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Category: CPAP

CPAP and hypotension

Submission ID: 169

Question:


If a patient becomes hypotensive during CPAP treatment, and that hypotension can be corrected via fluid bolus, is it appropriate to restart CPAP on that patient once they are normotensive?

Answer:


As per the companion document 3.3 CPAP should be discontinued when the patient's SBP is <100 mmHG as described in the conditions of the directive. Once the patient falls out of the parameters of this directive, CPAP is no longer applicable.


It should be understood that CPAP as a treatment decreases preload and can place your patient at risk for hypotension. Close monitoring of your patient and adjustments in your care plan can prevent your patient from having a hypotensive episode.

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