/clinical/,/clinical/pted/,/clinical/pted/hffy/,/clinical/pted/hffy/respiratory/,

/clinical/pted/hffy/respiratory/4297.hffy

201611321

page

100

UWHC,UWMF,

Clinical Hub,Patient Education,Health and Nutrition Facts For You,Respiratory

IPV Therapy (4297)

IPV Therapy (4297) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Respiratory

4297


IPV Therapy

Intrapulmonary Percussive Ventilation (IPV) is a treatment that helps with the removal of mucus
from the lungs. This treatment is delivered through a mouthpiece and combines moisture in the
form of a mist with small bursts of air. These small bursts help to shake the mucus loose so that
you can cough it out more easily.
The mist helps to make your mucus
moist. The part of the IPV machine
that makes the mist is called the
nebulizer. Sometimes drugs, in liquid
form, can be added to the nebulizer to
help make the treatment even more
effective. Your doctor feels you need
this treatment because you need help
clearing the mucus from your lungs.


Technique

1. Before beginning the treatment, wash your hands with soap and warm water, or use anti-
bacterial hand gel, to reduce the risk of infection.

2. Add saline to your nebulizer. Saline is a form of water used specifically in nebulizers.
Never fill your nebulizer with tap or distilled water. If you use medicine with your IPV
treatment, it should be added to the saline. The cup should be filled to the 20cc line. If it is
not, add more saline until it is.

3. Assemble your IPV circuit as instructed by your respiratory therapist. See the diagram above
for correct assembly. All connections are color coded to make assembly easier. Green tubes
attach to green parts of the nebulizer and IPV machine, yellow to yellow, etc.

4. Turn on your air IPV machine. The IPV should now be making a mist.

5. Place the mouthpiece in your mouth and press down on the silver thumb switch to start the
mini breaths. Breathe in the mini breaths for as long as you can. Try not to let your cheeks
fill with air. If your cheeks get tired, you can rest by taking your finger off the thumb switch
and just breathe in the mist for awhile. You can push the thumb switch again when you are
ready.

6. Remember to cough during your treatment. If you do not feel the urge to cough during the
treatment, we recommend that you do a “huff” cough about every five minutes while you are
doing the therapy.





7. A huff cough is done by taking a deep breath and holding it for 1-3 seconds. Then force the
air out of your lungs with your mouth open like you would do if you were trying to fog a
mirror.

8. Your treatment should last 20 minutes or until your cough is no longer productive. If you
have added medicine to the nebulizer, make sure all of the liquid is gone before you stop the
treatment.

9. After the treatment is over, take the medicine cup apart and allow it to air dry on a clean
paper towel.

How do I clean and disinfect the IPV?
All of your IPV parts must be cleaned and disinfected twice a week. There are 2 different ways
to clean and disinfect an IPV: by hand; or by heat methods.

How do I clean and disinfect by hand?
To clean and disinfect by hand, you can use either vinegar and water method or rubbing alcohol
method. If you have Cystic Fibrosis (CF) do not use the vinegar and water method.

Vinegar and Water Method
1. Take the IPV apart. Wash the pieces in warm soapy water.
2. Rinse with hot tap water.
3. Place the IPV pieces in a bowl and add enough vinegar and water solution to completely
cover the pieces. Make the mixture of 1 part white vinegar (5% solution from your
grocery store) to 2 parts water (1 cup vinegar to 2 cups water).
4. Soak the IPV pieces for 30 minutes to 2 hours.
5. Rinse all of the parts of the IPV with sterile water. Do not use water from the faucet,
bottled, or distilled water; it could be contaminated. You can make water sterile by
boiling it for 5 minutes. Use this water once, and then throw it out.
6. Place the IPV pieces on a paper towel to dry.

Rubbing Alcohol Method
1. Take the IPV apart. Wash the pieces in warm soapy water.
2. Rinse with hot tap water.
3. Place the IPV pieces in a bowl and add enough rubbing alcohol (isopropyl alcohol) to
completely cover the pieces.
4. Soak the IPV pieces for 5 minutes.
5. Rinse all of the parts of the IPV with sterile water. Do not use water from the faucet,
bottled, or distilled water. You can make water sterile by boiling it for 5 minutes. Use
this water once, and then throw it out.
6. Place the IPV pieces on a paper towel to dry.


How do I clean and disinfect by heat?

How to clean and disinfect in the dishwasher
1. Take the IPV apart.
2. Place the pieces in a dishwasher basket on the top rack of the dishwasher.
3. After the dishwasher cycle is done, remove the pieces and shake out the extra water.
4. Air-dry the IPV pieces on a paper towel.


Equipment
If you have questions or need more supplies, call your home equipment provider.




































Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright ©11/2016. University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#4297.