Acute Pulmonary Edema/CHF

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Acute Respiratory
Distress (COPD, Asthma) ?1. Initiate O2 via
Mask or Cannula according to distress 2. ALS
Crews initiate CPAP 15-25 L/min (5-10 cm H2O)
according to distress. 3. Administer
Albuterol up to 5.0 mg via nebulizer at 8-10 L/
minute. 4. Monitor EKG and Vital
signs. 5. Initiate IV with saline lock or NS
at KVO rate. 6. Contact Medical Control
Pediatric Doses (ages 2-12) Albuterol up
to 5.0 mg via Nebulizer at 8-10 l/min.
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Boussignac CPAP System

• Select the appropriate size face mask for your
  patient
• - Child Mask (Size 3)
• - Small Adult Mask (Size 4)
• - Medium Adult Mask (Size 5)
• - Large Adult Mask (Size 6)

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Boussignac CPAP System

• Set Oxygen flow to deliver CPAP in cmH2O of water
  pressure
• - 15 liters 5cmH2O
• - 20 liters 7.5 cmH2O
• - 25 liters 10 cmH2O

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Boussignac CPAP System

• Connect funnel end of Green Oxygen Tubing to an
  O2 source capable of delivering flow up to 25
  liters/min.
• This provides the full range of CPAP needed for
  clinical use (5-10cmH2O).
• Typically a D size cylinder in the field.

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Boussignac CPAP System

• Insert white end of the Boussignac CPAP into the
  face mask.

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Boussignac CPAP System

• If required, insert a pressure manometer between
  the Boussignac CPAP and the face mask.

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Boussignac CPAP System

• Explain to the patient how the Boussignac CPAP
  will help their breathing.
• Gently hold the mask to the patients face
  insuring a good face/mask seal.
• Turn the flow control device to the desired
  liters/min, generally 15 l/min, to begin the
  CPAP.
• Gradually adjust the flow to achieve the desired
  level of CPAP.

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Boussignac CPAP System

• Secure the Boussignac CPAP System to the patient
  with the head strap.
• Check around the mask for any leaks.
• Adjust the mask and/or head strap accordingly.

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Boussignac CPAP System

• If the patient requires suctioning of the oral
  cavity, insert French size suction catheter
  through the open end of the Boussignac CPAP
  System.
• CPAP pressure will not be affected.

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Boussignac CPAP System

• CO2 can be monitored with either a nasal cannula
  or an in-line CO2 adapter.

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Boussignac CPAP System

• When transporting the patient in the ambulance,
  connect the Green Oxygen delivery tube to the
  wall Oxygen in the vehicle.

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Boussignac CPAP System Nebulizer

• Fill the nebulizer with the prescribed
  medication.

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Boussignac CPAP System Nebulizer

• Insert the 22 mm male end of the nebulizer into
  the face mask.
• Insert the 22 male end (white) of Boussignac CPAP
  into the nebulizer.

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Boussignac CPAP System Nebulizer

• Connect the funnel end of the nebulizers gas
  delivery tube to a gas source.
• Turn on gas source to 6 liters/min. to power the
  nebulizer.
• Maintain O2 flow to Boussignac CPAP System at 15
  l/min. (5cmH2O).

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