Pari eFlow rapid User manual

A step by step guide for patients
using the eFlow®rapid.
eFlow®rapid
USER GUIDE FOR NEBULISED
ANTIBIOTICS
www.pari.com

NEBULISER SELECTION
There are many PARI reusable nebulisers
available for aerosol delivery of inhaled
antibiotics, but this booklet deals solely
with the eFlow®rapid.
This booklet acts as a supplement to, not
replacement for, the Instructions For Use
supplied with the eFlow®rapid.

NEBULISED ANTIBIOTICS USER GUIDE
TABLE OF CONTENTS
Patient Contact 6
Aerosol Delivery of Inhaled Antibiotics 6
Supplies Checklist 7
Handwashing Technique 8
Aerosol Therapy Set-Up –
Nebuliser with exhalation filter 10
Aerosol Treatment 12
Cleaning the Nebuliser 14
Disinfecting the Nebuliser 15
Easycare cleaning aid 16
Frequently Asked Questions 18

6 7
NEBULISED ANTIBIOTICS USER GUIDENEBULISED ANTIBIOTICS USER GUIDE
SUPPLIES CHECKLIST
You will need the following supplies for the
aerosol treatment:
• Medication as prescribed by your healthcare professional
• 1 x nebuliser (as recommended by your healthcare
professional)
• Optional: 1 x PARI Filter Valve Set. This exhalation
filter protects family members and caregivers from
inhaling medication particles from the treatment.
It will also eliminate medication particles from
depositing on clothing or furniture.
• Optional: BABY mask. Used as an attachment to
PARI reusable nebuliser for delivery of medication
to babies and young children.
You will need the following supplies for
disinfecting the nebuliser:
DISINFECTING BY STEAM:
Electric baby bottle Steam Disinfector (non-microwave)
OR DISINFECTING BY BOILING:
A clean pan and supply of distilled water
Optional Accessories
PARI Filter Valve Set
Part No. 041G0500
Replacement Filter Pads
Part No. 041B0522 (pack of 30)
Part No. 041B0523 (pack of 100)
PARI Filter Valve Set Replacement Filter Pads
This is the eFlow®rapid nebuliser system.
AEROSOL DELIVERY OF
INHALED ANTIBIOTICS
PARI BABY mask size 0 – 3
PATIENT CONTACT
QUESTIONS ABOUT YOUR MEDICATION?
Call your healthcare professional
QUESTIONS ABOUT YOUR PARI NEBULISER?
Call PARI Medical Ltd on
01932 341122,
or the person who issued
your nebuliser.
Inhaled antibiotics can be delivered
directly to the lungs using a medical
device called a nebuliser system.
The eFlow®rapid nebuliser system
consists of 2 primary components:
• eBase®controller which provides
power and
• eFlow®rapid nebuliser handset
which converts liquid medication
into a fine aerosol that can be
inhaled.
PARI BABY mask
Part No. 041G0700 size 0, Part No. 041G0701 size 1
Part No. 041G0702 size 2, Part No. 041G0703 size 3
The BABY mask is a soft silicon mask used as an attach-
ment to PARI reusable nebulisers for delivery of medication
to babies and young children who cannot use a mouth-
piece. Use with BABY Bend when not using the Filter
Valve set.

8
NEBULISED ANTIBIOTICS USER GUIDENEBULISED ANTIBIOTICS USER GUIDE
HANDWASHING TECHNIQUE
Hands should be washed prior to handling supplies and medications.
Wet hands thoroughly with warm water.
Rinse hands thoroughly under
running water.
Use antibacterial soap if possible.
Dry with a clean towel.
Thoroughly wash hands for 1 – 2 minutes,
covering the back and palm of each hand and
between all fingers.
1
4
2
5
3
AEROSOL
THERAPY
SET-UP &
TREATMENT

10 11
NEBULISED ANTIBIOTICS USER GUIDENEBULISED ANTIBIOTICS USER GUIDE
Connect the cable to the back of the
nebuliser handset.
AEROSOL THERAPY SET-UP – NEBULISER WITH EXHALATION FILTER
Preparing the nebuliser
Open the contents of the PARI Filter Valve
Set and place on a clean towel.
Attach the Y-piece to the handset outlet,
then attach the mouthpiece without a valve
to the Y-piece. ALTERNATIVELY attach the
BABY mask instead of the mouthpiece.
Attach the exhalation filter (with pad
inside) to the top of the Y-piece.
Remove the medication cap from the top
of the handset by twisting.
Add medication as prescribed into the
nebuliser. Replace the medication cap.
Read and understand the
PARI nebuliser instructions
for use.
5
8
9
6
10 11
7
You should have:
• 1 x Mouthpiece without valve
(or BABY mask for young children/babies),
• 1 x exhalation Filter assembly with filter pad
(inside),
• 1 x Y-piece
N.B. Put the mouthpiece with valve away in a
safe place for now. You won’t need it when
using the exhalation filter.
Open the handset nebuliser package and
place the contents on a clean, dry towel.
Either plug the power cord into the back
of the eFlow control unit, or ensure batteries
are fully charged.
13
4
Loading your Medication
Select a comfortable area
in your home where your
nebuliser can be placed on
a stable surface and treat-
ments can be taken without
interruption.
2
or
Wash your hands using
the correct hand washing
technique (see page 8)

12 13
NEBULISED ANTIBIOTICS USER GUIDENEBULISED ANTIBIOTICS USER GUIDE
AEROSOL TREATMENT
Turn the control unit on.
Position yourself comfortably
in a sitting position that will
allow you to take a deep
breath.
Place mouthpiece between teeth and top
of tongue and inhale through your mouth. It
is best to take slow, deep breaths whenever
possible. ALTERNATIVELY if using the PARI
BABY mask, place the mask comfortably over
the mouth and nose of the patient.
1
4
2
5 6
3
Monitor for side effects.
If you experience any of
the following, ask your
healthcare professional for
advice:
• noticeable increase in
heart rate or palpitations
• Dizziness or shakiness
Continue treatment until the
nebuliser beeps and turns
itself off.
If the device does not switch
off automatically, switch the
device off manually.
Store or dispose of any
left-over medication as
directed.
CLEANING

14 15
NEBULISED ANTIBIOTICS USER GUIDENEBULISED ANTIBIOTICS USER GUIDE
CLEANING THE NEBULISER
It is important that the nebuliser handset is cleaned immediately after each treatment to ensure proper performance, since
viscous medications such as antibiotics may clog the nebuliser more easily than other medications. If you are unable to clean
the nebuliser after every treatment, you must rinse the nebuliser to remove the medication residue. Then resume cleaning
as soon as it is convenient.
12
Wash your hands as instructed on page 8.
Please note that the aerosol head
(i.e. the metal part) requires careful hand-
ling. The central metal parts should not be
touched and the aerosol head should only
be handled by the plastic collar.
Completely disassemble the nebuliser parts.
Discard the filter pad safely after every
treatment.
Remove the medication cap by twisting. Empty
any remaining medication residue.
Rinse all parts of the nebuliser under a strong stream
of warm water.
WASHING: Mix a solution of warm water and
washing-up liquid in a clean container. Wash
all parts of the nebuliser in this solution. Rinse
all parts thoroughly after washing and place
between two clean towels or cloth to dry whilst
keeping dust-free. Do not use kitchen towel. All
parts must be completely dry before re-assembly.
34
DISINFECTING THE NEBULISER
We recommend you disinfect the eFlow®rapid nebuliser handset every day.
There are 2 options for disinfecting your nebuliser as below.
STEP 1:
Make sure the nebuliser has been
cleaned prior to disinfecting (see
page 14, “Cleaning the Nebuliser”)
STEP 2:
Boil all parts of the nebuliser in a clean
pan for at least 5 minutes. The aerosol
head must only be boiled with distilled
water.
Place on a clean towel to dry. Cover
the parts with a clean towel to keep
dust free. All parts must be dry before
re-assembly.
1 2
STEP 1:
Make sure the nebuliser has been
cleaned prior to disinfecting (see page
14 “Cleaning your Nebuliser”)
STEP 2:
Place all parts of the nebuliser into a
standard disinfector for baby bottles.
Follow the instructions for use.
Please note you should not use a micro-
wave disinfector for the aerosol head.
Place on a clean towel to dry. Cover the
parts with a clean towel to keep dust free.
All parts must be dry before re-assembly.
OPTION 1 – BOILING OPTION 2 – STEAM DISINFECTION

16 17
NEBULISED ANTIBIOTICS USER GUIDENEBULISED ANTIBIOTICS USER GUIDE
How to assemble the easycare
Fill approx. 5ml isotonic sodium chloride
solution (0.9 % saline) into the top opening
Connect the easycare cleaning aid to the eBase
®
controller. Attach the eFlow
®
rapid nebuliser cable
to the hinge of the easycare reservoir and swivel
it downwards, so that the metal contacts engage.
Connect the other end of the cable to the eBase
®
controller.
Open the easycare cleaning aid. To open
press lightly on the sides and pull open.
Install the aerosol head and close the easy-
care reservoir. The eFlow®aerosol head must
be felt to snap into place upon insertion.
Please take care to ensure proper orientation.
13 2
4
Frequency of use
If needed, use the easycare no more
than 2 times per week after cleaning
the aerosol head.
iNote
More frequent use is not beneficial,
and can lead to premature material
wear. During its entire period of use,
an aerosol head should not be back-
washed more than 25 times with the
easycare cleaning aid.
Backwash procedure:
Start the backwash by pressing the start
button on the eFlow®control unit. The pro-
cessing time for 5 ml is at least 10 min.
After rinsing, the eFlow®control unit auto-
matically switches off. If liquid is still present
in the funnel, please restart.
Important:
The easycare backwashing procedure is
performed as an additional measure to the
normal cleaning of the aerosol head.
EASYCARE CLEANING AID
• Measure how long it takes to
nebulise 2.5 ml isotonic sodium
chloride solution (0.9 % saline)
without inhaling.
• If the nebulisation time takes longer
than 4 minutes, it is recommended
to backwash the aerosol head with
the easycare cleaning aid.
Please ensure that the following steps are observed to optimise easycare backwashing:
123
Clean the nebuliser
parts and aerosol head
as described on page 14.
Use the easycare – for
detailed description see
page 17.
Disinfect the nebuliser parts
and aerosol head as described
on page 15.
Use with the eFlow®rapid

18
NEBULISED ANTIBIOTICS USER GUIDE
DO I HAVE TO CLEAN THE
NEBULISER AFTER EVERY
TREATMENT?
It is essential to remove the medicati-
on residue as soon after the treatment
as possible. If the residue dries, future
cleaning may not remove all the
residue. If you are unable to wash the
nebuliser after every treatment, rinse
the nebuliser thoroughly and resume
cleaning as soon as possible.
HOW DO I KNOW WHEN TO
REPLACE MY PARI NEBULISER?
The aerosol head alone should be
replaced every 3 – 6 months.
The nebuliser handset should be
replaced at least every 12 months.
DO I NEED TO USE AN
EXHALATION FILTER ON THE
NEBULISER?
The filter is an optional accessory that
will minimise aerosol escaping into the
room. This may be important if you don’t
want family members or anyone other
than the patient inhaling the antibiotic
aerosol mist. Exhalation filters are used in
hospitals and clinics to prevent nurses etc
from inhaling the aerosol mist.
DO I NEED TO REPLACE THE ENTI-
RE EXHALATION FILTER SET AFTER
EVERY TREATMENT?
NO – The PARI exhalation filter was
designed to open so that only the
filter pad is replaced. Usually the filter
pad is replaced after every treatment.
Replacement filter pads are available
in packs of 30, 100 or 1000.
WHERE CAN I PURCHASE THE
PRODUCTS REFERENCED IN THIS
BOOKLET?
If you need assistance in finding PARI
products, please contact PARI Medical
Ltd on 01932 341122.
FREQUENTLY ASKED QUESTIONS ABOUT AEROSOL DELIVERY OF
INHALED ANTIBIOTICS

20
www.pari.com
PARI Medical Ltd
The Old Sorting Office
Rosemount Avenue
West Byfleet
Surrey KT14 6LB
E-Mail: [email protected]
Phone: [phone]
Fax: [phone]