مريض على BiPAP بقناع الوجه منذ يومين، وظهر احمرار وتقرح على جسر الأنف. ما التدخل الأنسب؟

A client on BiPAP by full-face mask for two days has redness and breakdown over the nasal bridge. What is most appropriate?

1. Apply petroleum jelly under the mask
2. Stop BiPAP completely without informing the doctor
3. A protective dressing and refitting the mask
4. Tighten the straps further to reduce leaks

Answer: C) A protective dressing and refitting the mask. Mask pressure injuries are common. Use protective dressings, refit and rotate mask types if possible, with breaks as tolerated. Overtightening worsens injury, and petroleum products are hazardous with oxygen.