The MetaNeb® System User Manual (174432 REV 7) 19
The MetaNeb® System In-Line with Ventilator Protocol
10. Set the mode to CHFO and select Higher.
11. Put the master switch in the ON position.
12. Put a spring-valve "tee" adapter into the
inspiratory limb of the ventilator circuit.
13. Monitor the patient response to the therapy,
and continue the treatment for 10 minutes or
per facility protocol.
14. Adjust the alarm parameters as necessary while
The MetaNeb® System supplies in-line therapy.
WARNING:
As secretions mobilize it is not uncommon for plugs to momentarily
occlude the upper airways. Do not leave the patient during the therapy
and be prepared to suction.
15. Suction secretions as necessary during treatment.
16. Remove the handset and adapter from the spring-valve tee and cap
the spring-valve tee before you put the The MetaNeb® System master
switch in the OFF position.
17. Return the ventilator alarms and mode to their previous settings.
18. Monitor and document the patient’s tolerance during and after the
treatment (HR, SpO2, Bp, Auscultation, and such).
19. Store The MetaNeb® System circuit per your institution’s infection
control protocol.
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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