1. How does PAP or "CPAP" therapy work?
CPAP (Continuous Positive Airway Pressure) treats OSA by providing a gentle flow of positive-pressure air through a facial mask to keep the airway open during sleep. As a result:
2. What are the benefits of regular usage of PAP therapy?
Most PAP users who remain committed to treatment enjoy:
3. My eyes are sore, dry, irritated or swollen. What should I do?
The mask may be leaking into your eyes. Try pulling the mask away from your face and repositioning it. The mask may be too tight so try readjusting your headgear straps.
4. How can I tell when my mask is worn out?
Because masks are disposable, periodic replacement is needed when the mask shows signs of wear and tear. Inspect your mask for stiffness, cracks, or tears. Also check with your homecare provider regarding replacement options through your insurance policy.
5. My mask seems to be leaking. What should I do?
Check all the connections. If your mask has a forehead arm or adjustment feature, try readjusting that first to correct the leak. If there is no improvement with the above steps, readjust the headgear straps. The mask should be as loose as possible while still creating a seal. A mask that is too tight against the face can cause leaks to occur by creating folds in the material. Talk to the homecare provider about trying another mask size or type if necessary.
6. How do you know when you should replace your mask?
Replacing your equipment is an important part of being successful with your sleep therapy. There are several factors you need to watch for related to replacing your mask: seal deterioration in the mask, an improperly fitting mask, and a mask damaged by improper cleaning.
1. What is a portable oxygen concentrator machine and how do they work?
Portable oxygen concentrators (or POC's) are a portable device used to provide oxygen therapy to a patient at substantially higher concentrations than the levels of ambient air. It is very similar to a home oxygen concentrator, but it smaller in size and more mobile. The portable oxygen concentrator makes it easy for patients to travel freely; they are small enough to fit in a car and most of the major concentrators are now FAA-approved.
2. Will insurance or Medicare pay for a portable oxygen concentrator machine?
Yes and No. The complete answer is lengthy. Medicare and insurance do have billable codes for POC's however the supplier or oxygen provider is the one you have to convince. DME companies or oxygen suppliers are not required to give Medicare beneficiaries a POC only what is necessary to maintain the patient on oxygen and abide by the 21 Medicare standards. Now if you have a private insurance company or Medicare replacement plan I would certainly recommend calling them and asking if they would pay for one.
3. How hard is it to operate one of these?
Most of the machines are relatively easy to operate. We strive to provide a seamless understanding for you by providing instruction when you open the box. In addition, most of the manufacturers provide an instructional video that comes with all of our rental and purchases. We also have video's for most of the POC's on the product specific page. Basically, you need to know how to turn it on, set your liter flow, how to change the battery, how to charge the unit and what to do if you have an alarm. Most of the time the alarms patients here with POC's is due to the patient not breathing through their nose and therefore the POC is telling you that "hey your not doing this correctly" which is a good thing. Most patients get use to their portable oxygen concentrator and understand how it likes to operate.
4. Can I sleep with my machine?
Yes you can, but you do need to speak with your physician prior to rental to determine your nocturnal needs. Most patients on oxygen are on a continuous flow when sleeping at home. However, sometimes the physician may say it is ok for you to sleep with the conserver for a week or so. You must consult your physician on this as we cannot be responsible for you making the wrong choice but will help to guide you as much as possible.
5. Can portable oxygen concentrators be used with CPAP or BiPAP devices?
Yes. Oxygen Concentrators that offer continuous flow can be used with sleep apnea devices.
1. Does blue light provide any additional benefit for lowering bilirubin levels?
Because bilirubin is a yellow pigment, the bilirubin molecule is only capable of absorbing the photons of violet, blue, and some green. When broad-spectrum white light is used, only a fraction of the light affects the bilirubin. Blue light at approximately 450 nm is better absorbed than green light but green light (because of its longer wavelength) penetrates the skin better. The most effective lights for phototherapy are those with high-energy output near the maximum absorption peak of bilirubin (450 to 460 nm). Special blue lamps with a peak output at 425 to 475 nm are the most efficient for phototherapy and these do not emit harmful ultraviolet (UV) rays. Blue-green light may interfere with the monitoring of cyanosis. In addition, blue light causes nausea, giddiness and headache to the staff working in nursery. Green light causes erythema and s ubsequent tanning of skin. A combination of alternating four blue and two white tube lights (20 W each) are sufficient to provide adequate irradiance of 20-30 w/ cm2 / nm in the wavelength range of 425-475 nm.
2. What are the advantages and limitations of double surface phototherapy?
By using double surface phototherapy more irradiance can be provided to a jaundiced baby which will result in faster decline of serum bilirubin. Unfortunately, the surface on which the baby has to lie is not comfortable for the baby in locally fabricated units available in India. A convenient way of providing double surface phototherapy is using conventional blue light and undersurface fibre-optic biliblanket phototherapy.
3. What are relative contraindications of using phototherapy?
4. Why does bronze baby syndrome occur?
Bronze baby syndrome occurs when phototherapy is used in the presence of hepatic dysfunction and cholestasis leading to high serum porphyrins and copper. Bilirubin photo-products sensitize copper porphyrins to form brown photo-products that bronze the skin. Phototherapy with a direct bilirubin >2mg/dl indicating cholestasis may result in bronzing in susceptible infants.
5. Is there a way to decrease the intensity of blue light experienced by personnel to offset adverse symptoms perceived by them?
Yellow or amber-tinted transparent plastic curtain fastened as a skirt around phototherapy are found to decrease the symptoms of nursery staff. Alternatively, one of the blue lamps may be replaced with a gold or white fluorescent bulb. The light will compromise the efficacy to some extent.
6. When should phototherapy be stopped?
Phototherapy may be discontinued in a term baby when the serum bilirubin level falls below 14 to 15 mg/dl. (if the phototherapy is commenced for bilirubin > 15 mg/dl) or the bilirubin level is below phototherapy line on the jaundice graph. After discontinuation baby should be observed for another 24 hours for rebound, especially for hemolytic settings. Discharge from the hospital need not be delayed in order to observe for rebound especially in non-hemolytic jaundice. If phototherapy is initiated early and discontinued before the infant is 3 to 4 days old, follow up of baby may be necessary for assessment of jaundice.
Preparing to Stand Up:
Preparing to Sit Down:
Walking with a Non-Wheeled Walker:
Preparing to Stand Up:
Preparing to Sit Down:
Walking with a Wheeled Walker:
1. What is a nebulizer machine and what does it do?
These machines are typically used to treat the symptoms of asthma. The nebulizer is the mechanism used to deliver the medication in mist form to help alleviate these symptoms. The medication comes in liquid form which, when installed into the nebulizer machine, is converted into a mist which makes it easy to inhale. Sometimes referred to as a breathing treatment, is effective in infants and small children who need medication or anyone who struggles with asthma.
2. How do you clean nebulizer machines?
Like any other piece of medical equipment, it is important to clean and disinfect after each use. Cleaning is simple and should be done with plain soapy warm water. Refrain from using strong or harsh detergents especially those with a scent. Simply disconnect the mask and tubing from the nebulizer. The mask, if not disposable, should be washed and let air dried. It is not necessary to clean the tubing daily. However, cleaning on a weekly basis is recommended. If you prefer to disinfect your nebulizer mask, use a 1/3 ratio of vinegar to water. Let the mask soak for 10 minutes and rinse well so not residue remains. Allow to air dry. Remember that having a proper cleaning regiment help to stave off any types of infection.
3. What do you put in nebulizers?
Medication prescribed by your doctor will be converted into a mist in order to inhale from the nebulizer. Two types of medication, Albuterol or Alupent, are used to relieve asthma attacks quickly by opening up the airways. These start to act immediately and last for up to four hours.