Nebulized Medication In Line with CPAP- Paramedic

How to administer nebulized medication in line with CPAP. Albuterol can be given to patients with bronchospasm who are in moderate to severe respiratory distress and require continuous positive pressure. When placing the CPAP on the patient, ensure that the oxygen is attached and flowing. Once the masked is secured to the patient, start at 0 and increase to a max of 10cmH2O in LA County and 15cmH2O in San Bernardino County. You will coach the patient during the process and increase the pressure during the exhalation phase. The nebulized medication should be DDICEd and an allergy check performed as well as attaching to 8LPM of Oxygen for the nebulizer. This procedure can also be performed in patient’s with CHF presenting with Cardiac Wheezes with caution and in some cases requiring Base Station Contact.
-P.Rincon