31
Chapter 8: General TRUE-IPV® Therapy Protocol
1. Connect the IPV®-2C to 50-80 psig (345-551 kPa) gas power source.
Master Switch is “OFF”.
2. The patient may sit in an upright, comfortable position or lie down with
head and shoulders elevated.
NOTE: Patient’s gravitational position is not a factor with TRUE-IPV®.
3. Auscultate patient for breath sounds, heart and respiratory rate, or follow
institution guidelines.
4. Connect the Phasitron®5 kit as indicated on package insert or pages 14-17.
5. Put prescribed medications into nebulizer and add diluent as directed by
physician to a maximum of 20 ml. If no medications are prescribed, use
normal saline or sterile water, as directed by physician.
Turn Nebulizer on.
6. Rotate Inspiratory Time and Frequency knobs to the 9:00 position which
produces an approximate Pulse Frequency rate of 300-350. The i:e ratio will be
approximately 1:1 (May be used for recruiting alveoli) .
7. With Master switch “ON”, rotate Operational Pressure control knob for an
operating pressure of 35 to 40 psig (206-275 kPa).
8. Adjust Inspiratory Flow for a Amplitude pressure (PIP) of 5-10 cmH
2
O.
Usually a mean of around 6-7 cmH
2
O.
9. Turn Demand CPAP to ~ 2 - 4 cmH
2
O, then turn the Inspiratory Flow control
knob on for mild percussion.
10. When using a mouthpiece, instruct the patient to inhale and exhale through
the pulses. Most patients will initially allow percussive bursts of air to leak
through their nose at the expense of an observable chest movement (wiggle).
11. Start to notice the chest movement (wiggle) as the patient exhales through the
mouthpiece. Advise the patient to relax, taking normal (spontaneous) breaths
through the pulses whenever they desire.
When a patient has an articial airway, the process is similar. The patient must
be observed carefully for signs of distress. While cheek fatigue will be less of a
consideration, pauses or breaks may still be necessary for the patient.
12. Instruct the patient to keep lips and cheeks splinted to avoid nasal venting.
As the patient learns to prevent air from leaking out of the lip seal around
the mouthpiece, the Inspiratory Flow control knob arrow can be slowly
rotated counterclockwise, gradually increasing ow until desired chest
wiggle/Amplitude is reached.
General TRUE-IPV® Therapy Protocol for Pediatric/Adult
(Continued on p.32)
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