Increase Pressure by a minimum of 1cm with ADULTS when patient shows_____(list)
2 Obstructive Apnea, 3 Hypopnea, 5 RERAs, 3 min of Loud snoring
OPTIMAL RDI with CPAP
Less than 5 per hour
OPTIMAL SpO2 with CPAP
Above 90%
OPTIMAL Postion, Sleep Stage, Behavior (list)
Supine Position, REM Sleep, No Spontaneous arousals or awakenings
ADEQUATE RDI with CPAP
10 or more but 75% less than baseline
ADEQUATE CPAP Titration (short answer)
Same Goals as good as optimal but was not recorded in REM sleep in supine position.
GOOD RDI with CPAP
less than 10 or 50% less than baseline if RDI is less than 15
GOOD SpO2 with CPAP
above 90%
GOOD Position, Sleep Stage, Behavior with CPAP
Supine Position, REM Sleep, No Spontaneous arousals or awakenings
Reason to repeat Titration
Does not meet any of the Optimal, Good, or Adequate requirements
When to switch to Bi-PAP (short answer)
When PT is uncomfortable or intolerant of High pressure, When Respiratory Events continue with 15cm
Starting Bi-PAP pressure (child and adult)
IPAP-8cm , EPAP-4cm
Max IPAP for CHILD
20cm
Minimum I/E PAP Difference for CHILD
, 4cm
Maximum I/E PAP Difference for CHILD
10cm
Max IPAP for ADULT
30cm
Minimum I/E PAP Difference for ADULT
4cm
Maximum I/E PAP Difference for ADULT
10cm
Increase both I/E PAP by a minimum of 1cm if CHILD has
1 Obstructive Apnea within 5 or more mins
Increase both I/E PAP by a minimum of 1cm if ADULT has
2 Obstructive Apnea within 5 or more mins
Reasons to Increase IPAP only in CHILD (list)
1 hypopnea, 3 RERAs, 1min of loud snoring
Reasons to Increase IPAP only in ADULT (list)
3 hypopnea, 5 RERAs, 3 min of loud snoring
Bi-PAP Optimal, Good, Adequate Titration
Same Parameters as CPAP
Supplemental O2 recommended when PT is (short answer)
when SpO2 is less than 88% for 5mins of longer while patient is awake
Location to connect O2 on CPAP Equipment (short answer)
Connect through CPAP Tubing by use of adapter or T connector
Recommended starting rate for O2
1 L/min
rate of O2 increase (short answer)
Increase 1 L/min with 15 min intervals until pt is with in 88%-94% SpO2
reason to lower O2 (short answer)
When CPAP/Bi-PAP pressure in Increased.
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