CPAP

Question 1

Indications

Answer 1

Moderate to severe respiratory distress involving pulmonary edema or bronchospasm

Question 2

Indications 2

Answer 2

Breathing rate is so rapid that it affects overall minute volume

Question 3

Contraindication 1

Answer 3

Patient that cannot protect their own airway

Question 4

Contraindications 2

Answer 4

Patient is unresponsive and cannot follow verbal commands

Question 5

Contraindications 3

Answer 5

Hypotension (systolic less than 90mmhg)

Question 6

Contraindications 4

Answer 6

Signs and symptoms associated with chest trauma or a pneumothorax

Question 7

Procedure 1

Answer 7

Standard precautions

Question 8

Procedure 2

Answer 8

Prepare and check equipment (air filter, supply tubing, fittings)

Question 9

Procedure 3

Answer 9

Have a full “spare” O2 tank and regulator at the patients side

Question 10

Procedure 4

Answer 10

Explain the procedure to the patient and apply “verbal sedation” techniques

Question 11

Procedure 5

Answer 11

Ensure patient is conscious and place in the high fowlers position

Question 12

Procedure 6

Answer 12

Attach CPAP to O2 source and make sure O2 is flowing, and properly set peep valve ( 10cm H2O for pulmonary edema or 5 cm for bronchospasm)

Question 13

Procedure 7

Answer 13

Ensure the PEEP valve is properly attached to the facemask prior to placing on patient. To apply facemask to patient; One rescuer will hold the CPAP mask on the patients face while second rescuer secures and adjust facemask straps

Question 14

Procedure 8

Answer 14

After fitting the mask reassess for proper seal

Question 15

Procedure 9

Answer 15

Reassess the patients respiratory status in response to the intervention

Question 16

Procedure 10

Answer 16

If there is no improvement or patient goes unresponsive, remove CPAP and reassess ABC’s