EZPAP/PAP

Question 1

gathers appropriate equipment & assembles

Answer 1

pressure manometer, flowmeter, attach mouthpiece or facemask to pap device

Question 2

checks physicians orders & scans chart for diagnosis

Answer 2

identifies pt., self, depart, explains purpose of procedure

Question 3

utilizes & maintains standard precautions as required

Answer 3

explains/instructs pt. on therapy & confirms pt.’s understanding

Question 4

positions pt. for accessibility & comfort (sit pt. up)

Answer 4

assess pt. (HR, RR, BS) before therapy

Question 5

assembles equipment & set initial flow

Answer 5

5 LPM at gas source

Question 6

explains proper breathing technique

Answer 6

inhale deeply but not to TLC, then actively exhale using diaphragm

Question 7

adjust flow to achieve expiratory pressure of

Answer 7

10-20 cm H2O

Question 8

place mouthpiece in mouth assuring tight seal

Answer 8

pt. should do 10-20 breaths (repititions)

Question 9

coach pt. throughout process & correct technique as needed

Answer 9

encourage pt. to cough (splint/huff cough technique may be required)

Question 10

observe sputum production noting

Answer 10

amount, color, consistency

Question 11

monitors pt. t/o therapy for side effects

Answer 11

repeat above cycle 4-8 time
not to exceed 20 minutes
allow periods of rest/recovery between attempts as needed

Question 12

reassesses pt. after procedure

Answer 12

HR, RR, BS

Question 13

thanks pt., ensures safety & need

Answer 13

cleans area & equipment

stores equipment appropriately

Question 14

disposes PPE, w/g

Answer 14

documents