Test on 21st
Tested on
Trouble shooting bubble cpap
Why choose a nasal over oral face mask
Not test on sipap
Nasal prongs
80% covering the nares and do not leaks greater than 20% if there is a leak >20% it will not
match 5 of cpap you will leak out you will not get the insp pressure measurement 1 way to fix
adjust nasal prong size and second increase insp pressure to match what you want set
how to know if it is working look for bubbling in the cpap and listening to the ossculataion on the
chest
how to know its working is capillary blood gas cbg and chest x ray
if your getting to much bubble cpap it will show flattening of the diaphragm and hyperinflation
and if its not enough the ribs will be elevated diaphragm and the lungs wont be as open and
count rib spacing and anything above 8 to 10 hyperinflation is good and ribs should be above
the diaphragm and anything lower than that is hypoinflation <10
Nasal mask are preferred over nose breathers and if pts throw up its to help prevent aspiration
Settings for cpap
Peep-
Fio2-
Mode selection- nasal cpap for one set pressure
Bubble cpap settings
Exp pressure -
Flow-
Fio2-
Need a heated humidifcation- 36 to 37c
Another type of C pap device is the Fisher pickell healthcare bubble C pap system this uses a
Fisher pacal heated humidifier. The C pap provides freestanding C pap delivery having a high
frequency or a bubbling effect. The bubble C pap is typically used on post newborn delivery,
signs of respiratory distress nasal flaring, grunting, or intercostal retractions, or impending
respiratory failure.
