CPAP :) Flashcards

1
Q

What is oxygenation?

A

involves the movement of oxygen from the atmosphere to the alveoli and subsequent diffusion into the blood

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2
Q

What is ventilation?

A

relates to the removal of carbon dioxide from the alveoli after diffusion from the blood

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3
Q

What diseases do CPAP work on?

A

COPD, bronchitis and emphysema and CHF

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4
Q

How does CPAP work?

A

places patients airway under a constant level of pressure throughout the resp cycle causing fluid and other obstruction to be “pushed back” where they belong

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5
Q

CPAP lowers the amount patients going to the hospital having to be put in the ______ !!!

A

ICU

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6
Q

Increased pressure in the airways allows for better _______…..

A

DISTRIBUTION OF GASES

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7
Q

What does maintaining the inspiratory and expiratory pressures above normal result in? (in terms of lung inflation)

A

BETTER Lung compliance and decreased airway ressitance

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8
Q

CPAP allows for a better _______ ratio!

A

V/Q

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9
Q

When the alveoli stay open, ___ _________ can be doubled increasing oxygen and decreasing carbon dioxide levels in the blood which reduces ________ !!

A

gas exchange

hypoxia

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10
Q

Technically speaking…. does CPAP really pushed edema fluid out of the lungs???

A

NOOO!!

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11
Q

With CPAP, the resultant of positive intrathoracic pressure decreases _______.

A

venous return, reduces the right sided CO to a level that the left can be equal or even exceed

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12
Q

CPAP overcomes ________
CPAP prevents _______ during exhalation
CPAP improves ______________ values
CPAP can avoid _________ and mechanical _______

A

inspiratory work

airway collapse

arterial blood gas

intubation / ventilation

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13
Q

What are some complications of CPAP?

A

pulmonary pressure that are TOO high may cause a decrease in blood volume circulating throughout the lungs resulting in a decrease CO ( fall in BP)

over distension of the alveoli resulting in lung overdistention

decreased compliance

may increase secretions or dry upper airways

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14
Q

Do we need to explain what we are doing to the patient?

A

YES

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15
Q

What are some physical complications could come when using CPAP?

A

facial hair
dentures
air leak

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16
Q

What are the indications in the CPAP medical directive?

A

severe respiratory distress

acute pulmonary edema or COPD

17
Q

What are the conditions for CPAP?

A

> =18 years old
tachypnea
normotension > or equal to 100mmHg
<90% or acessory muscle use

18
Q

What are contraindications of CPAP?

A

asthma excerbation
suspected pneumo
unprotected or unstable airway
major trauma or burns to head or torso
tracheostomy
inability to sit upright
unable to cooperate

19
Q

What is the initial setting number for CPAP?

A

5cm H2O or equivalent flow rate of device as per BH direction

20
Q

What is the titration increment?

A

2.5cm H2O or equivalent flow rate of device as per BH direction

21
Q

What is the titration interval?

A

5 mins

22
Q

What is the MAX setting?

A

15cm H2O or equivalent flow rate of device as per BH direction

23
Q

What should the initial fiO2 be?

A

50-100%

24
Q

What is the max FiO2?

A

100%