24 The MetaNeb® System Instructions for Use (174432 REV 10)
The MetaNeb® System In-Line with Ventilator Protocol
7. Prepare the handset for in-line use
as follows:
a. Remove the selector ring from
the patient end of the
handset.
b. Install the black occlusion ring
to make sure the exhalation
orifice is blocked.
c. Use the adapter
(15 mm x 22 mm) to connect
the handset to the spring-
valve tee adapter.
8. Fill the nebulizer with the prescribed medications as applicable. See
“Using a Bacterial Filter In-Line with the MetaNeb® System” on page
16.
9. Connect The MetaNeb® System to an approved 50 psi oxygen source.
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 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 according to your institution’s
infection control protocol.
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