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BCEHS Guidelines > CPAP & PEEP - PCP > Flashcards

CPAP & PEEP - PCP Flashcards

1
Q

When using an in-line nebulizer with CPAP from a single oxygen source, the flow rate must be adjusted to ___ LPM greater than the manufacturer’s recommended settings

A

7 LPM

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2
Q

The contraindications for CPAP at the PCP level are:

  • Patients less than 13 yrs old
  • Decreased LOC - Unable to follow commands
  • Respiratory arrest/ hypoventilation
  • Unable to fit mask
  • Vomiting- risk of aspiration
  • __________
  • __________
  • __________
  • __________
A
  • Traumatic cause of respiratory distress
  • Tracheostomy
  • Pneumothorax
  • SBP<90mmHg
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3
Q

The indications for CPAP at the PCP level are: Any patient in significant respiratory distress who meets the following (list all).

A
  1. Awake and able to follow commands
  2. Ability to maintain open airway
  3. 13 years or age or older
  4. Exhibits all of the following
  • RR greater 24
  • SpO2 less than 94% on O2
  • Use of accessory muscles
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4
Q

If the mask is tolerated, initial settings for CPAP application should be ___ LPM O2 and ___ cm H2O of PEEP

A

5 LPM of O2 with 5 cm H20 of PEEP

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5
Q

CPAP devices deliver a controlled amount of positive pressure during the __________ (inspiratory / expiratory / both) phase(s) of the breathing cycle

A

inspiratory and expiratory

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6
Q

Recommended uses for CPAP in adult patients (>13 yrs old) with significant respiratory distress include: (list up to 5)

A
  • CHF / Acute Pulmonary Edema
  • Asthma
  • Near Drowning
  • COPD
  • Pneumonia
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7
Q

The indications for CPAP at the PCP level are: Any patient in significant respiratory distress who meets the following;

  1. __________
  2. __________
  3. __________
  4. Exhibits all of the following
  • RR greater 24
  • SpO2 less than 94% on O2
  • Use of accessory muscles
A
  1. Awake and able to follow commands
  2. Ability to maintain open airway
  3. 13 years of age or older
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8
Q

Always adjust the __________ (flow rate / PEEP valve) first when decreasing CPAP settings

A

PEEP valve

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9
Q

Indications for PEEP at PCP level are:

A

Patients with SpO2<90% despite good BVM technique

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10
Q

Contraindications to using a PEEP valve at the PCP level are: (list 4)

A
  • Cardiac arrest
  • Pneumothorax
  • Traumatic cause of SOB
  • SBP<90 in adults*

*consult the guidelines for pediatric definitions of hypotension

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11
Q

CPAP levels may be increased to a maximum of ___ LPM O2 and ___ cm H2O by PCPs

A

8 LPM of O2 with 10 cm H20 of PEEP

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12
Q

PEEP should be decreased if:

A

Hypotension develops or other contraindications occur

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13
Q

Always adjust the __________ (flow rate / PEEP valve) first when increasing CPAP settings

A

flow rate

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14
Q

PEEP may be increased in intervals of ___ cm H2O q3-5 min to a max of ___ cm H2O

A

2.5 cm H2O q3-5 min to a max of 10 cm H2O

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15
Q

The contraindications for CPAP at the PCP level are:

  • __________
  • __________
  • __________
  • __________
  • __________
  • Traumatic cause of respiratory distress
  • Tracheostomy
  • Pneumothorax
  • SBP<90mmHg
A
  • Patients less than 13 yrs old
  • Decreased LOC - Unable to follow commands
  • Respiratory arrest/ hypoventilation
  • Unable to fit mask
  • Vomiting- risk of aspiration
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16
Q

Conventional bronchodilator therapy should be attempted _____ (before / after) considering initiating CPAP

A

before

17
Q

When first applying the CPAP mask, the settings should be ___ LPM O2 and ___ cm H2O of PEEP

A

5 LPM of O2 with 0 cm H20 of PEEP

Initially, PEEP may cause a heightened sense of claustrophobia or smothering leading to non-tolerance. Begin with PEEP set to 0 to promote comfort with the equipment

18
Q

The indications for CPAP at the PCP level are: Any patient in significant respiratory distress who meets the following;

  1. Awake and able to follow commands
  2. Ability to maintain open airway
  3. 13 years of age or older
  4. Exhibits all of the following
  • __________
  • __________
  • __________
A
  • RR greater 24
  • SpO2 less than 94% on O2
  • Use of accessory muscles
19
Q

CliniCall _____ (must / needn’t) be called prior to PCP application of CPAP

A

MUST

20
Q

When combining PEEP with BVM, PEEP should be initiated at ___ cm H2O.

A

5 cm H2O

21
Q

The contraindications for CPAP at the PCP level are: (list 9)

A
  • Patients less than 13 yrs old
  • Decreased LOC - Unable to follow commands
  • Respiratory arrest/ hypoventilation
  • Unable to fit mask
  • Vomiting- risk of aspiration
  • Traumatic cause of respiratory distress
  • Tracheostomy
  • Pneumothorax
  • SBP<90mmHg
22
Q

PEEP ___ (is / is not) contraindicated in post-arrest patients with inadequate oxygenation despite good mask technique.

A

is not

BCEHS Guidelines (13 decks)

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