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Breas Clearway 2 - Patient Settings Record Template

Breas Clearway 2
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Appendices 50
2210.2657 Rev 3.0 NIPPY Clearway 2 Service Manual .
Patient Settings Record
This page can be copied and used for noting the patient’s settings.
Patient Settings Breas NIPPY Clearway 2
Patient …………………………………………………………………
Date …………………………………………………………………
Clinic …………………………………………………………………
Set by …………………………………………………………………
Patient Circuit …………………………………………………………
Mode …………………………………………………………………
INS Pressure ………… Ins Trig ………….…… EXS Pressure……………
Ti ……………………. Ramp ………………… Te ………………………
Ins Breaths …………... Step …………………… Pause……………………
Treatment Cycles .………………… Oscillation Frequency ………………...
Insufflation Amplitude ……………. Exsufflation Amplitude ………………
Recruitment Breaths ………………
(if NIV mode)
IPAP ………. EPAP …………
Ti ………. Back up …………
(if IPPB mode)
INS Max ……………….
Flow ……………….
Plateau Time ……………
Notes ………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………

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