CPAP

 

Clinical Indications:

 

 

Contraindications:

 

 

Procedure:

 

  1. Ensure adequate oxygen supply to ventilation device.
  2. Explain the procedure to the patient.
  3. Consider placement of a nasopharyngeal airway.
  4. Place the delivery mask over the mouth and nose. Oxygen should be flowing through the device at this point.
  5. Secure the mask with provided straps starting with the lower straps until minimal air leak occurs.
  6. For reactive airway disease (i.e., COPD) set the positive end expiratory pressure (PEEP) at 3-5 cm H2O. Use the lowest possible setting to avoid barotrauma.
  7. For pulmonary edema, near drowning, aspiration and pneumonia set the PEEP at 5-10 cm H20. Use the lowest possible setting to avoid barotrauma.
  8. For apneic oxygenation set the PEEP at 5 cm H20.
  9. Evaluate the response of the patient by assessing breath sounds, oxygen saturation, and general appearance.
  10. Oxygen levels should be titrated to the patient’s response. Many patients respond to lower FiO2 (30%-50%).
  11. Encourage the patient to allow forced ventilation to occur. Observe closely for signs of complications. The patient must be breathing for optimal use of the CPAP device.
  12. Document time and response on patient care report (PCR)

 

Certification  Requirements: