Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
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