BIPAP

Care Plan for BIPAP Use

Problem

• I have Bipap use due to obstructive sleep apnea and/or restrictive lung disease.

Goal

• I will maintain adequate oxygenation and controlled hypertension for 90 days.

Interventions

1. Set BIPAP as Ordered
   • Staff will set the BIPAP machine according to the prescribed settings to ensure proper functioning and optimal oxygenation.
2. Monitor Oxygen Saturation
   • Staff will monitor my oxygen saturation levels as ordered to ensure adequate oxygenation and adjust the BIPAP settings if necessary.
3. Repositioning
   • Staff will reposition me as needed to promote comfort, prevent pressure injuries, and improve lung expansion.
4. Monitor for Pulmonary Infection
   • Staff will monitor for signs and symptoms of pulmonary infection, such as increased sputum production, fever, and changes in respiratory status, and notify the MD/RNP if any are observed.
5. Administer Oxygen as Ordered
   • Staff will administer supplemental oxygen as ordered to maintain appropriate oxygen levels.
6. Encourage Range of Motion (ROM) Exercises
   • Staff will encourage me to perform ROM exercises daily to promote circulation, maintain muscle strength, and enhance respiratory function.
7. Lab Monitoring
   • Staff will draw labs as ordered, monitor results, and report any abnormalities to the attending physician.

Rationale

1. Set BIPAP as Ordered

   • Proper BIPAP settings ensure that I receive the necessary support for maintaining adequate oxygenation and reducing the work of breathing.

2. Monitor Oxygen Saturation

   • Regular monitoring of oxygen saturation helps in early detection of hypoxemia and allows timely interventions to maintain appropriate oxygen levels.

3. Repositioning

   • Frequent repositioning helps prevent pressure ulcers, promotes comfort, and enhances lung expansion, which can improve overall respiratory function.

4. Monitor for Pulmonary Infection

   • Early detection and management of pulmonary infections can prevent complications and promote better respiratory health.

5. Administer Oxygen as Ordered

   • Supplemental oxygen may be necessary to maintain adequate oxygen levels, especially in patients with obstructive sleep apnea and restrictive lung disease.

6. Encourage Range of Motion (ROM) Exercises

   • ROM exercises improve circulation, prevent muscle atrophy, and enhance respiratory function, contributing to overall health and well-being.

7. Lab Monitoring

   • Regular lab monitoring helps in assessing my overall health status and identifying any potential complications related to BIPAP use and respiratory conditions.

Actions

1. Set BIPAP as Ordered

   • Staff will set the BIPAP machine according to the prescribed settings.

2. Monitor Oxygen Saturation

   • Staff will monitor my oxygen saturation levels as ordered.

3. Repositioning

   • Staff will reposition me as needed.

4. Monitor for Pulmonary Infection

   • Staff will monitor for signs and symptoms of pulmonary infection and notify the MD/RNP if any are observed.

5. Administer Oxygen as Ordered

   • Staff will administer supplemental oxygen as ordered.

6. Encourage Range of Motion (ROM) Exercises

   • Staff will encourage me to perform ROM exercises daily.

7. Lab Monitoring

   • Staff will draw labs as ordered, monitor results, and report any abnormalities to the attending physician.