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CPAP Study Guide – Questions & Verified Answers
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CPAP Study Guide – Questions & Verified Answers
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CPAP Study Guide – Questions & Verified AnswersIndications for CPAP Right Ans - Improve oxygenation, counter atelectasis,
stabilize the chest wall, stent open airways and lower airway resistance,
maintain airway patency in infants with obstructive apnea, neonates
presenting respiratory distress that is able to demonstrate adequat
ventilation (PaCo2 < 60, pH > 7.25), preventing extubation failure
Contraindications of CPAP Right Ans - Presistant episodes resulting in
desaturation or bradycardia, unable to maintain PaCO2 < 60 and pH > 7.25,
infants with choanal atresia, celf palate, T-E fistula or pre-operative CDH,
infants with neuromuscular disorders
Hazrds and complications of CPAP Right Ans - Pulmonary leak syndrome,
Increased ICP, decreased urine output, bowel distention and hemodynamic
compromise, Patient interface.
What are some pulmonary leak syndromes Right Ans - Pnuemothorax,
pnuemediastinum, PIE
What are the physologic efects of CPAP Right Ans - Increases functional
residual capacity, increased PaO2, improves lung mechanics, reduces
thoracoabdominal synchrony, stabilizes the chest wall, improves V/Q ratio,
improves distribution of ventilation, decreases WOB, elminates or reduces the
need for prolonged ventilatory support
What are some delivery systems of CPAP Right Ans - Mechanical ventilator
CPAP and bubble Nasal CPAP, infant flow nasal CPAP
Bubble nasal CPAP Right Ans - Level is maintained by submerging the
distal end of the expiratory circut straight down into the fluid from the surface
of the wtaer line to a measured depth in cm
What should the flow rate be of bubble nasal CPAP Right Ans - 6-10 LPM
enough to reach inspiratory demand, maintain CPAP level and remove CO2
level
Where should airway presure be measured in bubble CPAP? Right Ans - At
the prongs
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