Guidance for home CPAP

Transcription

1 Guidance for home CPAP Turnberg Building Respiratory Medicine All Rights Reserved Document for issue as handout. Unique Identifier: MED52(13). Review date: September 2015

2 Name: Hospital Number: NHS Number: Device Type: Mask Type & Size: l You have been leant a CPAP device to treat your condition of obstructive sleep apnoea l To get the most benefit from CPAP you should use it every night l If for any reason you stop using CPAP you should contact the department straight away. We will give you help and advice so that you can start using it again or make arrangements with you to return the equipment to the chest clinic so that it can be used to treat another patient. If you are having any difficulties please ring us or use the Wednesday morning drop-in clinic (9am-11.30am) rather than waiting until your next booked appointment. l It is helpful to have the information on page 1 of this booklet when telephoning Getting started M Series System One (PR1) Start button Reset button l Plug the CPAP in at the mains l Attach your tubing and mask l Once you start breathing through the mask the machine should automatically start. If it doesn t, press the start button l Refit your mask so that it is quiet and you don t feel any leaks (particularly into the eyes) 1 2

3 Cleaning and changing your filters Masks Tubing This should be cleaned daily using washing up liquid - this will remove skin grease, dirt and any facial products such as make-up and moisturises. DO NOT USE products such as hand soap, bubble bath or baby wipes - these will ruin the seal. Bacterial wipes are fine to use once you have cleaned the mask with washing - up liquid (they will not remove dirt and grease). IT IS VERY IMPORTANT TO KEEP YOUR MASK CLEAN TO PREVENT INFECTIONS. This should be cleaned weekly by running hot soapy water through it and then running clean water through to rinse. As long as there aren t any big pools of water in the tubing you can run the CPAP for a short time to dry out your tubing. IT IS IMPORTANT TO KEEP YOUR TUBING CLEAN TO PREVENT INFECTIONS. Bacterial filters Unless you have been told you no longer need these filters, bacterial filters should be placed between the CPAP and tubing and should be changed every 2-3 weeks. DO NOT get this filter wet. If you need more filters please contact the department. Ultrafine (white) filters These small filters fit in the back of the CPAP where the air is taken into the machine. It is important to change them regularly to make sure your machine works properly. They should be changed once a month. Please contact the department if you run out. Change monthly Pollen (black) filters These fit over the top of the ultrafine filter. They will get dusty and need regular rinsing. You will have been provided with 2 so that you always have a dry one to use. Rinse the pollen filter every 2 weeks. Fit the white filter first with the grey sponge over the top. Change every 2-3 weeks Rinse every 2 weeks 3 4

4 Visiting hospital / general anaesthesia Many hospitals do not have the necessary access to the correct equipment, and unfortunately the CPAP Service is unable to provide loans to wards. Therefore if you have to visit hospital for any reason overnight please bring your CPAP machine, mask and tubing in with you. This is particularly important if you are having general anaesthesia. Holidays / Flying If you are going on holiday or away on a trip, please take your CPAP machine and equipment with you. If you are flying, you must try to avoid sleeping during the flight if at all possible unless you can use your CPAP machine. The risks to your health are greatly increased when you sleep and have breathing difficulties at altitude. If at all possible, the CPAP machine and equipment should be carried as hand-luggage to prevent it getting lost / damaged. If necessary, we are able to provide a letter of information which will help you explain this to the airline. Do not drink alcohol before or during the flight as alcohol will affect your ability to stay awake and worsen your sleep apnoea. Drivers (including HGV/PSV) When holding a driving licence, by law, you must inform the DVLA that you have Obstructive Sleep Apnoea (OSA) and that you are being treated with CPAP. There is a separate leaflet available from the DVLA. Tiredness has been shown to affect driving ability in a similar way to alcohol and you are just as prosecutable by law if it is proven that you caused an accident due to sleepiness. It is your responsibility to ensure you are fit to drive any time you get behind a wheel. Conditions of loan 1. You have been shown and advised how to use and maintain your CPAP (and humidifier if applicable), including regular cleaning and changing of filters. 2. You are responsible for the safe keeping of the CPAP machine and all accessories lent to you. 3. It is very important to keep any review appointments including annual reviews and bring your CPAP machine and any accessories to all appointments for the CPAP clinic. 4. If you cannot make a review appointment you mustcontact central booking and make an alternative appointment. If you do not attend two appointments without cancelling them with central booking the hospital trust will automatically discharge you and you will be asked to return your equipment. You will then have to be re-referred by your GP to be able to attend another appointment. 5. We ask for you to make a serious attempt at using your CPAP. If for any reason you are having difficulties, please contact us on: (leave a message if there is no answer) or use the drop-in clinic on Wednesday 9am am in the chest clinic. You do not have to wait until your next review appointment and we request you come to the drop in clinic ASAP. 6. The CPAP machine remains the property of Salford Royal. If you are no longer using your machine you must return it to us and you will be discharged from the clinic. If you do not return your machine you may be charged for its replacement. 5 6

5 Our contact details If you have any problems or want some advice, please ring the number below. If we do not answer please leave a message and someone will get back to you as soon as possible. Helpline number sleep.service@srft.nhs.uk Sleep Service Salford Royal Stott Lane, Salford M6 8HD For appointment enquiries please ring the central booking on: or visit: for-patients/outpatientinformation/changing-yourappointment/ PLEASE NOTE - this is NOT a drop-in service but we do have a drop-in every Wednesday morning 9am am in the chest clinic. Always remember to bring your CPAP equipment to clinic with you. Notes 7 8

6 G Design Services Salford Royal NHS Foundation Trust All Rights Reserved 2013 This document MUST NOT be photocopied Information Leaflet Control Policy: Unique Identifier: MED52(13) Review Date: September 2015 For further information on this leaflet, its references and sources used, please contact Copies of this information are available in other languages and formats upon request. If you need this interpreting please telephone In accordance with the Equality Act we will make reasonable adjustments to enable individuals with disabilities, to access this treatment / service. Salford Royal operates a smoke-free policy. For advice on stopping smoking contact the Hospital Specialist Stop Smoking Service on Salford Royal NHS Foundation Trust Stott Lane, Salford, Manchester, M6 8HD Telephone If you would like to become a Foundation Trust Member please visit: for-members If you have any suggestions as to how this document could be improved in the future then please visit: for-patients