Respiratory 6 - Non Invasive Ventilation Flashcards
1
Q
what type of lung disease is NIV used for?
A
obstructive lung disease
2
Q
when is BIPAP used?
A
if type 2 resp failure
typically for COPD
resp acidosis pH<7.35 despite treatment
3
Q
who initiates BIPAP? precautions?
A
registrar or senior
CXR first to exclude pneumothorax ideally
need a plan if NIV fails for escalation
4
Q
average male patient IPAP, EPAP figures for BIPAP
A
insp positive airway pressure IPAP 16-20cmH2O
EPAP 4-6cmH2O
5
Q
what needs to be done after starting BIPAP?
A
repeat ABG at 1 hours and every 4 thereafter until stabilised
IPAP to be increased by 2-5cm H2O increments until acidosis resolved
6
Q
3 indications for CPAP and why used
A
to prevent collapsible airways from doing so
obstructive sleep apnoea
congestive HF
acute pulmonary oedema
