Diamedica Baby CPAP Petunjuk Penggunaan Manual - Halaman 7
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If the SpO
is 90% or more after a trial on room air, they should remain off oxygen and the SpO
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should be rechecked after one hour, as late desaturation can sometimes occur.
If the SpO
on room air is <90% or there is severe respiratory distress they should go back on
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CPAP.
Any child who appears to deteriorate clinically should have their SpO
whether they need oxygen. Children with acute respiratory disease should not be discharged until
their SpO
has been stable at 90% or more while breathing room air for at least 24 hours, until
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danger signs have resolved, and until appropriate home treatment can be organized.
Cleaning of the Circuit Tubing and Bottle
This is essential to reduce the risk of cross-infection. This should be done after every patient has
used the CPAP, and weekly if the same child is on CPAP for over a week. A spare circuit is essential
to replace the one that is being cleaned without interruption to the child's treatment.
The CPAP circuit (inspiratory and expiratory limb, bottle and lid and connections) must be
thoroughly cleaned as follows:
1. Wipe off any gross soiling. Clean first with detergent (soap) to remove gross contamination
(e.g. blood, sputum);
2. Rinse with water that has been boiled and allowed to cool to tepid. Let it dry
3. Disinfect before re-using.
Staff cleaning the equipment must wear protective clothing to avoid splash exposure or
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contact with dirty equipment: wear apron, gloves and glasses.
Good ventilation of the area is needed where you are cleaning the equipment
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What You Need:
Soap for initial clean
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Disinfectant solution: (sodium hypochlorite 0.05% or household bleach, diluted to
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0.05% hypochlorite. The household bleach bottle will indicate its strength, dilution is
essential)
Sink or buckets to clean equipment
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Brush to clean both inside and outside of circuit. All brushes and cleaning implements
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must be properly cleaned after use – soap water and drip dry
Gown or waterproof apron, mask and water-proof gloves
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Drying rack
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