What are the contraindications for CPAP?

The correct choice highlights a critical aspect of using Continuous Positive Airway Pressure (CPAP) therapy. CPAP is intended for patients who can initiate their own breaths. If a patient is unable to breathe spontaneously, which means they are not capable of initiating their own ventilation, applying CPAP can be harmful. It may lead to further respiratory compromise or inadequate ventilation, as the pressure provided by CPAP could impede the necessary respiratory mechanics needed for effective gas exchange. Therefore, a patient without spontaneous respirations is a clear contraindication for the use of CPAP.

Understanding this concept is vital for ensuring patient safety and effective management. In addition, while other options may suggest considerations for certain patients (such as age or history of asthma), they do not universally contraindicate the use of CPAP in the same way as the absence of spontaneous respirations. Each of these considerations may prompt additional evaluation or alternative interventions, but the lack of spontaneous breathing stands out as a definitive reason to avoid CPAP.