Diagnostics & Therapeutics E25- Flashcards
What are 4 terms that all refer to BiPAP?
BPAP
VPAP
NIPPV
NPPV
What are the indications for BiPAP? (x2)
Continued obstructive events at a CPAP pressure of 15.
Intolerant of CPAP
A BiPAP unit with a backup rate is referred to as what?
Servo-controlled ventilation or Adaptive Servo Ventilation?
What are six indications for Adaptive Servo Ventilation?
Cheyne-Stokes Respirations Central Sleep Apnea Mixed Sleep Apnea Respiratory Muscle Dysfunction Neurological Disorders Chest wall disorders
What is the recommended starting pressure for BiPAP?
8/4
What is the recommended IPAP for patients under 12?
20 cm H2O
What is the recommended IPAP for patients 12 years old or older?
30 cm H2O
Pressure support should be no greater than #.
A typical pressure support is # to #.
No greater than 10 cm H2O.
The typical gradient is 4-6 cm H2O.
When is auto-titrating CPAP and BiPAP indicated?
Non-compliant with standard CPAP therapy
Positional apneas
REM-related apneas
What does C-Flex do?
Machine monitors patient’s airflow on exhalation and responds to change in airflow by reducing expiratory pressure.
When is supplemental O2 indicated?
SpO2 less than 88% while breathing room air
SpO2 less than 88% for 5+ min in the absence of obstructive events
When giving supplemental O2, start at __ lpm for adult and pediatric patients. Allow for # to # minutes before increasing the flow.
1 lpm
8-12 min
Where should you connect the supplemental O2?
To the PAP device. (Attaching directly to the mask makes the FiO2 variable.)