CPAP Study Set – Complete With Correct Solutions
How often should a patient use CPAP Right Ans - Every night four hours
per day otherwise health insurance won't pay
Why does obstructive sleep apnea cause strokes Right Ans - Because the
heart has to pump harder to get the blood out to the tissues. Body loses
oxygen saturation causing the person to become hypoxemic making the heart
pump faster causing clots in the ventricles. When you're saturation drops the
ventricle gets weaker and weaker
Do patients snore with central sleep apnea Right Ans - No because there is
no signal to breath
What are the normal pressures for CPAP Right Ans - 5 to 20 cm of water
What are the goals of CPAP Right Ans - Increase the FRC (recruitment of
Alveoli)
Decrease work of breathing and increase compliance
Decrease oxygen consumption
To help avoid tracheal intubation
Helps with secretion removal
When would you decrease the pressure of CPAP Right Ans - If you notice a
drop in blood pressure because heart is working harder to correct situation
What are some conditions benefiting from CPAP Right Ans - Acute
exacerbation of COPD
-Status asthmaticus
-Hypoxemic respiratory failure
-Cardiogenic pulmonary edema
- Restrictive Thoracic disorders
-Obstructive sleep apnea
-Nocturnal hypoventilation
-Do not intubate status
What would you do to the pressure of the CPAP if the patient is having
arrhythmias Right Ans - Increase the pressure of the CPAP because the
patient is probably low on oxygen
, What happens when you increase the FRC Right Ans - It helps with
oxygenation
When do you typically have a humidifier attached to CPAP Right Ans -
Usually only for chronic care or homecare at home
Is CPAP a high flow or low flow system Right Ans - Hi flow
What CPAP pressure is like spontaneous breathing Right Ans - 5 cm H2O
What are some contraindications for CPAP Right Ans - -Facial burns facial
or skull trauma
-Hemodynamic instability
-Need for airway protection vomiting
Respiratory arrest intubated ASAP
-Uncooperative patient
When fitting a mask for patient on CPAP what is the patient of choice Right
Ans - -A patient that is awake alert and oriented
-A patient must be able to protect their airway
-They must be able to maintain normal CO2 without excessive ventilatory
effort
When using a nasal mask for CPAP when would you see leaks Right Ans - -
A patient who breathes through his mouth
-If the base of the mask Is too tight
When would you use a chinstrap Right Ans - On a patient who is using a
nasal CPAP mask and keeps their mouth open
When would you not want to use a nasal CPAP mask Right Ans - A patient
who has nasal polyps or deviated septum
Or was a mouth breather
What can you put over the bridge of the nose to minimize leaks Right Ans -
DuoDERM
How often should a patient use CPAP Right Ans - Every night four hours
per day otherwise health insurance won't pay
Why does obstructive sleep apnea cause strokes Right Ans - Because the
heart has to pump harder to get the blood out to the tissues. Body loses
oxygen saturation causing the person to become hypoxemic making the heart
pump faster causing clots in the ventricles. When you're saturation drops the
ventricle gets weaker and weaker
Do patients snore with central sleep apnea Right Ans - No because there is
no signal to breath
What are the normal pressures for CPAP Right Ans - 5 to 20 cm of water
What are the goals of CPAP Right Ans - Increase the FRC (recruitment of
Alveoli)
Decrease work of breathing and increase compliance
Decrease oxygen consumption
To help avoid tracheal intubation
Helps with secretion removal
When would you decrease the pressure of CPAP Right Ans - If you notice a
drop in blood pressure because heart is working harder to correct situation
What are some conditions benefiting from CPAP Right Ans - Acute
exacerbation of COPD
-Status asthmaticus
-Hypoxemic respiratory failure
-Cardiogenic pulmonary edema
- Restrictive Thoracic disorders
-Obstructive sleep apnea
-Nocturnal hypoventilation
-Do not intubate status
What would you do to the pressure of the CPAP if the patient is having
arrhythmias Right Ans - Increase the pressure of the CPAP because the
patient is probably low on oxygen
, What happens when you increase the FRC Right Ans - It helps with
oxygenation
When do you typically have a humidifier attached to CPAP Right Ans -
Usually only for chronic care or homecare at home
Is CPAP a high flow or low flow system Right Ans - Hi flow
What CPAP pressure is like spontaneous breathing Right Ans - 5 cm H2O
What are some contraindications for CPAP Right Ans - -Facial burns facial
or skull trauma
-Hemodynamic instability
-Need for airway protection vomiting
Respiratory arrest intubated ASAP
-Uncooperative patient
When fitting a mask for patient on CPAP what is the patient of choice Right
Ans - -A patient that is awake alert and oriented
-A patient must be able to protect their airway
-They must be able to maintain normal CO2 without excessive ventilatory
effort
When using a nasal mask for CPAP when would you see leaks Right Ans - -
A patient who breathes through his mouth
-If the base of the mask Is too tight
When would you use a chinstrap Right Ans - On a patient who is using a
nasal CPAP mask and keeps their mouth open
When would you not want to use a nasal CPAP mask Right Ans - A patient
who has nasal polyps or deviated septum
Or was a mouth breather
What can you put over the bridge of the nose to minimize leaks Right Ans -
DuoDERM
