NPPV Flashcards
1
Q
Ideal NPPV Candidates
A
Alert and cooperative patient
A pathology that can be reversed acutely (e.g. CHF, COPD, etc…)
2
Q
Indications for NPPV in COPD exacerbation
A
pH < 7.35
PaCO2 > 45
Severe dyspnea witth increased WOB
3
Q
Contraindications of NPPV (absolute)
A
Severe agitation Copious secretions Inability to protect airway Repeating hemoptysis Facial trauma Recent esophagectomy
4
Q
Contraindications of NVVP (relative)
A
Mild Decrease in LOC Progressive severe resp failure Uncooperative pt that cannot be calmed Suspected acute cardiac syndrome Hemodynamic instability Pregnancy
5
Q
Initial Settings of NPPV
A
10/5 (Not < 8/4)
Vt 5-7ml/kg ideal body weight
SpO2 > 90%
Increase IPAP by 2cmH2O if persistant hypercapnia
Increase IPAP and EPAP by 2cmH2O if persistant hypoxemia
Max IPAP 20-25cmH2O to avoid gastric distension
