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Patient's reaction to cpap during session?
• • •
Was optimal pressure reached during titration?
• • •
Optimal pressure_________cm H2O
Was supplemental oxigen required?
• • •
Optimal pressure achieved in...?
• • •
If so, what are they?
Were there any difficulties with recording?
• • •
If YES,
• • •
Explain if needed...
Additional technician comments
What was patient's reaction upon wakening?
Patient provided with CPAP Equipment?
• • •
Optimal pressure set@______cm H2O
Bipap Pressure_____IPAP______EPAP
Mask manufacurer & size
Used?
• • •
Oxigen flow_______percentage_______

Cpap Titration Technician Notes Medical Form

Sleep Medicine

Technician Notes on CPAP Titration

There are 4 copies in use.
Published: July 10, 2014, 11:45 a.m.
Doctor: Dr. History Physical
Rating: +5   /

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