sleep deprived!

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
bveen
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Joined: Wed Jun 09, 2010 3:28 pm

sleep deprived!

Post by bveen » Wed Jun 09, 2010 3:56 pm

I want to change my pressure on my CPAP as I am not sleeping and I am getting pretty sleep deprived and have to wait until August for a doctors appointment.....I have a Resmed S8 Elite II machine if anyone can tell me how to up it a bit it would be greatly appreciated!
Bec

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Nord
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Re: sleep deprived!

Post by Nord » Wed Jun 09, 2010 4:03 pm

You can find good info on OSA and the DL for your S8 II Clinical Manual here:
http://www.osahelp.com/

Nord

bveen
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Re: sleep deprived!

Post by bveen » Wed Jun 09, 2010 5:20 pm

Thank you SOOOO MUCH!!! Here's to hoping I get a better night sleep tonight now!

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kteague
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Re: sleep deprived!

Post by kteague » Wed Jun 09, 2010 11:12 pm

Hi. Do you have software, or are you checking your nightly data on the screen before noon to see how well you are doing (or not doing)? If your leak rate is good but your AHI more than it should be, a slow pressure increase over time based on data could produce better results. Without knowing what your pressure is now and the pressure you plan to increase it to, I'd just like to encourage you to take this path with restraint and based on knowledge. One would need to be mindful if there were central apneas on their reports or if their pressure is high enough to possibly cause more problems. Maybe a pressure increase is what you need, but for some other issues are at play. You say you're not sleeping. Does that mean you're not falling asleep, or waking up frequently, or waking up too early? Sometimes clues can be in the smallest of details. If falling asleep is the issue, are you using the ramp feature? If so, at what pressure and for how long? Are you using the exhalation relief feature? For some that drop is enough to make them vulnerable to events. See what I mean? Higher pressures can bring leak problems, air in the belly issues, etc. Best to know you really need that higher pressure. But hopefully the changes you made mean you are sound asleep right now and will wake up after a great night's sleep and tell me I was needlessly concerned.

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Patrick A
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Re: sleep deprived!

Post by Patrick A » Thu Jun 10, 2010 12:11 am

Katy
You made several very good and relevant points in your post.

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bveen
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Re: sleep deprived!

Post by bveen » Fri Aug 06, 2010 8:31 pm

Thank you for your post, I have actually not checked this in a long time, when I say I am not sleeping it is that I am sleeping but getting stuck in "dream mode" I dream and dream and dream and never get to that point where I enter a deep sleep, I did change the settings and I did ok them with the sleep clinic I deal with and it was working until this week and now it is not working again, I don't have a way of testing my data, or perhaps I do and just don't know it there is a card in the back of my machine but I don't have the software to go with it.....they check it at the clinic for me, and usually my leak rates are very low to non-existant. I do find I have issues with too much air in the belly and I don't know what to do now that I am not sleeping again....I will have to figure out what is going on soon, as I cannot handle not waking up rested.

jweeks
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Re: sleep deprived!

Post by jweeks » Fri Aug 06, 2010 10:18 pm

Hi,

How old is your mask, and how long since you changed your mask seal? How long since you changed your hose? It might be that your mask seal is worn out, or that you developed a slit or hole in your hose. I find that I need to change my nasal pillows about ever 8 weeks or so, and I can sometimes feel that I am not getting as good of sleep just before I change it out. Also check your filter and replace it if it is more than 60 days old.

Are you using distilled water? If not, you can get buildup on the sensors in the machine, and that can cause it to react incorrectly or produce the wrong pressure level. You might want to have your supplier run a pressure calibration on your machine just to make sure.

Problems that are treatment based tend to come on gradually. Something that came on suddenly within the past week feels more like an equipment or environment issue. That is the issue with this game--there are a zillion variables, and it could be any one of them that is causing the issue.

-john-

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usmccop
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Re: sleep deprived!

Post by usmccop » Fri Aug 06, 2010 10:24 pm

bveen wrote:I want to change my pressure on my CPAP as I am not sleeping and I am getting pretty sleep deprived and have to wait until August for a doctors appointment.....I have a Resmed S8 Elite II machine if anyone can tell me how to up it a bit it would be greatly appreciated!
Bec
TRY THIS. I HAVE THE SAME MACHINE. THE BELOWIS FROM MY DOCTOR'S OFFICE.

Below are the instructions for increasing your CPAP to a pressure of 11cmH2O


-1st step: hold the right hand button and the down arrow button down together for approximately 5 seconds until the word (Clinical Menu) is viewed in the window, then release the buttons
-2nd step: push the down arrow button individually for 4 times until the word (CPAP) is viewed.
-the current pressure is on the right hand side at this point.
-3rd step: push the change button and then the up arrow button(increases by 0.2 cm per push) to 11.0cmH2O
-4th step: push the apply button
-5th step- push the exit button- this will bring you back to the standard window.

Sorry we couldn't connect today. Fine tuning the adjustment with any interface may take a while- nothing is going to fit perfect throughout the night. Remember to not tighten the top strap too much and have the back one low and snug. Some snoring may indicate that the pressure needs to be higher. It can also happen with sleep deprivation for other reasons, muscle relaxants, alcohol, sedatives and narcotics. It's important to know if snoring is present nightly while on CPAP.
The calibration is fine at .98 from the manufacturer. Sometimes it needs to be adjusted on older units. The altitude setting should be the same in the Clinical menu at 4001-6000ft.
I am glad to hear you're not as tired. Please call 303-861-3640, option 3, to schedule the follow-up oxygen test on CPAP.

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