Respiratory Therapist

Category - Initiation and Modification of Interventions

A patient has recently been diagnosed with obstructive sleep apnea and is now on CPAP treatment.

Which is an accurate statement about the home use of machine?
  1. The patient will adjust to CPAP mask and machine quickly.
  2. If patient feels they are not getting enough air at 13 cmH2O, they can manually adjust the machine to 18 cmH2O.
  3. The machine is not cycling off but has a constant flow of air, so the DME company should check the fit of CPAP mask.
  4. It is ok to share your machine with a relative who thinks they might have OSA as well.
Explanation
Answer: C-If the mask is not fitted properly, a leak could occur around the patient’s face, causing constant airflow as the machine attempts to reach pressure setting.

Patients new to CPAP mask and machine will take weeks, if not months, to adjust to wearing a CPAP machine at night. The flow and pressure settings might need to be adjusted, but only by a physician’s order with the DME company carrying out. After a patient undergoes a sleep study, the physician writes an order for machine and supplies based on the sleep study results. Therefore, it is not advisable to share your machine with another individual and the patient should be educated as such.
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