STRUGGLING WITH CPAP
STRUGGLING WITH CPAP ??
WHY SHOULD I WEAR ?
Importance of use re: co-morbidities for pts with Sleep Disordered Breathing. (SDB)
- Cardiovascular disease- Sleep disordered Breathing (SDB) causes lack of air entering lungs during apnea, causing blood oxygen levels to fall, fluctuations in HR and B/P.
- HTN- treatment of (SDB) with Cpap has been shown to markedly improve B/P control.
- Heart failure – common with SDB, these pts have worse diastolic function, Cpap lowers daytime heart rate and systolic B/P increasing ejection fraction. (The amount of oxygenated blood pumped from the heart to all organs in the body)
- Stroke -increased risk with Sleep Disordered Breathing
- Arrythmias – more frequent in persons with – SLEEP Disordered Breathing, and increase with number of apneas and severity of desaturations
- CAD-( coronary artery disease) – SLEEP Disordered Breathing patients twice as likely to develop artery calcifications.
- TYPE 2 diabetes – sleep disordered breathing can disrupt glucose metabolism in pts with diabetes, thought largely to be a response to the oxygen desaturation events that accompany each apnea and hypopnea.
- Proper fit and comfort of mask
- Discuss options, Full face mask, nasal, with or without chin strap
- Sleep position, may affect choice, as well as if you open mouth when sleeping.
- Tube temp (air temp)
- Ramp time if applicable
- Try to go to bed at a consistent time.
- Wear for naps
- Wear if you watch tv or read in bed, put your mask on first, since these activities will tend to make you sleepy.