Diagnostics & Therapeutics E25- Flashcards

1
Q

What are 4 terms that all refer to BiPAP?

A

BPAP
VPAP
NIPPV
NPPV

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2
Q

What are the indications for BiPAP? (x2)

A

Continued obstructive events at a CPAP pressure of 15.

Intolerant of CPAP

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3
Q

A BiPAP unit with a backup rate is referred to as what?

A

Servo-controlled ventilation or Adaptive Servo Ventilation?

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4
Q

What are six indications for Adaptive Servo Ventilation?

A
Cheyne-Stokes Respirations
Central Sleep Apnea
Mixed Sleep Apnea
Respiratory Muscle Dysfunction
Neurological Disorders
Chest wall disorders
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5
Q

What is the recommended starting pressure for BiPAP?

A

8/4

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6
Q

What is the recommended IPAP for patients under 12?

A

20 cm H2O

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7
Q

What is the recommended IPAP for patients 12 years old or older?

A

30 cm H2O

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8
Q

Pressure support should be no greater than #.

A typical pressure support is # to #.

A

No greater than 10 cm H2O.

The typical gradient is 4-6 cm H2O.

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9
Q

When is auto-titrating CPAP and BiPAP indicated?

A

Non-compliant with standard CPAP therapy
Positional apneas
REM-related apneas

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10
Q

What does C-Flex do?

A

Machine monitors patient’s airflow on exhalation and responds to change in airflow by reducing expiratory pressure.

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11
Q

When is supplemental O2 indicated?

A

SpO2 less than 88% while breathing room air

SpO2 less than 88% for 5+ min in the absence of obstructive events

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12
Q

When giving supplemental O2, start at __ lpm for adult and pediatric patients. Allow for # to # minutes before increasing the flow.

A

1 lpm

8-12 min

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13
Q

Where should you connect the supplemental O2?

A

To the PAP device. (Attaching directly to the mask makes the FiO2 variable.)

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