22 The MetaNeb® System Instructions for Use (174432 REV 10)
MetaTherapy® Treatment Protocol
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.
16. Encourage the patient to exhale slowly (3-4 seconds).
17. Continue CPEP mode for 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.
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.
25. Disconnect the circuit, and store the unit for future use.
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.
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