June 9, 2011 | Go to website: www.cpapman.com

 

CONTRAINDICATIONS FOR CPAP/Bi-Level PAP


Studies have shown that the following pre-existing conditions may contraindicate the use of CPAP/Bi-Level CPAP therapy for some patients. Should you have any of these conditions, your physician will determine if CPAP/Bi-Level CPAP therapy is appropriate for you.
  • Bullous lung disease

  • Pneumothorax

  • Pathologically low blood pressure due to or associated with intravascular volume depletion

  • Severe cardiac arrhythmias or coronary artery disease

  • Stroke

  • Seizures

  • Pneumocephalus has been reported in a patient using nasal Continuous Positive Airway Pressure.

Caution should be used when prescribing CPAP/Bi-Level CPAP for susceptible patients such as those with: CFS leaks, abnormalities of the cribriform plate, prior history of head trauma, and/or pneumocephalus. (Chest 1989;96:1425-1426)
  • Life-threatening or potentially life threatening epistaxis may represent a contraindication or relative contraindication to nasal positive pressure therapy.

CPAP/Bi-Level CPAP therapy may be temporarily suspended if a patient exhibits any of the following condition:
  • Sinus or middle ear infection

  • Severe ear discomfort

  • Conjunctivitis

  • Skin abrasions associated with CPAP

Over-The-Counter (OTC) medications to relieve nasal congestion and excessive secretions:
(Contact your sleep physician or family doctor before taking or using any OTC medications. Follow patient directions for all OTC medications)
  • Sudafed (Tablets, take orally) Take as directed on the label, one (1) hour before bed time. Do not exceed recommend dosage. If conditions persist, contact your sleep physician.

  • Afrin (Nasal spray) One (1) spray only in each nostril at bed time only. If conditions persist,contact your sleep physician.

Over-The-Counter medications to relieve nasal dryness:
  • Ayr (A saline gel with aloe vera) Apply to the vestibule of the nostril with a Q-Tip. If using with nasal pillows, apply a very thin coating of gel to pillow.

  • Salinex (Nasal spray) One or two (1 or 2) sprays in each nostril before bedtime.

  • Ocean (Nasal spray) One or two (1 or 2) sprays in each nostril before bedtime.


 

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