Nebulizer with flutter valve12/16/2023 This way, the mucus is not trapped in the airway, as it is moving. Endobronchial pressure increase – It helps in maintaining the airway patency while in the process of exhaling.Vibrates the airway – This loosens ups the mucus in the walls of your airway.As the person using it exhales, that ball will be moving up and down. It is a valve that has the shape of a cone. Click here for more detailed instructions from the CF Foundation on doing breathing treatments with your infant or toddler Click here for instructions on how to clean your nebulizer Please ask the CF team any questions you may have.Inside this flutter valve, there is a small ball of steel. For more detail on the above medications, Click here. Always remember to rinse you mouth after inhaled steroids. It is best to take this last, after all of the other medications are taken. Anti-inflammatory medication will help reduce this swelling. Step 6: Reduce the swelling in the airways with an anti-inflammatory agentĬF airways can become inflamed from all the mucus and infection. (Example: Tobi, Tobi podhaler, Colistin, Cayston)Īfter your airway clearance and cough or huff maneuver has cleared your lungs of the loosened mucus, it is time for the inhaled antibiotic, which helps to kill the bacteria remaining in the lungs. Step 5: Kill the bacteria with an inhaled antibiotic Most insurance companies now cover vests for all patients without difficulty and vest companies will work with you with any difficulties you have, including repairs, upgrades, etc. We typically begin to fit children for vests around age 2 and vest size will change frequently into adulthood. Your vest settings may need to be adjusted over time as will your vest size. Typical vest treatments should take 20-30 minutes. Commonly in CF, the mucus in the lungs have millions of bacteria, so getting out as much of it out as routine, it is OK to do steps 1,2,3 in that order while you are on the vest or receiving CPT An ACT will help to mobilize the mucus out of the smaller airways and into the larger ones where a cough or huff will remove it. Once the airways are relaxed and more open, and the mucolytic has thinned the mucus, then it is time for an airway clearance technique (ACT). (Example: CPT, Vest, acapella, huffing, PEP) Step 4: Clear the mucus with an Airway Clearance Technique When the mucus is less think and sticky it is easier to mobilize and cough or huff out. Mucolytics thin the thick, sticky mucus in the lungs. Since HTS can cause bronchospasm, it is recommended that a bronchodilator always be given first. Inhalation of a 7% hypertonic saline solutions (HTS) aids in hydrating the thick mucus making it easier to move. Step 2: Hydrate the airways with an osmotic agent (Example: Albuterol, ProAir, Ventolin, Proventil)Ī bronchodilator relaxes the smooth muscle of the airways, opening them up and allowing for better airflow and easier airway clearance. Step 1: Open the airways with a bronchodilator Since CF care is individualized, some people may not be prescribed all the medications listed, in which case you just follow the order leaving out the medications that are not prescribed for you. Understanding how these medications work and why you take them in specific order will help you appreciate the importance of timing.
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