SAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY

INDICATIONS Patients age 8 or older in moderate to severe respiratory distress secondary to: CHF with pulmonary edema Acute exacerbation of COPD or asthma Pneumonia Near drowning Any other cause of respiratory failure (not respiratory arrest)PROCEDURE Place patient in seated position. Set up CPAP system (per manufacturer’s recommendation) with pressure set between 7.5-10 cm H2O. Explain procedure to patient. Apply mask while reassuring patient-encourage patient to breath normally (may have a tendency to hyperventilate). Re-evaluate the patient every 5 minutes- normally the patient will improve in the first 5 minutes with CPAP as evidenced by: Decreased heart rate Decreased respiratory rate Decreased blood pressure Increased SPO2 NTG and Albuterol may be administered as indicated during the use of CPAP ................
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