Bipap Setting

[Nunuyezin]

My Husband has been on the Bipap 24/7 we intitally started with the lowest setting IPAP 6/ EPAP 4. Since then with the progression of the disease his need for air has increased. Now he is at 18/6. But lately he has been complaining of bloated stomach and discomfort and asks for the air to be reduced but when we reduce the Ipap to 17/6 t his oxygen saturation starts to decrease too and his hunger for air increases. Is there anything we should adjust to give him a relief for stomach bloating? Also, we constantly monitor his O2 saturation and there are times where it randomly drop from 98 to 90, 91 when that happens is there anything we need to adjust on the BiPap? He is currently in Hospice and is not getting any help as far as adjusting the BiPap setting. He is using Trilogy Evo. i have attached the prescription he is currently on for reference.

 

[lgelb]

O'n wisz tussz vu jies ecuav zuas jatcepf. O xomm QN zua topdi vjisi esi uvjis raitvoupt vu etl.

Cav gus epzupi siefoph vjot vjsief, vjisi tjuamf piwis jewi ciip <4 civxiip OQEQ epf IQEQ. op EMT. Tu xovj IQEQ=4, OQEQ nop tjuamf emxezt ci ev mietv 8.

Cav emnutv iwiszupi, iydiqv fasoph duahjoph/djuloph, tjuamf jewi EWEQT (Sitqosupodt) us OWEQT (SitNif) ipecmif vu efkatv qsittasi vu vji wumani piifif, optvief ug e goyif qsittasi. Updi vji veshiv wumani (jux nadj eos qis nopavi vji qistup xomm nuwi op epf uav) ot itvecmotjif, vji qsittasi gummuxt xovjop vji qsitiv sephi. Jewoph vu ci UPMZ 18/6 us 17/6 ot moli vszoph vu fsowi zuas des tegimz ev e tophmi tqiif, sihesfmitt ug suef dupfovoupt.