Field Internship Student Data Acquisition Project. (FISDAP) Airway Practice Exam

Which is a contraindication for using CPAP?

1. Patient breathing rapidly (over 26 breaths/min)

2. Patient able to follow verbal commands

3. Patient with signs of chest trauma

4. Patient with intact gag reflex

The correct answer is: Patient with signs of chest trauma

Using CPAP (Continuous Positive Airway Pressure) can be a highly effective intervention for patients experiencing respiratory distress. However, there are certain situations where its use may not be appropriate, one of which is the presence of chest trauma. In the context of chest trauma, the use of CPAP can potentially exacerbate injuries. For instance, if a patient has a pneumothorax (air leakage into the pleural space), applying CPAP can increase intrathoracic pressure, which may worsen the situation and lead to further respiratory compromise. Additionally, if there are fractured ribs or other thoracic injuries, the positive pressure from CPAP can lead to pain, impairment of ventilation, or additional injury. In contrast, a patient breathing rapidly, one who can follow commands, or one with an intact gag reflex may still be suitable candidates for CPAP, as these factors do not inherently contraindicate its use. Rapid breathing may indicate the need for additional support, but it does not, in itself, prevent the use of CPAP. Likewise, the ability to follow commands and the presence of a gag reflex are generally considered signs of adequate neurological function and airway protection, making the patient more likely to tolerate CPAP.