Positive Pressure Therapy
Contents
1. practitioner may be required Mouth discomfort Air may be blowing out your mouth it is important to keep your mouth closed A chin strap can be used if this is a problem Dentures Some have a better mask fit when sleeping with dentures in place Machine Does not operate There is no power to the machine Check the outlet Is it controlled by a light switch Is it plugged into a power strip Unplug and re plug the power cords The air feels Turn the humidifier down change of warmer than season may require this usual e Check the filters they may need cleaning Notes HANDI MEDICAL SUPPLY 2505 University Ave W St Paul MN 55114 651 644 9770 or 800 514 9979 fax 651 644 0602 handimedical com2. Positive Pressure oe Therapy HANDI MEDICAL SUPPLY Positive Pressure Therapy 0 00 00 00 000 coco ee eens 2 What is Sleep Oe desc cecoeazes eas nacearacaneatetasansehaeseansdencoace 2 Positive Pressure Machines 0 0 00 000 0 000 ee ees 4 PDO a eee ee eee 4 Included with Machine 0 00 00 c ccc cece cece eee e ees 4 Interface Mask 0 0 occ ccc cece cece eect eee b tenet nee neen es 5 Setting Up Your Equipment 0 00 00 ccc 6 PRUITIGUTION a cr csieessadcies cnaadueasatues doaconos dood ooatiuatnosancnamneaisesunssienesees 6 oS ee 7 Osen e eee ne eet eee 7 Bi as arts aoe eed ped ene eased nate sunemns nae shew nbn eee EEE EE 7 Nolo d n ee oc ee oe ee aiian eer ere 8 Reordering Supplies 00 00 000 00 ooo ccc cece teen ee ee 8 Travel Tips 0 0 00 ce ene b tet et bt ett ete eens 9 MPOUDICSMOOUIAG seca ceca yn AEAEE REEE 10 Thank you for choosing Handi Medical Supply for your home care needs You can reach us by calling 651 644 9770 or 800 514 9979 Positive Pressure Therapy Positive pressure therapy is ordered after an overnight sleep study has taken place This sleep study provides your doctor or nurse practitioner with information on the quality of your sleep Because the diagnosis of Obstructive Sleep Apnea OSA or Central Sleep Apnea has been made positive pressure therapy has been prescribed for you We are here to help you be successful with your positive p
3. ctitioner stating the medical necessity of your positive pressure system keep this letter with the machine gt For temporary fixes carry duct tape and quick drying glue in your bag Ifyou are on a long flight check with the airlines to see if they will allow you to use your machine during the flight gt Ifyou are going to a country with different voltage you may need different fuses Check the manual that came with the machine gt If you are going to high altitudes some machines automatically compensate for this others do not Check the manual that came with the machine Have a great time Troubleshooting Mask Uncomfortable Adjust headgear headgear should be snug but not tight Adjust mask so it is sitting properly Air leak into eyes Adjust angle on forehead cushion if your mask has this Adjust headgear Adjust mask so it is sitting properly Redness Mask may be on too tight loosen headgear If redness is from contact with material wash mask If redness persists contact Handi Medical Supply at 800 514 9979 Dry nose Use a saline nasal spray available in liquid or gel Use a cool or heated humidifier heated requires an order Heat the water prior to putting it in your humidifier Wrap the tubing to keep it warm Put the tubing under the covers with you Runny nose A runny nose is a reaction to the airflow A prescription from your doctor or nurse
4. environment always allow your supplies to dry Cleaning continued Weekly 1 Clean your mask headgear tubing humidifier and sponge filter in warm soapy water 2 Rinse well 3 Make a solution of 1 part white vinegar 3 parts water Soak the mask tubing and humidifier in the vinegar solution for 30 minutes 4 Rinse well 5 Allow to air dry Reordering Supplies Medical insurance typically helps pay for new supplies every six months Handi Medical Supply will work with your insurance company to determine if your medical insurance company will consider the items a covered benefit If you wish to receive the same supplies simply call our customer service to place the order and the items will be shipped Any order over 25 00 is free from shipping costs Customer Service 651 644 9770 or 800 514 9979 If you wish to try on a different type of mask call customer service and set up an appointment with a clinician Travel Tips Always take your positive pressure system with you gt Use the travel bag provided gt Carry your equipment on board do not check it in baggage ask the flight attendant to store in the closet in the front of the plane gt Carry an extension cord with you gt If you have a 3 pronged plug bring an adaptor with you gt If traveling by car store in the passenger area gt Ask about adaptors for car travel if needed gt Get a letter from your doctor or nurse pra
5. ressure system What is Obstructive Sleep Apnea OSA is the partial closing off obstructing of the airway during sleep gt Breathing stops due to airway collapse gt This airway collapse prevents air from getting into the lungs gt When air is not getting into the lungs it causes the brain to wake up so you can breathe gt Because sleep patterns are disrupted daytime sleepiness occurs What is Central Sleep Apnea gt Central Sleep Apnea occurs when the brain doesn t send a signal that causes the lungs to breathe gt With Central Sleep Apnea there is no air flow and no chest movement How does positive pressure therapy treat Obstructive Sleep Apnea Positive pressure acts as an air splint to keep the airway open gt Positive pressure therapy is provided by the use of a small machine which delivers the flow of air at the ordered pressure gt A mask is worn over the nostrils to provide the pressure to the airway gt A tubing connects the mask to the positive pressure machine With the use of positive pressure therapy gt Breathing becomes regular gt Snoring stops gt Restful and restorative sleep occurs gt Daytime sleepiness goes away gt Quality of life is improved gt Decreased risk of heart disease and heart attack gt Decreased risk of stroke and high blood pressure gt Motor vehicle and work accidents are reduced Obstructive Sleep Apnea Airway collapse
6. s lt Blocked air flow CPAP Therapy lt Airway splinted open Air flows freely to lungs Positive Pressure Machines There are several types of machines Continuous positive airway pressure CPAP This machine has one set pressure it is most commonly ordered gt Bilevel pressure This machine has two set pressures one for inhalation IPAP one for exhalation EPAP gt Bilevel pressure with a breath rate This machine is used to treat central sleep apnea It gives two pressures and has an adjustable breath rate The breath rate will deliver breaths if the machine detects an absence of breathing gt Auto adjusting pressure This machine will automatically adjust itself to the pressure needed to keep the airway open This machine is prescribed if the sleep study didn t determine the pressure required to keep the airway open Each of these machines will have gt Power cord gt Filters some machines have one filter others two filters gt Filter cover gt 6 foot tubing gt ON OFF button starts and stops the flow of air gt RAMP button with the machine turned on and the ramp button pressed on the pressure is lowered this allows the new user to fall asleep more easily The pressure will gradually ramp up to the ordered pressure gt User s manual The interface mask gt Masks come in all shapes and sizes There are nasal masks that fit over the nose gt Mask
7. s of humidifiers are to be filled only with distilled water Using tap water leaves mineral deposits in the humidifier s chamber There are two types of humidifiers gt Cool humidifier The airflow passes over the water and delivers humidity at room temperature gt Heated humidifier The airflow passes over warm water and delivers warm humidity A heated humidifier aids in reducing dryness and congestion Compliance with the machine may increase when a heated humidifier is used A heated humidifier must be ordered by the doctor or nurse practitioner Tips gt Have patience It will take some time to get used to pressure therapy gt Practice wearing your mask wear it while relaxing reading the paper or watching TV gt Have a usual bed routine relax before sleeping A warm bath and or a warm drink may help gt Don t drink alcohol or caffeine prior to bedtime gt Block out all distracting noise gt Keep the room dark gt Use the RAMP feature of the machine gt Always use your machine Cleaning Daily 1 Clean your mask with warm soapy water followed by a clear water rinse 2 Do not use antibacterial soap it will break down the silicone in the mask 3 Disposable cleaning cloths can be used if they are alcohol free and lanolin free alcohol and lanolin break down the silicone on the mask 4 Empty the water out of the humidifier and allow to air dry bacteria thrive in a warm moist
8. s with pillows that fit into or around the nostrils gt Full face masks fit over the nose and mouth gt Oral masks fit into the mouth gt Combination masks fit into the mouth and into the nostrils gt Each of type of mask has a port for exhaling these ports cannot be covered gt Headgear gt The headgear holds the mask in place gt Chin strap gt A chinstrap goes under the chin and is secured on top of the head A chin strap is used as needed to keep the mouth closed A Handi Medical Supply Clinician will have you try on a number of mask styles The mask is a very important choice and we want you to be satisfied Most insurance companies will help you to pay for new supplies every six months Setting Up Your Equipment and Supplies Always wash your mask thoroughly before its first use Washing will remove any surface chemicals remaining after the manufacturing of the mask gt Choose a flat surface on a table next to your bed gt Place the machine on the surface Allow for airflow around the machine s filter gt Plug machine into an electrical outlet gt Attach 6 foot tubing to the tubing port on the machine gt Attach the mask to the tubing gt Apply mask and headgear to head gt Turn on the positive pressure machine gt If needed press the ramp button gt Enjoy your sleep Humidifier A humidifier can be added to the positive pressure machine to moisten the air Both type
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