Thanks for taking the time read my question. I'm a new medic and i'm having trouble undering how to administer a neb treatment using cpap. I get that you have to cut the tubing and insert the t. However, the cpap are dept. carries uses a preset pressure that cannot be slowed down. Although i've never tried it I think that administering albuterol at cpap normal pressure wouldn't work to well. Does anybody know how to administer it properly?

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It is difficult to describe without a picture, but you should not have to cut any tubing. Basically we will put a "T" between the mask and the tubing, then put an elbow off the "T" and connect a nebulizer to that. Hook up supplemental O2 to the bottom of the neb and **viola** you can nebulize while using CPAP. However, it is a rarity that we have to do this, most times we are using CPAP (and we use it a lot) it is for the pulmonary edema, not a combo of both. Also, remember that wheezing with pulmonary edema doesn't necessarily mean thept is having a COPD/asthma issue, but they can be so full with fluids that wheezing can be heard.

 

Also, remember if there is a need for CPAP because of a pulmonary edema issue, try and get nitro on board before putting on the mask.

thanks crabbe good advice, and I get what you are saying. I think i Figured it out. For ours we do have to cut to insert the T, but now I get that we have to hook the supplemental 02 to the bottom of the neb and viola. If I ever have to use this procedure now i'll know how.

What John said.

 

There are CPAP devices designed with inserts to vary the CPAP pressure as well as to add in the T-piece for nebulized meds.

 

The O2-RESQ system is one of those type systems.  The photo shows a yellow "7.5" pressure insert on the right side of the mask.  It also shows the blue t-connector for the nebulizer.

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