Sleep apnea occurs when a person repeatedly stops breathing for 10 or more seconds at a time while sleeping. These events may occur hundreds of times ...
Questions? Call 877.265.2426 Select Option 4 STEP 1: GETTING STARTED 5 SLP-4193 10/17 GET STARTED. GET FAMILIAR WITH YOUR PAP EQUIPMENT. If your doctor prescribed a specific mask and size, follow the fitting instructions provided by
YOUR APRIA SLEEP THERAPY USER GUIDE For the ResMed AirSenseTM 10 WELCOME. Thank you for choosing Apria Healthcare as your home medical provider. You are receiving this package because your doctor has diagnosed you with sleep apnea and prescribed Positive Airway Pressure therapy. Positive Airway Pressure therapy-- also known as PAP therapy or sleep therapy--helps millions of users feel more energized and refreshed. We are excited to accompany you on your journey to a better night's sleep! Overview Sleep apnea occurs when a person repeatedly stops breathing for 10 or more seconds at a time while sleeping. These events may occur hundreds of times throughout the night, causing oxygen levels in the blood to drop, putting stress on the heart. If left untreated, sleep apnea is linked to many other serious conditions like high blood pressure, diabetes, heart disease and stroke. This guide contains easy step-by-step instructions for using your PAP equipment, and is designed to help you benefit from therapy as soon as your equipment arrives. Please watch the sleep apnea video on the enclosed DVD and review the manufacturer's user guides along with the other educational materials that were included with your equipment. The sleep apnea video can also be found on Apria Healthcare's website at www.apria.com/resource-center in the "Video Library" section located at the bottom of the screen. Additional information is also available at www.apria.com/sleep-apnea. Your Device and Settings A licensed Apria clinician has programmed your PAP machine with the settings prescribed by your physician. If your doctor recommends changes to your PAP settings, please notify Apria Healthcare immediately, so that the clinician can make any necessary adjustments. STEP 1 GET STARTED. Start your therapy tonight so you can feel refreshed in the morning. 1. Open the box and unpack your PAP machine, humidifier chamber, tubing, mask, power cord and supplies. 2. Attach the power cord and tubing to the PAP machine. 3. Fill the humidifier with distilled water and insert the humidifier into the PAP machine. (It is recommended that you use distilled water. However, if you do not have distilled water on hand, in order to start your therapy today, bottled water can be used as a substitute to distilled water as a temporary measure.) 4. Place the PAP machine on a table next to your bed. The height of the table should be lower than your head. 5. Plug the power cord into an electric wall outlet. YOUR APRIA SLEEP THERAPY USER GUIDE For the ResMed AirSenseTM 10 Please watch the sleep apnea video on the DVD and review the manufacturer's user guides and other materials that were included with your equipment. The sleep apnea video can also be found at www.apria.com/resource-center in the "Video Library" section located at the bottom of the screen. 1 2 3 4 4 STEP 1: GETTING STARTED Questions? Call 877.265.2426 Select Option 4 STEP 2 GET FAMILIAR WITH YOUR PAP EQUIPMENT. If your doctor prescribed a specific mask and size, follow the fitting instructions provided by the manufacturer, then proceed to Step 3. If you received a mask with multiple cushions, follow the instructions below and on the next page. There is a mask cushion currently attached to the frame of your mask. This size fits most patients. Once you begin therapy, if your mask is leaking or feels uncomfortable, try removing the existing cushion and replacing it with a di erent size cushion. If you are between sizes, it is best to use the larger cushion. Use the Fitting Template (for nasal mask and full face mask) and/or the manufacturer's instructions included with your mask for help. SLP-4193 10/17 Questions? Call 877.265.2426 Select Option 4 STEP 2: GET FAMILIAR WITSHTEYPO1U: GREPTATPINEGQSUTIPAMRTEENDT 5 1. 2. 3. 4. 5. Nasal Mask 1. Release the lower strap magnets from the frame of the mask. Make sure the logo on the headgear is facing outward. While holding the mask against your face, pull the headgear over your head. 2. Position the lower straps so they both sit below the ears. Bring each of the magnets up to meet their corresponding clips on the frame. 3. Adjust the fastening tabs on the upper straps until the mask feels even and stable. Do not overtighten. Reattach the fastening tabs. 4. Repeat Step 3 with the lower straps. Reattach the fastening tabs. 5. Connect the hose to the front of the mask. Ensure that the nasal mask fits securely over your nose. It is normal to feel some air escaping through the small air vents on the elbow of the hose. Please refer to the manufacturer's instructions for additional information on topics, such as: · How to properly remove your mask · How to remove and change the mask cushion · How to adjust the length of the mask straps 6 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT Questions? Call 877.265.2426 Select Option 4 1. 2. 3. 4. 5. 6. Nasal Pillow Mask 1. Hold the pillows away from your nose with the left (L) and right (R) indicators correctly facing towards you. 2. Guide the nasal pillows into your nostrils. 3. Pull the headgear over your head by holding the bottom strap and stretching it around the back of your head. 4. Adjust the top and bottom straps. The top strap should fit comfortably on the top of your head. 5. Ensure that the nasal pillows fit securely into your nostrils with both pillows positioned upright. If not, move the mask away from your face and then place it back again. 6. To achieve a comfortable fit, adjust the straps. Spread the straps apart to loosen, or draw them closer together to tighten. Please refer to the manufacturer's instructions for additional information on topics, such as: · How to properly remove your mask · How to remove and change the mask cushion · How to adjust the length of the mask straps Questions? Call 877.265.2426 Select Option 4 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT 7 1. 2. 3. 4. 5. 6. Full Face Mask 1. Twist and pull both magnetic clips away from the frame. With the logo on the headgear facing outward, hold the mask against your face and pull the headgear over your head. 2. Bring the lower straps below your ears and attach the magnetic clip to the frame. 3. Undo the fastening tabs on the upper headgear straps. Pull the straps evenly until the mask is stable and positioned as shown in the illustrations. Reattach the fastening tabs. 4. Undo the fastening tabs on the lower headgear straps. Pull the straps evenly until the mask sits firmly on the chin and reattach the fastening tabs. 5. Connect the air tubing from your device to the elbow. Attach the elbow to the mask by pressing the side buttons and pushing the elbow into the mask. 6. To achieve a comfortable fit, readjust the straps. Evenly, apply only enough tension so that a seal is achieved. Please refer to the manufacturer's instructions for additional information on topics, such as: · How to properly remove your mask · How to remove and change the mask cushion · How to adjust the length of the mask straps 8 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT Questions? Call 877.265.2426 Select Option 4 How to Attach Oxygen to Your PAP Machine If you are using non-heated tubing, and you are also using prescribed oxygen, follow these instructions. Attach the oxygen tee adapter that was included in the box to your PAP machine. Next, attach the large-bore PAP tubing to the oxygen tee adapter. Finally, connect the small-bore oxygen tubing to the oxygen tee adapter. For detailed instructions on oxygen use, you should also review the PAP and oxygen manufacturer's user guides included in your package. Oxygen Tee Adapter ClimateLineAirTM and ClimateLineAirTM Oxy Tubing The ClimateLineAirTM heated tube is designed to maintain the temperature of the humidified air as it passes through the tube. ClimateLineAirTM Oxy comes with a built-in oxygen connector for patients who require supplemental oxygen. The HumidAir humidifier is part of ResMed's Climate Control solution. It is designed to seamlessly integrate with the device and o er relief from dryness and congestion. The humidity level can be adjusted to suit your preference. When using ClimateLineAirTM and ClimateLineAirTM Oxy tubing, your device will automatically default to Climate Control Auto when you plug either of these tubes into your machine (unless your doctor has prescribed a specific heat and humidity setting). Please review the ClimateLineAirTM/ClimateLineAirTM Oxy manufacturer's user guide for additional information. IMPORTANT SAFETY NOTE: If you are using prescribed oxygen with your PAP device, be sure to observe all the fire and safety rules associated with the use of oxygen. Follow this sequence of steps when turning your oxygen on and o . 1. Always turn your PAP machine ON before turning ON the oxygen flow from your oxygen source. 2. Always turn OFF the oxygen flow from your oxygen source before turning OFF the PAP machine. Questions? Call 877.265.2426 Select Option 4 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT 9 If You Have 1 ClimateLineAirTM Heated Tubing: Attach using the illustrations and directions provided here. 1. Make sure the machine is turned on. 2 2. Hold the orange cu of the air tubing and line up the air tubing connector with the connector port. 3. Push the cu until the connector clicks into place. "ClimateLineAir connected" will briefly display on the device screen. 3 If You Have 1 ClimateLineAirTM Oxy Heated Tubing: Attach the oxygen using the illustrations and directions provided here. 1. Remove the cap from the oxygen connector. 2 2. Connect the oxygen supply tubing to the oxygen connector. Make sure it is firmly attached. 10 STEP 2: GET FAMILIAR WITH YOUR PAP EQUIPMENT Questions? Call 877.265.2426 Select Option 4 STEP 3 START YOUR PAP MACHINE. 1. First, put on your mask. Next, attach the tubing to the mask. 2. Lie down and take four deep breaths. The machine should start automatically. If you do not hear the machine start, press the Start/Stop button. Relax and begin to 1 take slow breaths through your nose. 3. Check for air leaks. Small leaks are acceptable. If large leaks occur, try the following: · Grasp the mask frame and lift it away from your face. The cushions should also lift o your face. Lightly place the mask back on your face. 2 · If large leaks still exist, adjust the headgear. If the headgear is either too tight or too loose, it can cause leaks. · Additional tips for managing mask leaks are provided on the next page. You should also review the manufacturer's user guides provided in your package. Questions? Call 877.265.2426 Select Option 4 STEP 3: START YOUR PAP MACHINE 11 Helpful Tips For Nasal and Full Face Masks ·To resolve leaks at the upper part of the mask, adjust the upper headgear straps. ·For leaks at the lower part, adjust the lower headgear straps. ·When adjusting straps, loosen or tighten both the left and right straps so that adjustments are made evenly. ·Adjust only enough for a comfortable seal. ·The upper strap adjustment is the key to seal and comfort. ·Do not overtighten the lower straps. They mainly serve to keep the cushion in position. For Nasal Pillows Masks ·Position the pillow cushion tips into your nostrils so they sit comfortably under your nose without any gaps. Pull the mask away from your face, then place it back to get a comfortable fit. ·Adjust the side straps evenly by pulling downwards; the mask should feel secure and comfortable against your face. Do not overtighten. ·If leaks persist, try the next larger set of cushions. ·If the pillow is not staying in place in your nostrils, try the next smaller cushion size. 1122 HSTEELPF3U: LSTAIPRST YOUR PAP MACHINE Questions? Call 877.265.2426 Select Option 4 GET COMFORTABLE WITH YOUR THERAPY. Use your PAP therapy during all hours of sleep, including during naps. Some people may need up to one or two weeks to adjust to PAP therapy, but the benefits are well worth it. Ways to help you adjust: · Try watching TV or reading while wearing your mask and headgear. Turn on the PAP device for short periods of time while wearing your mask to get used to the pressure. · Use your equipment every night. · Keep the device turned on for as long as you can tolerate, building up each night until you have reached at least 4 hours per night. · Keep practicing until you are using PAP therapy during all hours of sleep, including during naps. Questions? Call 877.265.2426 Select Option 4 GET COSMTEFOP R3T: ASTBALRETWYITOHURYOPUAPR MTHAECRHAINPYE 13 TRACK YOUR PROGRESS. You can track your progress by registering for ResMed's myAirTM application at www.resmed.com/myAir or by downloading the myAirTM by ResMed app from the App Store on your smartphone. You can view your daily sleep score and previous night's results. You can also access other helpful information, like videos and guides designed to help you stay motivated in adhering to your PAP therapy. Note: Data will be available following the first night using the machine after you register. 1144 TSRTAECPK3:YSOTUARTPRYOUGREPSASP MACHINE Questions? Call 877.265.2426 Select Option 4 GET SUPPORT. If you are having di culties getting used to therapy, try using your machine's "comfort features" to help. Do you have a dry nose or throat, or a runny nose? Increase the humidity level. Are there droplets of water or condensation inside your nose, mask, or tubing? Decrease the humidity level. How to Change the Humidity Level: Is the air pressure making it di cult for you to fall asleep? Turn on the Auto Ramp or increase the Ramp Time. Do you feel bloated? You may be swallowing air. Turn on the Auto Ramp or increase the Ramp Time. Do you feel like you are not getting enough air? Turn the Ramp Time to "o ." How to Change the Ramp Time: Do you have sore or dry eyes? Adjust your mask or headgear. It may need to be repositioned. Refer to the instructions provided in the manufacturer's user guide for your mask. Also review Steps 2 and 3 in this guide. Are you experiencing redness on your face where the mask touches the skin? Your mask may be too tight. Try adjusting your headgear. If redness persists, contact Apria Healthcare. Do you have nasal, sinus or ear pain? You may have a sinus or ear infection. Stop using your machine and contact your doctor. This information is intended for your general knowledge only and is not a substitute for medical advice or treatment for a specific medical condition. Should you have any healthcare-related questions, please consult your doctor. Questions? Call 877.265.2426 Select Option 4 STEP 3: START YOUR GPAETP SMUAPCPHOINRET 15 CLEANING, MAINTENANCE AND REPLACEMENT 1. Oil from your face and ingredients in facial products can cause the PAP mask cushions to wear down and decrease the useful life of the mask. Get in the habit of wiping down your mask each day, especially the areas that come in contact with your skin. Clean your mask and headgear weekly according to the instructions in the mask user guide. 2. Wash the water chamber and air tubing in warm water, using a mild detergent. Hand wash only. Do not wash in a dishwasher, as it can deteriorate the plastic. 3. When needed, wipe the exterior of the machine with a dry cloth. 4. Check the air filter and replace it at least every 6 months. Replace it more often if there are any holes or blockages from dirt or dust. Refer to the manufacturer's instructions for information on how to replace the filter. 1166 CSLTEAPN3I:NSGT,AMRTAIYNOTUENRAPNACPEMAANCDHIRNEEPLACEMENT Questions? Call 877.265.2426 Select Option 4 REPLACING YOUR SLEEP SUPPLIES Replace your sleep supplies regularly. This helps to ensure a good mask seal and reduce buildup of bacteria, viruses, and allergens.1 Twice Monthly Mask nasal cushions and nasal pillows Disposable filters Once Monthly Full-face mask cushions Every 3 Months Every 6 Months Mask Frame Headgear and chin straps Tubing (standard or heated) Humidifier water chamber Non-disposable filters Please note that the frequency of resupply and your insurance's coverage of supplies will be governed by your insurance plan, and may differ from the schedule provided above. Source: 1. Horowitz A, Horowitz S, Chun C. CPAP Masks are Sources of Microbial Contamination. SleepHealth Centers, Div. of Sleep Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston. APSS Poster; 2009. Questions? Call 877.265.2426 Select Option 4 SRTEEPPL3A:CSITNAGRYTOYUORUSRLPEAEPP MSUAPCPHLINIEES 1177 FOUR WAYS TO ORDER REPLACEMENT SLEEP SUPPLIES FROM APRIA 1. Opt-In to Apria's Continuous Sleep Resupply Program.* You can predetermine how often you want to receive your replacement sleep supplies and Apria will automatically ship them to you going forward. No follow-up orders needed. To see if you are eligible for this option and to enroll, you can call an Apria Premium Care Sleep Expert. The Opt-in PAP resupply Program Enrollment form was also included with your PAP machine, and can be mailed to the address printed on the form. 2. Order online. Two convenient ways to order sleep supplies online: · Apria.com -- If you are currently receiving sleep therapy supplies from Apria, you can log on to the company's PAP Patient Resupply Portal to order supplies. Using this portal, we will directly bill your insurance for you. To register, go to www.apria.com/papresupply. · ApriaDirect.com -- This is Apria's retail (non-insurance) website with the latest in replacement sleep supplies. 3. Call our automated system. Dial 800.436.5657 to use Apria's automated phone system to place your order. Available 24 hours a day. 4. Talk to us. Call 877.265.2426 to speak directly to an Apria Premium Care Sleep Expert. Monday-Friday: 8 am to 10 pm EST or Saturday and Sunday: 11 am to 7:30 pm EST Note: If you decide not to participate in the PAP Resupply Program, you will receive automated calls from Apria to remind you that it is time to order replacement sleep supplies. * This PAP Resupply Program is not available to all patients. Patients with certain payors, such as Medicare, Medicaid, Managed Medicaid. or TRICARE, are not eligible. 1188 FSOTEUPR3W: ASTYASRTTOYOORUDREPRARPEMPLAACCHEIMNEENT SUPPLIES Questions? Call 877.265.2426 Select Option 4 We are here for you! With Apria's Premium Care SleepTM program, you can rest assured that you will receive the support you need to achieve a better night's sleep. It's not uncommon to experience discomfort for the first several days. The goal of therapy is to minimize the impact of your sleep apnea. Remember that regular use will help improve your overall quality of life, so you can look forward to: · Increased energy and alertness · Improved blood pressure · Improved glucose tolerance Data from your PAP machine is securely communicated to Apria Healthcare using cloud-based software. You will receive feedback on your therapy results either by phone call, text message, and/ or email. Your feedback is also shared with Apria Healthcare to ensure your therapy is working. If you are struggling to adapt to therapy, one of Apria's dedicated Patient Health Advocate team members and/or an Apria respiratory therapist will reach out to you. If you have questions about your equipment, please call us right away. We are here to assist you. Remember to use your PAP therapy anytime you sleep, including during naps. Compliant use is defined as at least 4 hours per night for at least 70% of the days. You may receive email notifications from: u-sleep.No-Reply@Umbian.com Phone and text notifications will be sent from: 201.420.8904 If you have questions about the notifications you will receive or general questions about the sleep monitoring program, please contact Apria's Patient Help Advocate Team. Dial the number below and select option 4. 877.265.2426 Monday - Friday: 8 a.m. - 10 p.m. EST Saturday and Sunday: 11 a.m. - 7:30 p.m. EST Questions? Call 877.265.2426 Select Option 4 APRIA'STPERPE3M:ISUTMARCTAYROEUSRLEPEAPPPMROACGHRIANME 19 If you have any questions, or need help setting up your device and getting started, please call a member of Apria's Premium Care Sleep Expert team. Dial the number below and select option 4. 877.265.2426 Monday - Friday: 8 a.m. - 10 p.m. EST Saturday and Sunday: 11 a.m. - 7:30 p.m. EST ClimateLineAir and myAir are trademarks and/or registered trademarks of the ResMed family of companies. ©2019 Apria Healthcare Group Inc. SLP-4193 04/19_v4