A patient was given the diagnosis of congestive heart failure (CHF)2 years ago.The patient complains of increased daytime sleepiness and states his support system has been complaining more and more about snoring.Central sleep apnea is suspected.Treatment depends on whether the patient has hypercapnic or nonhypercapnic central sleep apnea.The patient's primary treatment plan should include
A) CPAP.
B) bilevel positive airway pressure (BiPAP).
C) acetazolamide and medroxyprogesterone.
D) modafinil and zolpidem.

Question

Quizplus · Accepted Answer

One treatment for the nonhypercapnic or heart failure patients is nasal CPAP, which also may provide a beneficial cardiovascular effect.Nocturnal oxygen supplementation may be effective as well.If CPAP is not tolerated, pharmacologic management may be tried.

A Patient Was Given the Diagnosis of Congestive Heart Failure