Professional Documents
Culture Documents
PRESSURE BREATHING
1.The need to improve lung expansion in the presence of atelectasis when other forms of
therapy(incentive spirometry, Chest Physiotherapy Technique, Deep Breathing Exercises,
positive airway pressure adjuncts) have been unsuccessful.
2.Inability of the patient to clear secretions adequately because of pathology that severely limits
the ability to ventilate or cough effectively and failure to respond to other modes of treatment.
3.Patient who have an acute flare-up of their breathing problem and are too weak to have an
effective cough
4.The need to deliver aerosol medication to the patient
PROCEDURES FOR IBBP USING BIRD MARK
VENTILATOR
• Explain procedure to patient.
• Attach circuit corrugated tubing, expiratory valve line, and nebulizer tubing to IPPB
machine. Pressure test the circuit and machine to insure proper function; open up
nebulizer control, set inspiratory pressure level, and cycle the machine manually.
• Block the mouthpiece with sterile gauze or the sterile circuit package. The machine
should cycle off when the preset inspiratory pressure is reached.
• Aseptically prepare medication as prescribed and insert in the IPPB nebulizer.
CONT….
• When treatment is complete, detach circuit from IPPB machine, discard any
excess solution from nebulizer, and place circuit in plastic bag at bedside for
use with next treatment.
• Age appropriate considerations include assessing the patient’s ability to
cooperate with a mouthpiece. An appropriate fitting mask may be used if
necessary in geriatrics.
CONTRAINDICATIONS FOR IPPB
1.Increased intracranial pressure.
2.Hiccups
3.Hemodynamic instability.
4.Recent facial, oral, or skull surgery.
5.Tracheoesophageal fistula.
6.Recent esophageal surgery.
7.Active haemoptysis.
8.Nausea.
9.Active, untreated tuberculosis or other respiratory communicable disease..
10.Radiographic evidence of bleb.
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