The MetaNeb® System User Manual (174432 REV 7) 17
MetaTherapy® Treatment Protocol
16. Encourage the patient to exhale slowly (3-4 seconds).
17. Continue CPEP mode approximately 2 ½ minutes, adjusting the flow
to achieve a therapy that is comfortable yet challenging for the
patient or as otherwise provided in institutional protocol.
18. Instruct the patient that the mode will now change to CHFO. Proceed
with changing the mode to CHFO.
19. Move the Higher/Lower switch to Higher
20. During the treatment, the selector ring may be
adjusted and the Higher/Lower switch may be
moved to Lower.
NOTE:
The Lower setting on the Higher/Lower switch
reduces the percussion rate and the pressure, and
may be used as an introductory mode.
Subsequently, the switch may be returned to the
Higher position for enhanced therapy.
21. Encourage the patient to inhale normally and
exhale slowly (3-4 seconds) against pulsations,
keeping his or her cheeks firm to avoid pressure loss.
22. Continue CHFO mode for approximately 2 ½ minutes.
23. Alternate between CPEP and CHFO for 10 minutes or depending on
patient need or as otherwise provided in institutional protocol.
24. When the treatment is complete, turn the unit off, disconnect the
circuit, and store the unit for future use.
NOTE:
When you store the circuit, keep the tubing attached to the bottom of the
nebulizer cup and disassemble the top of the nebulizer from the handset.
Assessment of Outcome
Therapy will be discontinued per facility protocol or when one of these
occur:
• Secretion clearance is < 5 cc per treatment for a 24 hr period.
• The post therapy chest exam shows an absence of retained secretions
and atelectasis.
• Breath sounds have become clear or have improved.
Re-Evaluation
Patients should be evaluated every 24 hrs while on The MetaNeb® System
to make sure that an acute change has not occurred.
Higher
Lower
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