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NIPPV- Bipap exam with complete solutions 2024_2025
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NIPPV- Bipap exam with complete solutions 2024_2025
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NIPPV- Bipap exam with completesolutions 2024/2025
purpose of Bipap - ANSWER-an effective alternative to traditional ventilators in
non-life-support applications
goals of bipap - ANSWER--Improve oxygenation and ventilation
-Decrease the work of breathing in impending
respiratory failure
Bipap definition - ANSWER-PSV with PEEP ventilation
Bipap formula - ANSWER-BiPAP = PSV + PEEP
bipap effects - ANSWER-decreases WOB and CO2, increases PaO2
Consider patient history before going on Bipap - ANSWER-Respiratory
Intubation
Extubation
PSV
success rate - ANSWER-high with early intervention
bipap is not - ANSWER-well tolerated
indications for Bipap - ANSWER--unacceptable or worsening alveolar
hypoventilation
-chronic ventilatory dysfunction
-medically unacceptable hypoxemia despite administration of supplemental
oxygen (FIO2 >55%)
-post-extubation difficulty
-upper airway obstruction
, Unacceptable or worsening alveolar hypoventilation
is Evidenced by - ANSWER-an elevated or rising PaCO2
Chronic ventilatory dysfunction: Signs of ventilatory muscle fatigue - ANSWER-
Tachypnea
Use of accessory muscles
Reduced tidal volumes
Subjective complaints of fatigue accompanied by a rising PaCO2
Neuromuscular disease (MS/GB/Polio)
use CPAP for Medically unacceptable hypoxemia if - ANSWER-oxygenation is the
only problem
use BIPAP for unacceptable hypoxemia - ANSWER-for ventilatory problems
BIPAP is used for post extubation to - ANSWER-avoid reintubation
Upper airway obstruction examples - ANSWER-Laryngeal edema
Supra or sub‐glottic edema
Tracheal strictures
Glottic lesions
Tracheal lesions
2 ways to get CO2 reading - ANSWER-ABG and end tidal co2 monitor
Contraindications
(or Relative Contraindications) - ANSWER-Unable to maintain life ‐sustaining
ventilation
in the event of malposition of the mask
Applying a full‐face mask could cause
aspiration of gastric contents
-May be eliminated with an NG tube
Hypotension induced by PPV
Patients susceptible to pneumothorax or
pneumomediastinum
History of allergy or hypersensitivity to the
mask material
Certain patient status may require
consideration to the placement of suitable
alarms
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