Lung expansion 3
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Questions and Answers

What is a primary indication for CPAP therapy?

  • Preventing hypoxemia in COPD patients
  • Providing ventilation support in pneumonia
  • Treatment of atelectasis (correct)
  • Alleviating symptoms of asthma
  • What is a key difference in the mechanism of CPAP and BiPAP therapies?

  • CPAP maintains positive pressure throughout inspiration and expiration, while BiPAP can adjust pressure levels. (correct)
  • CPAP is only for sleep apnea, whereas BiPAP can treat any form of respiratory failure.
  • BiPAP adjusts pressure only during inspiration, making it more efficient than CPAP.
  • CPAP provides negative pressure, while BiPAP offers positive pressure during expiration.
  • Which of the following side effects is associated with both CPAP and BiPAP therapy?

  • Increased cardiac output
  • Barotrauma (correct)
  • Gastric distention (correct)
  • Decreased functional residual capacity
  • Which pressure setting range is typical for adult CPAP therapy?

    <p>4 to 20 cmH2O</p> Signup and view all the answers

    What is the best choice of therapy for ventilating COPD patients?

    <p>BiPAP</p> Signup and view all the answers

    Which condition is a primary indication for BiPAP therapy?

    <p>Ventilation issues</p> Signup and view all the answers

    Which of the following is a limitation of CPAP therapy?

    <p>Does not benefit ventilation issues</p> Signup and view all the answers

    What is a common side effect associated with both CPAP and BiPAP therapies?

    <p>Gastric distension</p> Signup and view all the answers

    What is the typical pressure range for BiPAP therapy?

    <p>4 to 20 cmH2O</p> Signup and view all the answers

    Which administration method is NOT commonly associated with CPAP or BiPAP therapies?

    <p>Endotracheal tube</p> Signup and view all the answers

    What is a primary role of BIPAP therapy in respiratory care?

    <p>To assist with ventilation issues</p> Signup and view all the answers

    Which of the following is considered a potential side effect of CPAP therapy?

    <p>Decreased cardiac output</p> Signup and view all the answers

    Why might CPAP therapy not be effective in certain cases?

    <p>It does not provide supplemental oxygen in all cases</p> Signup and view all the answers

    In what scenarios is the use of CPAP primarily indicated?

    <p>Treatment of atelectasis and obstructive sleep apnea</p> Signup and view all the answers

    What is a common administration method for BiPAP therapy?

    <p>Full face mask</p> Signup and view all the answers

    Study Notes

    CPAP

    • Primarily used for treating atelectasis, increasing functional residual capacity, obstructive sleep apnea, and assisting with cardiogenic pulmonary edema.
    • Maintains positive pressure throughout inspiration and expiration.
    • Typical pressure settings range from 4 to 20 cmH2O, with 8-12 cmH2O being common for adults.
    • Often used for refractory oxygenation when FiO2 alone is insufficient to improve SpO2.
    • Limitations include a lack of benefit for ventilation issues, lack of supplemental oxygen in some models, and the need for supplemental oxygen in "home" units.
    • Potential side effects include decreased blood pressure, decreased cardiac output, decreased venous return to the right atrium, increased intrathoracic pressure, increased intracranial pressure, gastric distention, barotrauma, and pneumothorax.
    • Pneumothorax treatment with a chest tube may allow for CPAP use.

    BiPAP

    • Primarily used for ventilation, obstructive sleep apnea, preventive COPD management, and ventilation issues.
    • Best choice for ventilating COPD patients.
    • Shares the same potential side effects as CPAP.
    • Can be administered via nasal pillows, nasal mask, or full face mask.

    CPAP

    • Primary uses include treatment of atelectasis, increasing functional residual capacity (FRC), treating obstructive sleep apnea (OSA), and assisting with cardiogenic pulmonary edema.
    • Maintains positive pressure throughout inspiration and expiration.
    • Typical pressure settings range from 4 to 20 cmH2O, with 8-12 cmH2O being common for adults.
    • Often employed in cases of refractory oxygenation, where FiO2 alone is inadequate for improving SpO2.
    • Limitations include potential lack of benefit for ventilation issues, some units may not provide supplemental oxygen, and "home" units may require supplemental oxygen.
    • Potential side effects include decreased blood pressure, reduced cardiac output, decreased venous return to the right atrium, increased intrathoracic pressure, elevated intracranial pressure, gastric distention, barotrauma, and pneumothorax - although PAP may be considered in cases of pneumothorax managed with a chest tube.

    BIPAP

    • Primary uses include ventilation, obstructive sleep apnea (OSA), preventive management for COPD patients, and addressing ventilation issues.
    • Considered the best choice for COPD patients requiring ventilation.
    • Shares the same potential side effects as CPAP.
    • Administration methods include nasal pillows, nasal mask, and full face mask.

    Continuous Positive Airway Pressure (CPAP)

    • Primarily used for treatment of atelectasis, increasing Functional Residual Capacity, Obstructive Sleep Apnea, and assisting with cardiogenic pulmonary edema
    • Maintains positive pressure throughout inspiration and expiration
    • Typical settings range from 4 to 20 cmH2O, with 8-12 cmH2O being common for adults
    • Often used for refractory oxygenation, when FiO2 alone isn't enough to improve SpO2
    • May not benefit ventilation issues, some units may not provide supplemental oxygen, and "home" units require supplemental oxygen
    • Potential side effects include decreased blood pressure, decreased cardiac output, decreased venous return to the right atrium, increased intrathoracic pressure, increased intracranial pressure, gastric distention, barotrauma, and pneumothorax

    Bilevel Positive Airway Pressure (BIPAP)

    • Primarily used for ventilation, Obstructive Sleep Apnea, COPD patients (preventive), and ventilation issues
    • Best choice for COPD patients needing ventilation
    • Has the same potential side effects as CPAP
    • Administration methods include nasal pillows, nasal mask, and full face mask

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    Description

    This quiz explores the key concepts and applications of CPAP and BiPAP therapy. Learn about their uses in treating respiratory conditions, pressure settings, potential side effects, and limitations. Ideal for those studying respiratory therapy and related fields.

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