General practice · Explanation & counselling

Starting CPAP

Medium

10 min station · 2 min reading · Recommended for Curtin Year 5 students

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D P H H

2 min reading · 10 min station · reminders at 2 min

Instructions

You are a medical student on placement in general practice. Gareth Dowling, 54, a school teacher, had a sleep study for loud snoring and daytime tiredness. The results are printed for you.

  1. Explain the sleep study results to Mr Dowling

  2. Counsel Mr Dowling on CPAP and lifestyle measures and agree a plan

  • You do not need to take a full history or examine the patient

Sleep study

Sleep study
ItemValueReference range
Apnoea-hypopnoea index (AHI)32 events per hour<5
Lowest oxygen saturation82%>90%
Supine AHI48 per hour-
Epworth Sleepiness Scale14/24<11

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