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APRIA HEALTHCARE PATIENT/CAREGIVER INSTRUCTIONS

“…there are high counts of bacterial and fungal 
flora on CPAP interfaces, despite routine washing, 
with the older interfaces, more contaminated 
and resistant to cleaning.”

*

Regular ordering of fresh supplies is a  
critical part of maintaining your health and 
proper therapy.

At the time you received your CPAP/Bi-Level 
equipment, you received a form for enrolling 
in an auto-resupply program. Please complete 
this form and return it to the address printed 
at the bottom of the document. If your 
insurance allows it, Apria will ship your CPAP/
Bi-Level supplies on an ongoing basis without 
your having to initiate the order. If your 
insurance doesn’t allow you to participate in 
an auto-resupply program, you will receive 
automated reminder calls when it is time  
to re-order CPAP/ 
Bi-Level supplies.

Note: 

 If you did 

not receive or are 
unable to locate 
the auto-resupply 
form, please  
call the phone 
number on your 

Apria Service and Sales Agreement and an 
Apria representative will send the form to you.  

Additional Supplies

Your CPAP headgear and mask will wear out 
over time. To replace these items or to purchase 
additional supplies, call Apria Healthcare.

Why Nasal CPAP/Bi-Level 

Therapy Is Needed

Both CPAP and Bi-Level therapies use 
Continuous Positive Airway Pressure (CPAP)  
to treat Obstructive Sleep Apnea (OSA).

Common Signs and Symptoms of 
Obstructive Sleep Apnea

•  Snoring

•  Excessive daytime sleepiness

•  Restless sleep (may include moving arms 

and legs)

•  Morning headaches

•  Slight disorientation/memory lapses

•  Irritability

•  Personality changes

•  Pauses when the patient doesn’t 

breathe during sleep

Obstructive 
Sleep Apnea is 
a sleep disorder 
that occurs 
when the airway 
is obstructed 
or blocked. As 

a result, no air 
moves into or out 
of the lungs (this 

*

Horowitz S, SLEEP, Volume 32, Supplement, 2009 #0634. 

Nasal CPAP acts to open  

upper airway

CPAP Maintains 
Open Airway

Collapsed Airway 
During Sleep

Common sleep difficulty with 

Obstructive Sleep Apnea

Old equipment needs to be replaced regularly

New headgear 

and mask

Summary of Contents for Nasal CPAP/Bi-Level

Page 1: ...Nasal CPAP Bi Level PATIENT CAREGIVER INSTRUCTIONS To be used in conjunction with CPAP Bi Level equipment prescribed by physician and product specific operating manual ...

Page 2: ...Follow all warnings and instruction labels on medical devices To obtain a copy of the manufacturer s product manual visit us at apria com ...

Page 3: ...sal CPAP Bi Level Therapy Is Needed 4 Your CPAP Bi Level Unit 5 Circuit 6 General Setup and Operation of CPAP Bi Level Unit and Accessories 7 OperatingYour CPAP Bi Level Unit 8 AssemblingYour Headgear and Mask Circuit 9 Final Assembly 10 Bi Level Positive Airway Pressure 11 Using a Humidifier withYour System 12 CleaningYour Humidifier 13 Using Oxygen withYour CPAP Bi Level Unit 14 CleaningYour Equip...

Page 4: ...__________ Headgear _____________________________ Filters ________________________________ Ramp ________________________________ Humidifier ___________________________ Oxygen prescription ____________________ ______________________________________ Prescription date _______________________ Other ________________________________ A heated humidifier requires a physician s order Your CPAP Bi Level unit ...

Page 5: ... the phone number on your Apria Service and Sales Agreement and an Apria representative will send the form to you Additional Supplies Your CPAP headgear and mask will wear out over time To replace these items or to purchase additional supplies call Apria Healthcare Why Nasal CPAP Bi Level Therapy Is Needed Both CPAP and Bi Level therapies use Continuous Positive Airway Pressure CPAP to treat Obstr...

Page 6: ...P Bi Level unit treats Obstructive Sleep Apnea by providing low pressure airflow to your airways by means of a nasal mask that fits over the nose or nasal pillows which are inserted into the nostrils Air pressure holds the airway open preventing the collapse of the palate and tongue over the air passage This allows for normal breathing and uninterrupted sleep Your CPAP Bi Level Unit Note Your unit m...

Page 7: ...g a nasal pillow circuit you will need the following items tubing which attaches to the air outlet on the CPAP Bi Level unit a shell to which the nasal pillows are attached nasal pillows which fit snugly in the nostrils and nasal pillow headgear which secures the nasal pillows to the nose and maintains a proper seal in both nostrils Nasal Mask Circuit If you are using a nasal mask circuit you will ...

Page 8: ... the CPAP Bi Level unit and the other end to the inlet port on the humidifier reservoir c Connect your large bore tubing to air outlet on your humidifier d Proceed to Step 5 4 Connect your large bore tubing to the air outlet on the CPAP Bi Level unit Page 6 5 Assemble your headgear and mask circuit Pages 7 8 6 Place the mask headgear on your head Pages 7 8 7 Connect your headgear and mask circuit to...

Page 9: ...hat utilizes the 2 prong plug Step 3 If the AC power cord is not permanently attached to your unit plug its female end into the AC power inlet on the back of the unit Plug the other end of the cord into an appropriate as described in Step 2 electrical power outlet Do not use an extension cord with your unit Do not plug the unit into an outlet that has other major appliances plugged into it Step 4 ...

Page 10: ...ng them until the mask fits comfortably against the face A tighter fit is not necessarily better it can be loose as long as the seal is maintained Do not block the exhalation port on your nasal mask circuit The exhalation port may be located at the base of your mask or in a special attachment between your mask and tubing Helpful Hints For ease in future adjustments you may wish to use permanent ink ...

Page 11: ...rtable Step 5 Adjust the side straps evenly by pulling downwards the mask should feel secure and comfortable against your face Do not over tighten Step 6 Final adjustments for comfort and seal should be made while lying down with your device pressure applied Note If excessive leaks persist try an alternate cushion size Do not block the exhalation port on your nasal pillow circuit Your exhalation p...

Page 12: ...nt of time you desire Step 4 Relax and take slow deep breaths through your nose If you need to get up during the night press the power switch to OFF and disconnect the tubing from the nasal mask or nasal pillow assembly leaving the mask or nasal pillows and headgear on your head Reattach the tubing when you return to bed and press the power switch to ON You may wish to reactivate the ramp feature ...

Page 13: ...ur unit Do not use medications in the water reservoir To prevent electrical hazard do not allow water to come into contact with any part of the unit other than the water reservoir Step 2 Connect the short humidifier tube to the air outlet on the unit and the inlet port on the humidifier reservoir Refer to your specific device s manufacturer s user manual Step 3 Connect the patient tubing to the outle...

Page 14: ...gen tee adapter or a port on the nasal mask If your oxygen is administered with a tee adapter the adapter may be connected to the air outlet on the unit or between the tubing and nasal mask Your tubing is connected to the large end on the tee adapter and the small tubing from your oxygen system is connected to the small nipple on the tee adapter Always turn your CPAP or Bi Level unit ON before tur...

Page 15: ...he pillows from the shell swivel connector and tubing Step 3 With a soft cloth gently wash the mask or pillows with a solution of warm water and a mild clear liquid detergent Step 4 Rinse thoroughly If the mask still feels oily repeat step 3 Step 5 Allow the mask or pillows to air dry Do not place any supplies in the dryer Cleaning the CPAP Bi Level Unit Clean Your Unit as Necessary Step 1 Unplug ...

Page 16: ... normal Nasal congestion is the most common side effect of CPAP therapy A common cause of nasal congestion is the drying and cooling of the upper airway by your CPAP device This is responsible for the feeling of dryness in the throat or nose Many times this will resolve itself as you become accustomed to your CPAP unit It may take up to four weeks 7 The CPAP machine is designed to eliminate the int...

Page 17: ...quipment Safely Never immerse the CPAP or Bi Level unit in water Never try to clean the unit by placing it in water The electrical components will be damaged and this can create a shock to the user the next time it is plugged into an electrical outlet Never plug in the unit if it is wet or damp Moisture always increases the potential of electrical shock Never plug your unit into an electrical outl...

Page 18: ...ould help you plan and prepare for any trip Contact your physician to make sure your proposed trip is medically safe and to obtain additional copies of your prescription If traveling by plane DO NOT check your CPAP or Bi Level unit Carry the unit on the plane with you in a padded case Be sure to pack the cord all accessories and the manufacturer s user manual When traveling to another country cont...

Page 19: ...midity or you may need a humidifier to use with your unit Reposition the tubing so that it runs under your bed covers to reduce heat loss Increase the room humidity or moisture in the air Consult with your physician or Apria Healthcare about using a humidifier with your CPAP unit Ask your physician about nasal sprays or gels Make sure that you are keeping your mouth closed and take slow relaxed br...

Page 20: ...hcare Contact Apria Healthcare Replace or clean the filter Move the unit away from bedclothes or curtains that block the flow of air around the unit Turn down the thermostat at night Add a second length of tubing to the circuit to allow the air to cool Place the unit on the floor where the air may be cooler Sinus infection or middle ear infection Pressures above 12 5 cm H2O may cause feelings of d...

Page 21: ... your switch is set on 115V If the new fuses blow out contact Apria Healthcare Recharge or replace battery Verify that the power cord is completely connected at the rear of the unit and at the outlet Verify that the voltage selection switch setting is not set too high i e your electrical line is 115V but your switch is set on 230V Contact Apria Healthcare Contact Apria Healthcare Power cord not fi...

Page 22: ...ack To voice a concern you should take these steps 1 Call the Apria Customer Service for Patient Concerns at 1 800 260 8808 OR 2 Contact us by e mail at Patient_Satisfaction apria com OR 3 Visit our web site at apria com Satisfaction Survey Process Our goal is to ensure your satisfaction You will likely receive an Apria patient satisfaction questionnaire and we hope that you will take a few minute...

Page 23: ...RES 2004 Rev 08 20_v30 2020 Apria Healthcare Group Inc Visit us at apria com Education News Articles Services ...

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