Author Question: Which of the following methods can eliminate the need for conducting a separate sleep study to ... (Read 15 times)

tsand2 · **on:** Jul 16, 2018

Which of the following methods can eliminate the need for conducting a separate sleep study to adjust a patient's CPAP level?

1. Use an auto-adjusting CPAP system.
2. Use SpO2 values to titrate the CPAP level.
3. Use a patient sleep log or diary.
a. 1 and 2 only
b. 2 and 3 only
c. 1 and 3 only
d. 1, 2, and 3

Question 2

Which of the following procedures can help to minimize skin irritation in home care patients us-ing nasal CPAP? 1. Replace the mask every 3 months. 2. Adjust the mask straps. 3. Clean the mask daily.

a. 1 and 2 only
b. 2 and 3 only
c. 1 and 3 only
d. 1, 2, and 3

juiceman1987 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: A
Recently, CPAP units have been developed that automatically adjust the airway pressure in re-sponse to apnea, hypopnea, airflow limitation, or snoring. This auto-CPAP may result in lower effective pressures and better patient compliance, while eliminating the need for sleep-study ti-tration. Alternatively, CPAP may be titrated against pulse oximetry data (Figure 56-10). In this case, the goal is to use the lowest CPAP pressure that will prevent arterial desaturation (SpO2 < 90).

Answer to Question 2

ANS: D
Adjusting the straps (while maintaining a good mask seal) can help to prevent irritation. In addi-tion, the patient interface should be cleaned daily to remove dirt and facial oils. Even with proper care, most interfaces such as masks harden over time, causing problems with irritation and leaks. For this reason, masks and nasal pillows should be replaced approximately every 3 to 6 months, or sooner if leakage or discomfort occur.