Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Resp. 2.8
BIPAP pp
| Question | Answer |
|---|---|
| What is BiPAP | non invasive device that augments pt ventilation |
| What are the 2 levels of pressure | IPAP and EPAP |
| On BiPAP which one is larger | larger on insp ex 12/5 |
| BiPAP is always | spontaneous |
| IPAP | increase the increments of 2 cmH20. used if there is a CO2 problem (ventilation) |
| EPAP | increase in increments of 2 cmH20. Oxygenation problem, similiar to PEEP |
| Spontaneous | pt triggers ALL inspirations which are pressure supported. You set IPAP and EPAP only. Pt determines RR, volume |
| S/T | Pt determines volume, if pt does not breath, cycles to IPAP when time has elapsed.` |
| T | cycles btwn IPAP and EPAP due to time intervals only. PT may take additional OWN breaths. You set IPAP, EPAP, BPM and % IPAP (like control mode) |
| CPAP mode | pressure is set on continous, pt breaths on it's own, pt is control of RR and volume, set EPAP only |
| indications for BiPAP | resp failure, post surgical, hypoxemia due to hypoventilation, sleep apnea, vent muscle fatigue, upper airway obstruction, post extubation difficulties |
| contraindications for BiPAP | pre existing pneumothorax, hypotension, pre existing bullous lung disease (emphysema), nose bleeding, aspiration, sinusitus |
| side effects of BiPAp | pressure ulcers, claustophobic, eye irratiation |
| What do you adjust IPAP for | ventilation problems |
| What do you adjust EPAP for | oxygenation problems |
| Benefits of BiPAP | can talk, non invasive, infection risk decreased, works in presence of leaks, |
| GOALS of BiPAP | avoid intubation, pt mobility improvement, decrease VAP, improve gas exchange |
| IPAP initial setting | 8-12 cmH20 |
| EPAP initial setting | 3-5 cmH20 |
| Initial setting for oxygen | match pt's or titrate to obtain acceptable PaO2 |
| initial settings for BPM | 2-5 less than pt's spontaneous rate |
| intitial settings for % IPAP | usually 33-50% to deliver 1:2 or 1:1 |
| If there is an increase in CO2 what do you do | adjust IPAP to create greater pressure differences between IPAP and EPAP (this increases alveolar ventilation) |
| What to do if you have hypoxemia | increase level of EPAP |
| IF unit stops and starts | check power cord, check connection |
| if there is no air flow from unit | check voltage selector switch, possible internal problem |
| unit runs but light not activated | replace light |
| How many sets on BiPAP | 2, CPAP and S/T |
| What do you want to set RR on | 4-40 bpm |
| What do you want to set IPAP on | 4-40 cmH20 |
| What do you want to set EPAP on | 4-20 cmH20 |
| What does the exhalation port do | directs air. Exhale goes through port so pt doesn't rebreath their CO2 |
| What does the exhalation port test do | anaylyzes leak rate of exhalation port. |
| Pt flow triggered breaths are | flow cycled |
| Time triggered breaths are | time cycled according to the set insp time |
| How should the mask fit | from the bridge of the nose to just below the nares... make sure the mask rests above the upper lip |
| What is the whisper swivel | designed to exhaust CO2 from pt's circuit |
| Pt's tidal volume should be | 20% greater than what they are doing |
| Pt with chronic hypercapnia IPAP should | be adjusted to maintain an acceptable pH NOT normalize the PaCO2 |
Created by:
TnJFarrington12
Popular Respiratory Therapy sets