Download PAP Therapy Training TEST Module II

PAP Therapy Training TEST
Name:
Module II
Date:
Check all that Apply
1. A/H Index cannot be calculated without at least:
2 hour of recorded study
>15 apneas
15 apneas
2 hours recorded sleep
2. Complications to PAP therapy are:
Claustrophobia
Enlarged Turbinates
Dentures
Addiction to Opiates
3. Contraindications to PAP therapy:
Pathologically Low Blood Pressure
Pneumothorax
Tracheostomy
Deviated Septum
4. Objectives for titration:
A/HI less than 5/hr.
SPO2 = or > 90%
Arousal index = or < 5/hr.
Elimination of snoring
5. To properly prepare for a Polysomnography with PAP study the Technician should read:
Weather report
Communication log
Reports, Interps and Tech notes from previous
studies
Epworth Score
6. To put a patient at ease while performing a hookup the Tech should:
Talk about themselves
Allow the Patient to experience PAP before sleep
Explain the procedures to be performed
Portray experience, confidence and knowledge
7. Effective therapy includes three main goals:
Acceptance of therapy in the lab
Positive Dreams
Tolerance of therapy in the lab
Positive response to therapy in the lab
8. If your patient is so nervous that you are unable to calm him/her (no matter what):
Slap them back to reality
Tell them a funny story
Force them to leave
The patient may need a PAP-NAP before titration
9. Physiologic Treatment goals are:
Elimination of sputum
Elimination of partial airway obstructions
Elimination of apneas
Elimination of arousals
10. Sleep onset is scored when:
3rd consecutive epoch of any stage of sleep
1st epoch of stageN1
1st epoch that contains 80% of any stage of sleep
snoring occurs
11. The titration should begin with the patient:
Taking deep breaths
Snoring
Sleeping Supine
Watching TV
12. If the patient was severe on the PSG, you will need to:
Start at a higher pressure
use oxygen to maintain saturation > 90%
Call the staff clinician
Adjust the pressure more rapidly
13. If the patient was mild on the PSG, you will need to:
Listen for snoring
Use the PFlow to detect more suttle apneas
Spend more time with the other patient
Start CPAP @ 4-5 cmH2O
14. Pressure induced apneas present as:
Mixed
Hypopneas
Obstructive
Central
15. When 2 Obstructive apneas are seen in a 5-30 time period you should:
Increase IPAP 1 cmH2O
Increase CPAP 1 cmH2O
Increase IPAP and EPAP 1 cmH2O
Do nothing
16. Respiratory Events can only be marked when.
REM occurs
Oxygen desaturations of > 3% occur
Epoch is scored as sleep
You’re looking at a 2 minute screen
17. When 5 hypopneas occur in 5-30 minutes you should
Increase IPAP 1 cmH2O
Increase CPAP 1 cmH2O
Increase IPAP and EPAP 1 cmH2O
Do nothing
18. When 2 Central apneas occur in 5-30 minutes (50% of apneas from PSG were central events) you should:
Initiate BiLevel with back up rate
Increase CPAP 1 cmH2O
Increase IPAP and EPAP 1 cmH2O
Decrease CPAP 1 cmH2O
19. If CPAP pressure is greater than 15 cmH2o accompanied by >4 arousals in a 5-30 minute period you should:
Switch to BiLevel
Start supplemental oxygen
Switch to BiLevel with EPAP= previous CPAP
Start a backup rate = RR-2
20. Patients are:
All different, so use good judgment
A pain in the butt
Very tired and often irritable
The most important aspect of your job
21. All PAP titrations are done with:
BiLevel
Humidification
Oxygen
Cool room temperature
22. When 2 Central apneas occur in 5-30 minutes (there were no central events on PSG) you should:
Increase IPAP 1 cmH2O
Increase CPAP 1 cmH2O
Increase IPAP and EPAP 1 cmH2O
Decrease CPAP 1 cmH2O
23. Optimal Therapy =:
A/HI less than 5/hr
Snoring eliminated
SpO2 = or > 90%
Observed supine REM
24. The lab has a standing order for the patient to receive ___________ if necessary.
Supplemental oxygen
CPR
A sleep aide
Counseling
25. A CPAP pressure > 20 cmH2O is never to be used for a patient:
More than 70years old
More than 80 years old
Under the age of 20
Under the age of 12