Nasal CPAP/Bi-Level
Contents
1. To be used in conjunction with CPAP Bi Level equipment prescribed by physician and product specific operating manual PATIENT CAREGIVER INSTRUCTIONS Nasal CPAP Bi Level APRIA HEALTHCARE TEAR HERE Nasal CPAP Bi Level Patient Caregiver Acknowledgement Remove and Return to Apria TEAR HERE Nasal CPAP Bi Level Patient Caregiver Acknowledgement If you receive in person face to face instruction regarding your CPAP Bi Level from an Apria representative your Apria representative will review the items on this checklist with you After you have reviewed each item please check the appropriate box Please sign and date the document in the designated area at the bottom of the page Remove the checklist from your manual and give it to your Apria representative 14 YOUN PIESCHISUON sae peter oa r neasc Ba del 2 Importance of Resupply Your Mask Tubing and Headgear 3 Why Nasal CPAP Bi Level Therapy Is Needed ccc cee cece eee 4 Your CPAP Bi Level Unit cocaina acea ea t d tt aaa e n A aa 5 IS IV AI ia escana a Aa ae ti i ed al a d a tu i es E 6 General Setup and Operation of CPAP Bi Level Unit and Accessories 7 Operating Your CPAP Bi Level Unit c eee eee eee 8 Assembling Your Headgear and Mask Circuit lt nc eee eee eee2. d Proceed to Step 5 NASAL CPAP BI LEVEL 4 Connect your large bore tubing to the air outlet on the CPAP Bi Level unit Page 6 5 Assemble your headgear and mask circuit Pages 7 8 6 Place the mask headgear on your head Pages 7 8 7 Connect your headgear and mask circuit to your tubing and CPAP Bi Level unit Page 9 8 Turn the power switch on your CPAP Bi Level unit to ON Page 9 9 If applicable adjust the ramp feature Page 9 10 Relax and take slow breaths through your nose The machine will automatically deliver your prescribed pressure level Page 9 11 If you are experiencing air leaking out of your mask or nasal pillows adjust your mask Pages 7 8 Note If you are using oxygen with your CPAP Bi Level unit follow the instructions for proper assembly in your manufacturer s user manual and refer to page 11 of this manual Operating Your CPAP Bi Level Unit The following step by step instructions will help you operate your unit Step 1 Place the CPAP Bi Level unit on a sturdy surface Select a location near the bedside such as a nightstand or dresser Please refer to the manufacturer s user manual Place unit on a sturdy surface for recommended CPAP Bi Level and tubing placement Make certain that the air inlet is not blocked by bedclothes draperies or furniture Do not place the unit near a heat source Do not place the unit on a pad or carpet that could obstru
3. 9 Final Assembly cernere atac facu acne n 3 ace a ornat atac Dn e Dai a i 10 Bi Level Positive Airway Pressure cece cece cence eee eee 11 Using a Humidifier with Your System cece eee eee eee 12 Cleaning Your Humidifier ea se aa necesa de data dai ai ince di ara aie 13 Using Oxygen with Your CPAP Bi Level Unit ceea 14 Cleaning Your Equipment ce eee eee 15 Cleaning the CPAP Bi Level Unit eee eee eee Te Filter Maintenance ss sarea ecaaniea ata EEE E E EEE 17 Information for Nasal CPAP Patients eee eee eee eeeeneneenes 18 Physical Problems octets bide nee tes n Lede y aa 30 dente dr ni a loads 19 Handwashing Technique cece cece cence eee eee 20 Safety Precautions cisco cai a a a t d ta a e ala i dl a e e a 21 Common Problems and Their Solutions c eee eee 22 Troubleshooting 4 pete site p ice ate e oa ceia ei a e eta pi td 3 iei iei d Agia 23 Feedback on Our Services ce ee eee eee For patients receiving in person face to face instruction by an Apria representative The undersigned acknowledges that he she has received been instructed in and understands the subjects shown on this page and covered in this booklet Patient Caregiver Signature Date Apria Representative Date Please PRINT Name Please PRINT Name NASAL CPAP BI LEVEL RES 2004 Rev 08 14 Table of Contents Your Prescription cc ccc ec ee
4. take your CPAP unit to the hospital so that you can use it during your hospitalization especially when you are sedated before and after surgery During the first few weeks of treatment you may experience some sneezing and perhaps a sensation of nasal obstruction This is normal Nasal NASAL CPAP BI LEVEL You should be able to use the CPAP unit all night long every night If after trying these suggestions you cannot sleep through the night please contact your physician 13 Physical Problems If you experience any physical problems call your physician If you are having trouble with your equipment call Apria Healthcare If you experience severe physical problems call 911 Handwashing Technique Thorough handwashing must be done prior to all procedures Contaminated dirty hands are one of the most common sources of infection 1 Wet your hands thoroughly with warm water 2 Use soap 3 Scrub hands for 20 seconds using a rotary motion and friction Wash Back and palm of each hand Between all fingers Fingernails Need a timer Hum the Happy Birthday song from beginning to end twice 4 Rinse your hands under the running water 5 Dry on clean towel or with a paper towel For additional good health habits visit our patient education section on apria com Wash hands for 20 seconds Safety Precautions Use Your Equipment Safely Never immerse the CPAP or Bi Level uni
5. hope that you will take a few minutes to fill it out and return it to us The postage is prepaid by Apria Healthcare NASAL CPAP BI LEVEL 19 2014 Apria Healthcare Group Inc 7 APRIA HEALTHCARE Visit us at apria com Education News Articles a MIRI Services RES 2004 Rev 08 14
6. switch is set on 115V If the new fuses blow out contact Apria Healthcare DC battery voltage fell below 10 5 volts Recharge or replace battery Unit stops and starts Power cord not completely connected to the unit or the outlet Verify that the power cord is completely connected at the rear of the unit and at the outlet No air comes out of unit when power is connected Voltage selector switch is set incorrectly Verify that the voltage selection switch setting is not set too high i e your electrical line is 115V but your switch is set on 230V Possible internal problem Contact Apria Healthcare All other problems or equipment questions 18 Contact Apria Healthcare APRIA HEALTHCARE PATIENT CAREGIVER INSTRUCTIONS Feedback on Our Services Apria Healthcare is among America s most experienced and respected home respiratory care providers and our patient satisfaction scores are consistently high It is possible however that you may have a concern and we welcome your feedback To voice a concern you should take these steps 1 Call the Apria branch at the number listed on your Sales Service and Rental Agreement OR 2 Contact us by e mail at Patient_Satisfaction apria com OR 3 Visit our web site at apria com Satisfaction Survey Process Our goal is to ensure your satisfaction You will likely receive an Apria patient satisfaction questionnaire and we
7. to ON You may wish to reactivate the ramp feature if it is available on your unit If you wish to remove the headgear and mask or nasal pillows it may be easiest to unhook or loosen only one of the bottom straps to remove the headgear in a quick one step fashion Step 5 In the morning clean your mask or pillows see page 12 Daily cleaning is recommended Bi Level Positive Airway Pressure Some patients may require a Bi Level unit Standard CPAP units maintain the same pressure while you inhale and exhale A Bi Level unit has a higher pressure for inhalation and a lower pressure for exhalation Many patients report that the Bi Level unit s lower expiratory Relax and take slow deep breaths pressure makes it easier for them to exhale so they feel more comfortable As with the standard CPAP unit the pressure settings must be ordered by your physician and should not be changed without your physician s approval airway pressure unit Using a Humidifier with Your System If you are bothered by nasal problems for more than a week or two your physician may prescribe the use of a humidifier during CPAP or Bi Level therapy The humidifier adds moisture to the air delivered by the unit Although humidifier units may vary most function in the same manner Follow these basic instructions for humidifier use Step 1 Fill the humidifier reservoir using distilled water Fill the water only to the fill line
8. unit in water Step 2 Using a damp cloth wipe the outside of the unit Step 3 Use a dry cloth to wipe the unit dry Step 4 Make sure the unit is thoroughly dry before plugging it in again Filter Maintenance Filter maintenance will depend on the model of unit you have There may be two filters on some models The first filter is usually disposable and the second filter is reusable Please review the manufacturer s product literature for specific filter maintenance instructions If you have any questions call Apria Healthcare Never place a damp filter in your CPAP or Bi Level unit Filter Area Filter maintenance depends on which model you have APRIA HEALTHCARE PATIENT CAREGIVER INSTRUCTIONS Information for Nasal CPAP Patients The nasal CPAP unit provides a treatment for your sleep disorder and should be used every night and or anytime that you sleep 1 Since your sleep is now deeper and more restful than before you may not need to sleep as many hours to feel rested 2 Try to go to bed and get up about the same time every day This will help your body to establish a regular sleep wake cycle 3 CPAP or Bi Level therapy may help to lower blood pressure in patients who have hypertension If you are on blood pressure medicine make sure all of your physicians know that you are using a CPAP or Bi Level unit Never change your blood pressure medication without your physician s approval 4 A
9. ards while lying down 8 APRIA HEALTHCARE PATIENT CAREGIVER INSTRUCTIONS Final Assembly Follow these steps to connect the circuit to your CPAP or Bi Level unit Step 1 Connect the tubing to your nasal mask e If you are using a nasal pillow circuit your tubing is already attached e Adjust the tubing so that it will not pull on the mask or nasal pillow circuit when you lie down If possible route the tubing up and over your headboard to reduce the tension on your mask or nasal pillow circuit Step 2 Press the power switch to ON The unit will automatically deliver your prescribed pressure level Make sure that no air is leaking out of your mask or nasal pillows If it is readjust your mask or nasal pillows and headgear Step 3 If prescribed or if you have chosen to use the ramp feature you may activate the ramp dial or delay button at this time Either press the delay button which will activate the ramp feature over a set period of time or turn the ramp dial to the amount of time you desire Air Outlet Ramp Button Buttons that operate your unit NASAL CPAP BI LEVEL Step 4 Relax and take slow deep breaths through your nose If you need to get up during the night press the power switch to OFF and disconnect the tubing from the nasal mask or nasal pillow assembly leaving the mask or nasal pillows and headgear on your head Reattach the tubing when you return to bed and press the power switch
10. by means of a nasal mask that fits over the nose or nasal pillows which are inserted into the nostrils Air pressure holds the airway open preventing the collapse of the palate and tongue over the air passage This allows for normal breathing and uninterrupted sleep Your CPAP Bi Level Unit Note Your unit may look different than the units pictured in this booklet The CPAP and Bi Level units use electrically powered motors and blowers to maintain the air flow necessary for treatment As room air enters the unit it is filtered for dust and other airborne particles then pushed through the circuit and into your airways Your physician has prescribed the appropriate level of air pressure to keep your airway open during sleep Do not make any adjustments to your CPAP or Bi Level unit If you have any questions about your prescribed setting please consult your physician or Apria Healthcare CPAP and Bi Level units are available in different models However all models have the same basic parts a power switch to turn the unit on and off an air outlet to which the tubing is connected and an air inlet where air Filter Area and Air Inlet Basic parts of CPAP Bi Level units NASAL CPAP BI LEVEL is pulled into the unit through a filter s which removes dust and lint from incoming air Ramp Feature Some units are equipped with a feature called ramp The ramp feature allows you to reduce the air pressure to a ve
11. ct the flow of air around or underneath the unit Step 2 Insert the power plug into a nearby power outlet Note Most Apria CPAP Bi Level units use 2 prong power plugs and do not require a 3 prong grounded AC power outlet Two prong power plug Three prong grounded power plug However if the unit that has been provided to you has a 3 prong power plug and your home does not have 3 prong power outlets contact Apria and we will exchange your CPAP Bi Level for a unit that utilizes the 2 prong plug Plug power cord into the power inlet if cord is not permanently attached L 2 IS Plug unit into a wall outlet Step 3 Ifthe AC power cord is not permanently attached to your unit plug its female end into the AC power inlet on the back of the unit Plug the other end of the cord into an appropriate as described in Step 2 electrical power outlet Connect the tubing Do not use an extension cord with your unit Do not plug the unit into an outlet that has other major appliances plugged into it Step 4 Connect your tubing to the air outlet on the CPAP Bi Level unit Step 5 Assemble and fit your nasal mask or nasal pillow circuit as instructed on the following pages Keep the unit turned OFF until you have completely put on and secured the nasal mask or nasal pillows and headgear APRIA HEALTHCARE PATIENT CAREGIVER INSTRUCTIONS Assembling Your Headgear and Mask Ci
12. e 1 Importance of Resupply Your Mask Tubing and Headgear 1 Why Nasal CPAP Bi Level Therapy Is Needed cc cee eee e eee eee 2 Your CPAP Bi Level Unit 0000 3 CCUM esf vous sas eben a ad ad UD ai il 4 General Setup and Operation of CPAP Bi Level Unit and Accessories 5 Operating Your CPAP Bi Level Unit 5 Assembling Your Headgear and Mask Circuit n ic tiran demara a tara ata 7 Final Assembly nsss 9 Bi Level Positive Airway Pressure 9 Using a Humidifier with Your System 10 Cleaning Your Humidifier 10 Using Oxygen with Your CPAP Bi Level Unit ccc cece eee e eee e ees 11 Cleaning Your Equipment 12 Cleaning the CPAP Bi Level Unit 12 Filter Maintenance eee eee ee ees 12 Information for Nasal CPAP Patients 13 Physical Problems 0eeeeeees 14 Handwashing Technique 14 Safety Precautions ce eee ee eee ee 14 Common Problems and Their Solutions 16 Troubleshooting cstv etarsneeductareedede 18 Feedback on Our Services 19 Your Prescription IPAP inspiratory pressure cm H O EPAP expiratory pressure cm H O if applicable Back up rate CPAP unit Mask or pillow size bpm if applicable Headgear Filters Ramp Humidifier Oxygen prescription Prescription date Other A heated humid
13. e Keep the unit turned OFF until the humidifier is properly connected and you are ready to use your unit Cool humidifier with stand 10 CPAP system with integrated heated humidifier Do not use medications in the water reservoir To prevent electrical hazard do not allow water to come into contact with any part of the unit other than the water reservoir Step 2 Connect the short humidifier tube to the air outlet on the unit and the inlet port on the humidifier reservoir Refer to your specific device s manufacturer s user manual Step 3 Connect the patient tubing to the outlet port on the humidifier reservoir Step 4 Clean humidifier reservoir as instructed below Note Your physician may have prescribed a heated humidifier for use with your CPAP or Bi Level unit Refer to your specific device s manufacturer s user manual for specific information regarding the humidifier provided to you Cleaning Your Humidifier Note If you have a heated humidifier immerse only the humidifier jar in water or disinfectant Never immerse electrical appliances in any liquid Heated humidifier base and chamber APRIA HEALTHCARE PATIENT CAREGIVER INSTRUCTIONS Daily Cleaning Step 1 Empty any remaining water out of the reservoir after each use Step 2 Wash your hands as instructed on page 14 Step 3 Immerse the humidifier in warm soapy water Fill the humidifier with the soapy water and shake vigoro
14. ed As a result no air moves into or out of the lungs this CPAP Maintains Open Airway Nasal CPAP acts to open upper airway APRIA HEALTHCARE PATIENT CAREGIVER INSTRUCTIONS is called apnea The obstruction may be due to a variety of factors including loss of muscle control over the tongue which may cause the tongue to fall back against the airway and or the collapse of the soft palate the soft part of the roof of the mouth over the airway You breathe differently during sleep and wakefulness During sleep your muscles relax your airway narrows and your body exerts less effort to breathe During an episode of apnea the brain causes you to awaken slightly without even realizing it so that you can breathe Episodes of apnea can last from just a few seconds to over a minute and can occur hundreds of times throughout the night With each breath oxygen should be brought into the lungs absorbed into the blood and then distributed to the organs and tissues Also carbon dioxide should be exhaled During apnea episodes the oxygen content of the blood decreases and carbon dioxide levels increase This causes the blood pressure to rise which puts stress on the heart and other organs Also this constant interruption of deep sleep results in a loss of restful healthy sleep and generally causes daytime sleepiness The CPAP Bi Level unit treats Obstructive Sleep Apnea by providing low pressure airflow to your airways
15. ep apneas It may take you up to four weeks to adjust to the system Try to relax when using the unit Take slow deep breaths through your nose with your mouth closed If you still have trouble contact your physician or Apria Healthcare Pressure delivered seems significantly lower or higher than usual Possible unit malfunction Contact Apria Healthcare Air from the unit seems warm NASAL CPAP BI LEVEL The filter may be obstructed by debris Replace or clean the filter The filter or slotted vents on the front and back of the unit may be blocked by bedclothes curtains etc Move the unit away from bedclothes or curtains that block the flow of air around the unit The room temperature is too warm e Turn down the thermostat at night Add a second length of tubing to the circuit to allow the air to cool Place the unit on the floor where the air may be cooler 17 Troubleshooting Trouble Unit does not turn on Probable Cause Power cord not firmly connected to the unit or the outlet Verify proper electrical connections Unit not connected to a live outlet Check to be sure that the unit is plugged into a live outlet e g plug a working lamp into the outlet Unit fuse has blown out Replace the fuses with the same fuse type Verify that the voltage selector switch setting is not set too low i e your electrical line is 230V but your
16. ess numbers are easy to spot and read from the street This will allow all Apria Healthcare and emergency services to locate your residence easily Follow Emergency and Natural Disaster Instructions In the event of an emergency or natural disaster follow the radio or television instructions of your local authorities Travel Guidelines The following tips should help you plan and prepare for any trip NASAL CPAP BI LEVEL another major appliance Contact your physician to make sure your proposed trip is medically safe and to obtain additional copies of your prescription If traveling by plane DO NOT check your CPAP or Bi Level unit Carry the unit on the plane with you in a padded case Be sure to pack the cord all accessories and the manufacturer s user manual When traveling to another country contact the equipment manufacturer to make sure you have the proper fuses and know the correct voltage setting See page 6 Warranty If you have purchased your CPAP Bi Level unit please check the inserts from your packaging to determine the length of the warranty Call Apria Healthcare if your equipment needs service 15 Common Problems and Their Solutions Problem Sore or dry eyes Probable Cause Mask not positioned properly Headgear adjusted improperly Solution Reapply the mask and readjust headgear Mask size not appropriate Contact Apria Healthcare to obtain the proper mask si
17. ess printed at the bottom of the document If your insurance allows it Apria will ship your CPAP Bi Level supplies on an ongoing basis without your having to initiate the order If your insurance doesn t allow you to participate in an auto resupply program you will receive automated reminder calls when it is time to re order CPAP Bi Level supplies Note If you did not receive or are unable to locate the auto resupply form please call the phone number on your Collapsed Airway During Sleep Common sleep difficulty with Obstructive Sleep Apnea Horowitz S SLEEP Volume 32 Supplement 2009 0634 2 Apria Service and Sales Agreement and an Apria representative will send the form to you Additional Supplies Your CPAP headgear and mask will wear out over time To replace these items or to purchase additional supplies call Apria Healthcare Why Nasal CPAP Bi Level Therapy Is Needed Both CPAP and Bi Level therapies use Continuous Positive Airway Pressure CPAP to treat Obstructive Sleep Apnea OSA Common Signs and Symptoms of Obstructive Sleep Apnea Snoring Excessive daytime sleepiness Restless sleep may include moving arms and legs e Morning headaches Slight disorientation nemory lapses e Irritability e Personality changes Pauses when the patient doesn t breathe during sleep Obstructive Sleep Apnea is a sleep disorder that occurs when the airway is obstructed or block
18. f an emergency Headgear Nasal Mask Exhalation i Port Headgear Headgear Full Face Nasal Pillows Mask Exhalation Port Exhalation Port Tubing Full face mask circuit APRIA HEALTHCARE PATIENT CAREGIVER INSTRUCTIONS Exhalation Ports Both nasal shells and nasal masks must provide an opening to allow exhaled air to escape Do not block the exhalation ports or vents General Setup and Operation of CPAP Bi Level Unit and Accessories Below are the general steps for setting up and operating your CPAP Bi Level unit Your Apria Licensed Professional has set your CPAP Bi Level to the prescribed settings which were provided by your physician More detail is included on the pages referenced and following this overview as well as within the manufacturer s user manual 1 Place your CPAP Bi Level unit on a sturdy surface Page 5 2 Insert the power plug into a power outlet If the power plug is not permanently attached to your unit attach the other end of the cord to the CPAP Bi Level unit Page 6 3 If you have a humidifier continue the following steps Page 10 If you do not have a humidifier proceed to Step 4 a Fill the humidifier reservoir with distilled water b Connect one end of the short humidifier tube to the air outlet on the CPAP Bi Level unit and the other end to the inlet port on the humidifier reservoir c Connect your large bore tubing to air outlet on your humidifier
19. fter a week or two of using your CPAP or Bi Level unit you should not be sleepy during the day 5 Your snoring should be reduced or eliminated when you use your CPAP or Bi Level unit If a family member notices that you are beginning to snore loudly again while wearing the unit inform your physician You may need an adjustment to your CPAP pressure congestion is the most common side effect of CPAP therapy A common cause of nasal congestion is the drying and cooling of the upper airway by your CPAP device This is responsible for the feeling of dryness in the throat or nose Many times this will resolve itself as you become accustomed to your CPAP unit It may take up to four weeks 7 The CPAP machine is designed to eliminate the interruptions of your respirations during sleep at your current weight However if you are overweight weight loss generally will improve your overall health and could allow your physician to decrease the pressure of air used in your machine In some cases weight loss may enable your physician to discontinue the use of the unit altogether If you gain weight your physician may need to increase the pressure of your CPAP unit If you experience weight loss or gain please contact your physician If you require surgery or hospitalization for any reason make sure you inform your surgeon physician and or hospital staff of your diagnosis and the need to use the CPAP unit with all sleep Please
20. ifier requires a physician s order Your CPAP Bi Level unit is a prescribed medical therapy unit that needs to be applied in a very specific manner If your physician changes your CPAP Bi Level unit settings notify Apria Healthcare immediately Please note that the information provided in this manual is intended to supplement not replace any special instructions provided by your physician Importance of Resupply Your Mask Tubing and Headgear Masks and supplies used with CPAP therapy generally tend to last three to six months Some the factors that may impact how long the product can provide effective therapy include Cushion seal deterioration Proper fitting and sizing at initial mask setup e Frequency and method of mask cleaning 2014 Apria Healthcare Group Inc Apria Healthcare with its accompanying logo is a registered trademark of Apria Healthcare Group Inc NASAL CPAP BI LEVEL New headgear and mask Old equipment needs to be replaced regularly there are high counts of bacterial and fungal flora on CPAP interfaces despite routine washing with the older interfaces more contaminated and resistant to cleaning Regular ordering of fresh supplies is a critical part of maintaining your health and proper therapy At the time you received your CPAP Bi Level equipment you received a form for enrolling in an auto resupply program Please complete this form and return it to the addr
21. nt of oxygen Oxygen Tee Adapter on Unit Outlet Several types of oxygen connections NASAL CPAP BI LEVEL 11 Cleaning Your Equipment Daily Cleaning Procedures To lengthen the life of your equipment and supplies it is important to inspect and clean all components regularly The masks tubing and headgear should last approximately 3 to 6 months but the actual life of the equipment can vary considerably Inspect all components daily and clean them as necessary Daily cleaning is recommended for CPAP masks other supplies should be cleaned according to the manufacturer s instructions Caution Do NOT clean any parts of the system with alcohol cleaning solutions containing alcohol bleach or any strong household cleansers Follow these procedures for cleaning your CPAP or Bi Level equipment Step 1 Wash your hands as instructed on page 14 Step 2 Remove the headgear from the mask or nasal pillows shell Disconnect the mask or shell remove the pillows from the shell swivel connector and tubing Step 3 With a soft cloth gently wash the mask or pillows with a solution of warm water and a mild clear liquid detergent Step 4 Rinse thoroughly If the mask still feels oily repeat step 3 Step 5 Allow the mask or pillows to air dry Do not place any supplies in the dryer Cleaning the CPAP Bi Level Unit Clean Your Unit as Necessary Step 1 Unplug the unit before cleaning it Never immerse the
22. place the pillow cushion tips under your nostrils Choose the cushion size that sits comfortably under your nose without any gaps Important Do not push the pillows gel base into your nostrils Fitting the mask NASAL CPAP BI LEVEL Putting on the mask Correctly adjusted mask Nasal pillow cushions Headgear should lie flat against the Position the pillow cushion tips back ofyour head Adjust the top crown strap Adjust the side straps evenl J y Step 2 Pulling the headgear over your head the mask should feel secure and comfortable gently hold the pillows cushion under your against your face Do not over tighten nose The headgear should lie flat against the Final adj fi f back of your head Step 6 Final adjustments for comfort and seal should be made while lying down with Step 3 Position the pillow cushion tips into your device pressure applied your nostrils so that they sit comfortably Note If excessive leaks persist try an under your nose without any gaps alternate cushion size Step 4 Adjust the top crown strap so that the headgear sits just above your ears and is not too close to your eyes The headgear should fit loosely and feel comfortable Do not block the exhalation port on your nasal pillow circuit Your exhalation port is located on the backside of the shell holding the nasal pillow cushions Step 5 Adjust the side straps Make final adjustments evenly by pulling downw
23. rcuit Nasal Mask Circuit Follow these instructions for assembling and fitting the nasal mask circuit Step 1 Arrange the headgear so the longer straps are at the top Step 2 With the Velcro facing out away from your face thread the four tabs through the top and side slots of the mask Pull the straps through and fasten by pressing the Velcro back against the strap Step 3 Place the mask over your nose and slide the headgear over your head Note There are several options to make your mask more comfortable A spacer may be necessary to relieve irritation on the bridge of the nose Ask your Apria Healthcare representative for more information Step 4 Adjust all the Velcro straps gradually tightening them until the mask fits comfortably against the face A tighter fit is not necessarily better it can be loose as long as the seal is maintained Do not block the exhalation port on your nasal mask circuit The exhalation port may be located at the base of your mask or in a special attachment between your mask and tubing Helpful Hints For ease in future adjustments you may wish to use permanent ink to mark the straps at the final strap position e Washing your face to remove excess facial oils will help to achieve a leak free fit and prolong the useful life of the mask Nasal Pillow Circuit Follow these instructions for assembling and fitting the nasal pillow circuit Step 1 Before putting on the mask
24. ry low level as you begin to fall asleep Within 45 minutes the pressure will automatically ramp up to your prescription pressure at a gentle rate that should not awaken you Some units allow you to set your ramp time Your manufacturer s user manual includes information regarding your specific device s ramp features Circuit The circuit is attached to the air outlet on the CPAP Bi Level unit The circuit has a number of parts These parts vary depending upon the type of circuit used nasal pillow circuit or nasal mask circuit Nasal Pillow Circuit If you are using a nasal pillow circuit you will need the following items tubing which attaches to the air outlet on the CPAP Bi Level unit a Shell to which the nasal pillows are attached nasal pillows which fit snugly in the nostrils and nasal pillow headgear which secures the Nasal pillow circuit nasal pillows to the nose and maintains a proper seal in both nostrils Nasal Mask Circuit If you are using a nasal mask circuit you will need the following items tubing which attaches to the air outlet on the CPAP Bi Level unit a nasal mask which fits snugly over the nose and nasal mask headgear which secures the nasal mask to the face Full Face Mask Your physician may have prescribed a full face mask This is a mask that covers both the nose and mouth The mask includes a quick release tab that allows the mask to be taken off quickly in the event o
25. t in water Never try to clean the unit by placing it in water The electrical components will be damaged and this can create a shock to the user the next time it is plugged into an electrical outlet Never plug in the unit if it is wet or damp Moisture always increases the potential of electrical shock Never plug your unit into an electrical outlet that is being used to supply power to another major appliance Plug your unit into an electrical outlet that is NOT being used to supply electricity to other major appliances If you need to use the same outlet that is shared by other equipment make sure the other appliances are NOT being used at the same time Never try to repair your CPAP or Bi Level unit Your unit is considered medical equipment and needs to be worked on by a professional If you are renting this equipment call Apria Healthcare and your unit will be replaced If you have purchased the unit contact Apria Healthcare for assistance in getting it repaired APRIA HEALTHCARE PATIENT CAREGIVER INSTRUCTIONS Never plug in unit if it is wet or damp Never use unit with an extension cord Never plug into an outlet used by Never use your unit with an extension cord Make Sure Your Home Address Is Visible Make sure your home address can be easily seen from the street during both day and night If you are expecting a night delivery or visit turn on the porch light Check to see that your addr
26. usly Step 4 Rinse with clean water and allow to air dry Using Oxygen with Your CPAP Bi Level Unit If your physician has prescribed oxygen for you to breathe during CPAP or Bi Level therapy you must also learn how to use and care for an oxygen system It is important to observe all fire and safety rules associated with the use of oxygen If you have any questions about the use and care of an oxygen system contact Apria Healthcare N Oxygen tee adapter See Oxygen Tee Adapter on Nasal Mask Oxygen Port on Nasal Mask Oxygen tubing may be connected to the unit by using an oxygen tee adapter or a port on the nasal mask If your oxygen is administered with a tee adapter the adapter may be connected to the air outlet on the unit or between the tubing and nasal mask Your tubing is connected to the large end on the tee adapter and the small tubing from your oxygen system is connected to the small nipple on the tee adapter Always turn your CPAP or Bi Level unit ON before turning ON the oxygen flow Always turn OFF the oxygen before turning OFF the CPAP or Bi Level unit Your oxygen may be administered through a port on the nasal mask Keep the ports closed unless using oxygen The small tubing from your oxygen system is directly connected to the port on your nasal mask Refer to your specific device manufacturer s user manual for information regarding proper placeme
27. ze Redness on the face where the mask contacts the skin Irritation or allergy to mask material Some users may experience skin redness irritation or discomfort If this happens discontinue use and contact your healthcare professional Runny nose Nasal reaction to air flow Contact your physician or Apria Healthcare You may need to increase the room humidity or you may need a humidifier to use with your unit Cold nose Room air temperature is too cold Air cools while traveling through the tubing Reposition the tubing so that it runs under your bed covers to reduce heat loss Dryness or burning sensation in throat or nose 16 Air is too dry The relative humidity is less than 40 e Increase the room humidity or moisture in the air e Consult with your physician or Apria Healthcare about using a humidifier with your CPAP unit e Ask your physician about nasal sprays or gels e Make sure that you are keeping your mouth closed and take slow relaxed breaths through your nose Use a chin strap APRIA HEALTHCARE PATIENT CAREGIVER INSTRUCTIONS Problem Nasal sinus or ear pain Probable Cause Sinus infection or middle ear infection Solution Stop using the unit and contact your physician Feeling of discomfort from the sensation of too much pressure Pressures above 12 5 cm H O may cause feelings of discomfort but are necessary to relieve sle
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