gastric distention
• compromised thoracic organs
• persistent N/V
• inability to protect airway