TB 141 - Continuous Positive Airway Pressure (CPAP) Flashcards

1
Q

Continuous Positive Airway Pressure (CPAP)

The indications for the use of CPAP are:

A

-adult
-medical (non-trauma) patients in moderate to severe respiratory distress.

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2
Q

While CPAP has been shown to be MOST EFFECTIVE in patients with CHF, it may also help patients with:

A

-COPD

-victims of near drowning

-patients with severe asthma attacks.

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3
Q

CPAP is contraindicated and shall not be used if any of the following conditions exist:

A

-Head or facial trauma

-Systolic blood pressure <90

-Age less than 15 years

-Vomiting

-Moderate to severe nosebleed

-ALOC with inability to cooperate or tolerate device or inability to understand and follow directions for use.

-Respiratory or cardiac arrest

-Suspected pneumothorax

-Presence of a tracheostomy

-Inability to maintain patent airway

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4
Q

CPAP may be administered under DHS Reference No. ______, under the M17 Standing Field Treatment Protocol (SFTP - Respiratory Distress), or via base station order.

A

Ref 806 (Procedures Prior to Base Contact)

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5
Q

Continuous Positive Airway Pressure (CPAP)

At no time shall O2 flow rate be set at LESS THAN ____ LPM when CPAP is being applied.

Oxygen flow rates may vary, but must be between ____ LPM and ____ LPM.

A

-15 LPM

-15 to 25 LPM

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6
Q

O2 Consumption

A standard “D” Cylinder has a runtime of approximately _____ minutes at 15 LPM flow.

A

20 mins

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7
Q

True or False?

Whenever CPAP is applied to a patient, even if it must be discontinued for any reason, you must document the use of CPAP.

A

True

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8
Q

All advanced life support field resources (assessment engines, assessment light forces, and paramedic RAs) shall be stocked with CPAP.

The CPAP equipment is packaged to include:

A

-one Boussignac CPAP device with oxygen tubing

-one medium adult size CPAP mask

-one nebulizer chamber with a T piece connector and oxygen tubing

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9
Q

The CPAP equipment SHALL be placed in the green AIRWAY BAG and SHALL be brought in to the patient’s side on what type of calls?

A

All ADULT medical calls. (Non-trauma)

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10
Q

If indicated, an albuterol nebulizer may be administered simultaneously using the T piece connector and a second oxygen source.

The oxygen flow rate for the nebulizer shall be ____ LPM.

A

6 LPM

(Maintain O2 flow of CPAP at 15 LPM)

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11
Q

Once CPAP is applied, it should be discontinued immediately if any of the following occur:

A

-the patient doesn’t tolerate the CPAP

-patient’s systolic blood pressure falls below 90 mm Hg

-patient’s respiratory status deteriorates and requires assisted ventilation via BVM

-patient develops vomiting that requires suctioning of the airway

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