NIV Flashcards
Goals of NPPV in an acute care setting
Avoid intubation
Improve mortality
Enhance gas exchange
Maximize patient comfort
Decrease length of ventilation and hospitalization
Goals of NPPV in a chronic care setting
Relieve and improve symptoms
Enhance quality of life
Avoid hospitalization
Increase survival and mobility
What is the use of NIV for hypercapnic respiratory failure due to COPD?
What does research show?
It’s a first line therapy for acute exacerbations of COPD.
It can reduce need for intubation, hospital mortality, and complications.
What is he use of NIV for asthma?
Controversial
Shows some evidence of improved P/F ratio, PaCO2 and pH
What is the use of NIV for cardiogenic pulmonary edema?
It’s a first line therapy
Can restore gradient and reduce workload on the right heart by decreasing CO over time
What is the use for NIV for patients with CAP?
Only improves outcomes with patients who have COPD with the PNA.
What is the use of NIV for patients who are in hypoxemic respiratory failure (P/F
It is a first line therapy for immunocompromised
Awaiting transplant
Post lung resection
What NIV treatment is useful for post-op abdominal surgery?
CPAP
When it comes to ventilatory weaning, what patients should NIV therapy be reserved for?
COPD and CHF
NIV in other groups of patients worsens outcomes.
Types of negative pressure ventilators.
3 examples
Porta lung
Chest cuirass
Iron lung
What are contraindications to PAP therapy?
untreated pneumothorax
ICP > 20 mmhg
recent facial trauma or surgery
