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8.
Connect the nasal prongs to the child as below:
a)
Place the bonnet on
patients head, centering
the “securement line
indicator”
b)
With the bonnet
centered at nape of neck,
place remaining bonnet
on infant
f)
Attach chin strap to
the infant and secure
to Velcro
c)
Close the top of bonnet by
twisting bonnet until
tightly secure to head
crown.
d)
Secure with ribbon
provided
g)
Place the nasal
prong into the
infants nostril
e)
Cut self-adhesive Velcro in
half and secure to the
bonnet
h)
Secure tubing by
placing elastic strap
over tubing and secure
to Velcro. Elastic strap
is correctly positioned
when strap is in line
within the securement
line indicator
9.
Dial the flows of air and oxygen required to see a constant stream of bubbles in the water.
Start with 5 L/min of oxygen and 5 L/min of air. Check and record the flows dialled and the
oxygen concentration this provides. A total flow of 10 L/min is sufficient in most cases to
deliver CPAP, which you can see by continuous bubbling in the bottle.
10.
Check the child for signs of respiratory distress, check the SpO
2
, and check if there are bubbles
in the bottle.
a.
If the SpO
2
is below 90% or the child has severe respiratory distress, first increase
the
CPAP level to 8 or 10cmH20
and then, if no response the
oxygen flow meter
to
as much as 8 L/min.
b.
If there are not continuous bubbles, check the nasal prongs are attached properly,
and reposition them so they fit snugly inside the nostrils.
c.
If there are still not continuous bubbles, check for leaks along the circuit, and adjust
the oxygen or air flows according to the chart below.
