![]() ![]() If CPAP removed, document time and reason. Document time of CPAP placement pressure being maintained and initial vital signs, pulse oximetry, and LOC. ***If using “Christmas Tree” connection in ambulance, utilize the 30% regulator only*** intervals) and titrated to patient effect (for pediatric age group, gradually increase CPAP pressure to 5 cm H2O maximum). Gradually increase CPAP pressure from 5 cm H2O to 7.5 to 10 cm H2O as tolerated (3-5 min. Attach CPAP mask to patient ensure good mask seal and place ETCO2 monitor.ġ1. If albuterol appropriate, may administer with CPAP in-line nebulizer.ġ0. Adjust starting CPAP pressure at 5 cm H2O (2-3 cm H2O for pediatric age group).ĩ. ![]() Assemble CPAP device and attach to oxygen source.Ĩ. Monitor pulse oximetry and document oxygen saturation.ħ. Document lung sounds before and after initiation of CPAP and every 5 minutes.Ħ. Allow patient to assume position of comfort, whichĥ. Provide supplemental oxygen for respiratoryģ. ![]() Upper gastrointestinal hemorrhage or history of stomach surgery in past month (including lap-band)ġ. Blood pressure less than 90 systolic (80 Pediatric) or signs of poor perfusion Cardiac arrest (use advanced airway measures) Respiratory arrest or failure with agonal respirations (use advanced airway measures) Inability to remain in a sitting position Altered level of consciousness, inability to protect airway from aspiration CHF, Pulmonary Edema, Asthma, COPD, CO Poisoning, Cyanide Poisoning, Non-Fatal Drowning, and Smoke Inhalation Respiratory distress with fatigue and decreased effort of breathing Wheezes, rales, rhonchi, not improving with routine therapy Respiratory distress with accessory muscle use or retractions Respiratory rate greater than 26 per minute (50 Pediatric) and pulse oximetry less than 95% and not improving Pulse oximetry less than 90%, not improving with routine therapy You may also be asked to perform a breathing test.Adults/Adolescents/Pediatric ages with moderate to severe respiratory distress (dyspnea) that is not related to trauma or injury with any of the following: ![]()
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