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Pulmonology · Respiratory Therapist

Respiratory Therapy: Sleep Disorders and Home Respiratory Care

Sleep apnea diagnosis, CPAP and BiPAP setup, and home oxygen therapy concepts tested on respiratory therapist certification exams.

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What is obstructive sleep apnea (OSA)?
Repeated collapse or narrowing of the upper airway during sleep that blocks airflow despite continued breathing effort
What is central sleep apnea?
Repeated pauses in breathing caused by the brain failing to send signals to breathe, with no airway obstruction
How long must airflow stop to count as an apnea event on a sleep study?
At least 10 seconds
What is a hypopnea?
A partial reduction in airflow during sleep, usually with a drop in oxygen saturation or an arousal
What does the AHI (apnea-hypopnea index) measure?
The number of apnea and hypopnea events per hour of sleep
What AHI range defines mild sleep apnea?
5 to 15 events per hour
What AHI range defines moderate sleep apnea?
15 to 30 events per hour
What AHI level defines severe sleep apnea?
Greater than 30 events per hour
What is polysomnography (PSG)?
An overnight, attended sleep study that records brain waves, eye movement, muscle activity, heart rhythm, airflow, and oxygen saturation
What does the Epworth Sleepiness Scale measure?
A patient's self-reported likelihood of falling asleep during routine daytime activities
How does CPAP treat obstructive sleep apnea?
It delivers continuous positive airway pressure that acts as a pneumatic splint, holding the upper airway open
What is the primary indication for CPAP therapy?
Obstructive sleep apnea
What distinguishes BiPAP from CPAP?
BiPAP delivers two separate pressure levels, a higher pressure during inhalation and a lower pressure during exhalation
What does IPAP stand for on a BiPAP device?
Inspiratory positive airway pressure
What does EPAP stand for on a BiPAP device?
Expiratory positive airway pressure

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