CPAP

Question 1

Fill in the blank (as per the companion document):
“This is for the treatment of ________ _______ ________ AND acute pulmonary edema (regardless of origin) or COPD.”

Answer 1

Severe respiratory distress

Question 2

True or false:
CPAP should be considered as additive therapy to the bronchoconstriction (specifically COPD exacerbation) or acute pulmonary edema medical directives, not a replacement.

Answer 2

True

Question 3

True or false:
CPAP may not be interrupted to administer nitroglycerin.

Answer 3

False: CPAP may be interrupted momentarily to administer nitroglycerin

Question 4

Fill in the blank (as per the companion document):
Salbutamol can be administered via ______ port.

Answer 4

MDI (Metered Dose Inhaler)

Question 5

What are the required indication for the CPAP Medical Directive?

Answer 5

Severe respiratory distress AND Signs and/or symptoms of acute pulmonary edema or COPD

Question 6

What does CPAP stand for?

Answer 6

Continuous Positive Airway Pressure

Question 7

What are the required conditions for CPAP use in the CPAP Medical Directive?

Answer 7

Age: >or= 18 years
LOA: N/A
HR: N/A
RR: Tachypnea
SBP: Normotension
Other: SPO2 <90% or accessory muscle use

Question 8

As per the ALS, what is considered Tachypnea in adults?

Answer 8

> or= 28 breaths per minute

Question 9

As per the ALS, what is considered Normotension in adults?

Answer 9

SBP >or= 100 mmHg

Question 10

What are the contraindications for CPAP use in the CPAP Medical Directive?

Answer 10

1. Asthma exacerbation
2. Suspected pneumothorax
3. Unprotected or unstable airway
4. Major trauma or burns to the head or torso
5. Tracheostomy
6. Inability to sit upright
7. Unable to cooperate

Question 11

Using the red CPAP machine, what is the following:
1. Initial Setting
2. Titration Increment
3. Titration Interval
4. Max. Setting

Answer 11

1. Initial Setting: 5 cm H2O
2. Titration Increment: 2.5 cm H2O
3. Titration Interval: 5 minutes
4. Max. Setting: 15 cm H20

Question 12

Using the red CPAP machine, what should your initial FiO2 % be?

Answer 12

50%

Question 13

Using the red CPAP machine, what is the max you can have your FiO2 % set to?

Answer 13

100%

Question 14

Using the red CPAP machine, when should you consider increasing your FiO2 % from its initial value?

Answer 14

When SPO2 <90% despite treatment and/or 10cm H2O pressure or equivalent flow rate of device (as per BHP)

Question 15

Are there any Clinical Considerations for the CPAP Medical Directive?

Answer 15

No