Using your PEP device
- If this is the first time you will use your PEP device, the respiratory therapist or nurse will decide on what level the...
- Sit with elbows resting on a table and relax.
- Take in a deep breath and hold it for 3 seconds.
- Place the mouthpiece lightly in mouth. Breathe out (exhale) through the PEP device slowly and smoothly. Be sure to keep...
What is PEP therapy?
What is PEP therapy? PEP (positive expiratory pressure) therapy helps open and move mucus out of your lungs. You breathe into a small handheld device that has a valve. You breathe out against a set amount of pressure.
How do I use a pep device?
Sit with elbows resting on a table and relax. Take in a deep breath and hold it for 3 seconds. Place the mouthpiece lightly in mouth. Breathe out (exhale) through the PEP device slowly and smoothly. Be sure to keep a tight seal on the mouthpiece when breathing out. You should be able to exhale for 3 seconds while the device vibrates.
When should I use PEP?
PEP should be used only in emergency situations and must be started within 72 hours after a recent possible exposure to HIV. This section answers some of the most common questions about PEP. You can also download PEP materials to share. Get tailored information about your risk and learn how to protect yourself.
How does PEP therapy help with cough?
The air moves mucus so you are able to cough it up and out. Some PEP therapy devices use vibrations, or oscillations, to help loosen mucus. As you breathe out, the pressure and vibrations in your airways work together to help loosen mucus. PEP therapy also helps air get into the small airways deep in your lungs.
How do you do PEP therapy?
Have your child hold their breath for two to three seconds. Have your child breathe out through the mask into the PEP device to create pressure 10-20 cm H2O. Have him / her breathe out for four to six seconds until just beyond a normal breath. Repeat 15 times (one cycle).
How do you use a PEP valve?
Place the mouthpiece lightly in mouth. Breathe out (exhale) through the PEP device slowly and smoothly. Be sure to keep a tight seal on the mouthpiece when breathing out. You should be able to exhale for 3 seconds while the device vibrates.
When would you use positive expiratory pressure?
Breathing against an expiratory resistance, also known as positive expiratory pressure (PEP), is prescribed for patients who have e.g. pulmonary disease or neurological disorders or who will undergo surgery [1], [2], [3], [4].
Can you use a mask with PEP therapy?
PEP therapy may be applied through: Face mask (close-fitting) with a one-way valve to which expiratory resistors are attached (Fig. 1) or the Pari PEP system 1 device (Fig. 2).
What is the best PEP device?
Interestingly, the Pari PEP S produced the lowest peak PEP at low and medium resistance settings compared to other devices, and the Aerobika produced the greatest peak PEP and amplitude PEP at medium and high resistance settings.
How do you do a huff cough?
0:041:01Huffing - YouTubeYouTubeStart of suggested clipEnd of suggested clipTake a small breath. In open your mouth wide and exhale squeezing the air out making a huffing soundMoreTake a small breath. In open your mouth wide and exhale squeezing the air out making a huffing sound now take a rest it may seem difficult but try imagining fogging up a mirror when you breathe.
What are the contraindications for PEP?
According to the World Health Organization (WHO), PEP is contraindicated if the exposed person is already HIV-positive due to a previous exposure, if the patient is chronically exposed to HIV, if the exposure does not pose a risk for transmission, or if the exposure occurred more than 72 hours previously.
What is a PEP mask?
PEP stands for Positive Expiratory Pressure. It is a treatment to help people who have difficulty clearing sputum (phlegm) from their lungs. The equipment consists of a facemask with a range of coloured expiratory resistors and a manometer (pressure gauge).
Is incentive spirometer a PEP?
Introduction: Impairment of global and regional pulmonary ventilations is a well-known consequence of general anesthesia. Positive expiratory pressure (PEP) or incentive spirometry (IS) is commonly prescribed, albeit their efficacy is poorly demonstrated.
How do you make PEP bubbles?
How to do bubble PEP treatment1 pint or 10cm depth of water. When your child is old enough, 5 squirts of liquid soap plus food colouring may be added if you want coloured bubbles.Put the plastic tubing into the water, through the handle of the bottle.Put the bottle into a tray or bowl.
What is temporary PEP?
Temporary positive airway pressure (T-PEP) is a tool recently introduced in the treatment of chronic obstructive pulmonary disease (COPD) or bronchiectasis. It demonstrated encouraging results also in severe COPD patients.
How does PEP work respiratory?
PEP devices allow air to flow freely as you breathe in, but not when you breathe out. You must breathe out harder against the resistance. It takes about four times as long to breathe out against the resistance than it does to breathe in. This helps air get behind the mucus and helps move it from lung and airway walls.
What is a PEP valve?
PEP stands for positive expiratory pressure. PEP valve is a treatment that helps to remove mucus from the lungs. It can also prevent lung collapse or open up areas that have collapsed.
How does oscillating positive expiratory pressure work?
Oscillating PEP (OscPEP) therapy provides the combination of positive expiratory pressure with high frequency oscillations. It involves breathing with a slightly active expiration against an expiratory resistance through a device. It is used for: clearance of excess secretions from the lungs.
How do you use an incentive spirometer?
How Do I Use an Incentive Spirometer?Sit up straight and tall, and hold the spirometer in your hands.Take a deep breath in and let it out.Place the mouthpiece in your mouth. ... Breathe in slowly through the mouthpiece (like sucking through a straw). ... Hold your breath in for 3 seconds and then let it out.More items...
What is it called when you blow out air?
Blowing out air from your lungs is called exhalation (eks heh LAY shun). It helps to rid the body of a gas called carbon dioxide. A positive expiratory pressure (PEP) breathing device (such as the Acapella ®) uses inhalation and exhalation to keep your lungs healthy. Also, when blowing the air out of your lungs or exhaling, ...
How to use a PEP device?
Using your PEP device 1 If this is the first time you will use your PEP device, the respiratory therapist or nurse will decide on what level the dial should be set. With each use, make sure the dial is on this setting. 2 Sit with elbows resting on a table and relax. 3 Take in a deep breath and hold it for 3 seconds. 4 Place the mouthpiece lightly in mouth. Breathe out (exhale) through the PEP device slowly and smoothly. Be sure to keep a tight seal on the mouthpiece when breathing out. You should be able to exhale for 3 seconds while the device vibrates. 5 Perform 10 breaths with each use. You should use your PEP device 8 times per day, or every hour while awake.
How does a PEP device help your lungs?
Using the PEP device should help you: Increase or maintain your inhaled lung volume (amount of air you breathe in on a single breath); Improve how well you rid your lungs of mucus; and.
Why do you need to clean a PEP device?
Cleaning your PEP device. Cleaning your PEP device properly is important to decrease the risk of infection. The PEP device should be cleaned every night at bedtime. That way when you wake up in the morning it will be clean and dry and ready for use.
How to use a PEP?
Place the mouthpiece lightly in mouth. Breathe out (exhale) through the PEP device slowly and smoothly. Be sure to keep a tight seal on the mouthpiece when breathing out. You should be able to exhale for 3 seconds while the device vibrates.
Can you wash a PEP device in the hospital?
When in the hospital, use a plastic basin and handsoap to clean it. When discharged, a dish detergent can be used. The PEP device is also dishwasher safe. It is important to rinse your PEP device thoroughly with warm water. Be sure to air dry the PEP device on a paper towel.
Who decides what level the PEP dial should be set?
If this is the first time you will use your PEP device, the respiratory therapist or nurse will decide on what level the dial should be set. With each use, make sure the dial is on this setting.
What Is PEP?
PEP, or post-exposure prophylaxis, is a short course of HIV medicines taken very soon after a possible exposure to HIV to prevent the virus from taking hold in your body.
How Long Do You Need to Take PEP?
If you are prescribed PEP, you will need to take the HIV medicines every day for 28 days.
How Well Does PEP Work?
PEP is effective in preventing HIV infection when it’s taken correctly, but it’s not 100% effective. The sooner you start PEP after a possible HIV exposure, the better.
Can You Get Help Paying for PEP?
If you’re prescribed PEP after a sexual assault —You may qualify for partial or total reimbursement for medicines and clinical care costs through the Office for Victims of Crime, funded by the U.S. Department of Justice (see the contact information for each state ).
What to do if you are taking PEP?
If you are taking PEP, talk to your health care provider if you have any side effect that bothers you or that does not go away. PEP medicines may also interact with other medicines that a person is taking (called a drug interaction).
When should you use PEP?
PEP should be used only in emergency situations. It is not meant for regular use by people who may be exposed to HIV frequently.
Can you use PEP for HIV?
No. PEP should be used only in emergency situations. It is not intended to replace regular use of other HIV prevention methods. If you feel that you might exposed to HIV frequently, talk to your health care professional about PrEP (pre-exposure prophylaxis).
What is a PEP device?
Two types of airway clearance devices are the positive expiratory pressure device (PEP) and the oscillating positive pressure device. A PEP device increases resistance to expiratory airflow to promote mucus clearance by preventing airway closure and increasing collateral ventilation. Examples of this type of device include the TheraPEP®, ...
How does PEP therapy work?
The therapy, which is administered by breathing through a special device helps: Air get behind the mucus. Move mucus from lung and airway walls. To hold the airways open for longer. Increased geriatric population coupled with higher incidences of chronic conditions drive the PEP devices market growth.
How does FRC increase?
An increase in FRC is attained by alteration of breathing pattern that is a product of a decrease in expiratory flow and an increase in expiratory time leading to exhalation of smaller volumes.
What is the most commonly prescribed airway clearance therapy?
One of the most frequently prescribed airway clearance therapy (ACT) options for patients with chronic lung conditions or decreased lung volumes are positive expiratory pressure therapy (PEP) devices .
How does homogenization work?
Homogenization is achieved by the facilitation of EPP to move peripherally during expiration avoiding collapsed airways, trapped gas, and atelectasis. This results in reduction of respiratory flow and an increase in expiratory flow combined with an increase in FRC. In doing so secretion is mobilized in closed or collapsed and unreachable parts of the lungs. HiPEP is proven to be an airway clearance technique equally or more effective than PEP.
How does a stenting effect affect EPP?
Increasing pressure within airways transports EPP centrally and in stable airways therefore stenting them. Reduction of airway collapse increases expired volume leading to additional emptying of lung volume thus lowering FRC and improving ventilation distribution and gas exchange.
What is collateral ventilation?
Promotes collateral ventilation, allowing pressure to build up distal to the obstruction (collateral ventilation is a phenomenon found in the human lungs where alveolar structures are ventilated through channels that bypass normal airways). Retains airways from collapsing and prolongs expiratory flow.
What Is A PEP Device?
Respiratory Devices are devices that help individuals with reduced breathing ability, improve the exchange of oxygen in an individual’s respiratory system.
How Do PEP Devices Help me Breathe?
Normally breathing out or exhaling, even without PEP devices, expands your airway. This expanding effect is increased when exhaling against resistance.
Do I Need PEP Therapy?
PEP Therapy is best utilized by individuals that require clearance of mucus from their lungs as well as those who need wider airways.
Do I Change My Lifestyle To Undergo PEP Therapy?
PEP Therapy is intended to be used as a supplementary treatment, therefore it is added to existing treatments. There are no lifestyle changes brought about by undergoing PEP Therapy, other than those that existed for the patient previously.
How does OPEP work?
OPEP devices greatly improve the movement of mucus through the added flutter device. The oscillation helps the mobilization of mucus by causing vibrations through the airway and lungs. An expanded airway brought about by PEP, in combination with loose mucus from the oscillation or vibration, contribute to making the coughing component of therapy more efficient.
What are the benefits of PEP therapy?
Participants reported two main benefits of PEP Therapy compared to treadmill exercise and no intervention at all. Improved mucus clearance and a reduced sense of chest congestion. These were seen during the therapy’s 20-minute time span;
What is PEP therapy?
PEP Therapy is a method used to open up clogged airways and clear mucus. A person undergoes several cycles of breathing into a PEP device to open up their airways. These are then followed by coughing to expel mucus from the airway.
