Sleep Study Findings
PAP Device Downloads
NIV
Grab Bag
100
The type of sleep apnea pictured
What is obstructive sleep apnea
100
The manufacturer and device type on this download
ResMed AutoCPAP
100
This is the device's lowest pressure set during exhalation
What is the EPAP
100
These are the two diagnostic tests for narcolepsy with cataplexy
What are the PSG/MSLT and the CSF hypocretin level
200
These obstructive events are called
What are hypopneas
200
Your patient is complaining of a dry mouth with AutoCPAP 6-12 cmH2O, P95% 9 cmH2O. Device humidification is set to 3 and the tube temperature is 66 degrees. This other download finding may be the etiology for the dry mouth.
What is a large leak
200
The "S" on this device download stands for
What is spontaneous
200
The type of insomnia for subjective report of severe sleeplessness not congruent with the absence or minor degree of daytime impairment
What is paradoxical insomnia
300
This PSG finding is suggestive of but not diagnostic of RLS
What are frequent PLMW and PLMS in the first half of the night
300
A high AHI on device download should prompt this question
What are the event types contributing to the high AHI
300
This aspect of a device download is affected by the IPAP as well as the inspiratory time (Ti)
What is tidal volume
300
These are the 5 considerations / 5 finger approach to assessing a sleep patient
1. Primary sleep disorders
2. Medical history
3. Medications
4. Psychiatric history
5. Circadian misalignment
400
This ECG finding is characterized by PR prolongation until QRS complex is dropped and can occur in the setting of sleep disordered breathing
What is a 2nd degree Mobitz Type I (Wenckebach) AV block
400
This download finding would prompt you to consider decreasing the pressure, decreasing the pressure support, and/or narrow the therapeutic pressure range
What is a high CAI
400
The spontaneous timed modes of noninvasive ventilation provide this feature that allows us to treat central sleep apnea
What is a back up rate or a breath rate
400
This is an example of a spontaneous timed NIV device
What is BIPAP-ST / ASV
500
The name of this respiratory pattern
What is CSA with Cheyne-Stokes Breathing Pattern
500
Your patient give you a new history of heart failure and is no longer able to tolerate the BIPAP settings they have had for the last 8 years. These download findings should be reviewed
What are the CAI, %periodic breathing, waveform review (if Respironics device)
500
How quickly the IPAP can be reached is controlled by this feature
What is the rise time
500
This feature on NIV devices determines who decides when to take a breath
What is the inspiratory trigger