16 The MetaNeb® System User Manual (174432 REV 7)
MetaTherapy® Treatment Protocol
METATHERAPY® TREATMENT PROTOCOL
Frequency
The common strategy for frequency of MetaTherapy® Treatment, in the
acute care setting, ranges from two (2) to four (4) times daily. The patient’s
response to the therapy should determine any frequency adjustments.
Procedure
1. Make sure the unit operates correctly. Refer to “Pre-Use Check” on
page 14.
2. Follow your institutional guidelines for infection control.
3. Introduce yourself, and explain the procedure to the patient.
4. The patient should be in an upright and comfortable position, if
possible.
5. The patient should be assessed per institutional guidelines.
6. Fill the nebulizer with the prescribed medications, if applicable. “Add
Medication to the Nebulizer” on page 13
7. Set the mode to CPEP.
8. Turn the CPEP flow dial all the way clockwise to the lowest position.
9. Set the selector ring on
the handset to the one-
dot position.
10. Connect The MetaNeb®
System to an approved
50 psi oxygen source.
11. Put the master switch in
the ON position.
12. Adjust the CPEP flow to observe the aerosol that comes from the
patient end of the handset.
13. Attach the mouthpiece to the handset.
NOTE:
A cushion mask or tracheotomy tube may also be connected to the
handset using the appropriate provided adapter.
14. Instruct the patient to inhale normally and exhale slowly (3-4
seconds) through the mouthpiece or facemask.
15. Adjust the selector ring up to the two-dot setting for higher
resistance or three-dot setting for highest resistance as tolerated by
the patient.
Low resistance
Medium resistanc
High resistance
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