Guide to home oxygen therapy

Transcription

Your Guide To Home
Oxygen Therapy
www.uk.airliquide.com
Section 1: Safety
Section 2: Concentrators
Section 3: Medical Oxygen Cylinders
Section 4: Medical Liquid Oxygen
You can contact the Customer Services Team on
24/7 Customer Helpline 0808 143 9999 Freephone
(Normal working hours are Monday to Friday 8:30am - 5:00pm)
2
Before You Start
Before you use any of your oxygen equipment there are a few simple safety rules
that you must follow. If you are unsure about them after reading this, please speak
to your Homecare Technician or a Customer Services Representative who will be
only too pleased to explain these safety rules to you.
General
Information Oxygen for
Medical use
Higher Oxygen
Concentrations
Mean Greater
Risk
Fire Triangle
Oxygen is a colourless and
odourless gas, so the
normal human senses
cannot detect if there is
more oxygen than normal
in the surrounding air.
Oxygen can build up and
concentrate in a closed
room or a confined space,
but it can easily be
dispersed in a well
ventilated room.
To start a fire, three things
are needed, something to
burn (fuel), something to set
it alight (heat or a spark)
and oxygen to support the
fire and keep it going.
Oxygen can build up
unnoticed on your clothing
and in your hair as you
breathe it, even while you
sleep and use oxygen, your
bedding can become
saturated. For this reason,
home oxygen users are
always at risk from their
clothing, bedding, furniture
and their hair catching fire
as a result of smoking or
others in close proximity to
them smoking.
Oxygen makes up 21% of
the air that we breathe,
oxygen is an oxidizing
agent which means that it
helps things burn more
easily and more fiercely.
Home oxygen users MUST
NOT smoke or allow others
to smoke where oxygen is
being used.
In oxygen enriched
atmospheres, fabrics,
wood, paper and other
materials, which normally
do not burn easily in air
may suddenly catch fire on
contact with a small spark,
cigarette or naked flame.
Fatty substances, oils and
greases may spontaneously
ignite in oxygen.
Home Oxygen Users MUST NOT
smoke or allow others to smoke
where oxygen is being used.
3
Section 1: Safety
Fire Risks
Materials burn much faster in oxygen than in air alone.
G NEVER smoke or let anyone else smoke near you while
you are using your medical oxygen equipment
G DO NOT use your medical oxygen equipment near open
fires or naked flames
G In the event of a fire and providing it is safe to do so, ring
999 and ask for the Fire Service
G Advise the Emergency Operator that there is oxygen on
the premises
G When possible ring Air Liquide and advise them what
equipment was involved in the fire
G Any items that have been involved in a fire or accident
MUST NOT be used
Storage & Use
Always follow the advice given to you by your Homecare
Technician as to the safest place to store and use your medical
oxygen equipment.
G Ensure that all your equipment is stored in a well ventilated
area, kept clean, dry and away from any sources of heat
or fire
G The storage area SHOULD NOT be used to store paint, oil,
Keep
equipment
upright
grease or any domestic heating gases
G DO NOT keep combustible materials near your medical
oxygen supply
G When storing your cylinders they should either be laid down
flat or secured upright to prevent them falling over
G Your medical liquid oxygen base unit MUST always be
stored upright
4
Section 1: Safety
Oxygen Saturation
Materials will become saturated or enriched with oxygen if your
equipment leaks and will burn very fast if ignited. Only use or
store your medical oxygen equipment in a well ventilated area.
Keep all internal doors open while your oxygen is in use.
G NEVER place your medical oxygen equipment near curtains
or cover it with coats or other such materials as this will
restrict the air circulation
G NEVER leave your cannula or mask on the bed or chair
whilst the oxygen is on
G TURN OFF your medical oxygen supply when you are not
using or have finished with it
G NEVER carry or use a portable medical oxygen source
under clothing
Oils & Grease
G DO NOT use oils or grease with your medical oxygen
equipment
G Make sure your hands are clean and that you use only
recommended creams or moisturisers when using your
medical oxygen
G DO NOT use aerosol sprays such as hair sprays or
deodorants when using your medical oxygen equipment
G UNDER NO CIRCUMSTANCES should products such as
Vaseline and E45 cream be used to soothe a sore around
your nose or mouth when using your medical oxygen, you
must only use something similar to K-Y jelly as this is a
water based product and is completely safe for use with
medical oxygen. If you are unsure please ask your Doctor
or Pharmacist
Cold Burns
Manipulating medical liquid oxygen can cause cold burns,
please refer to Section 4 - How to use your Medical Liquid
Oxygen.
5
Section 1: Safety
Connecting your Tubing
15 metres
max.
Connecting your tubing to a medical oxygen supply system is
very easy. Your Homecare Technician will show you how this is
done when he or she installs your equipment. Tubing over 15
metres long MUST NOT be used as this will reduce the flow.
Take care with any tubing laying on the floor and ensure that it
is not trapped under doors, chairs, or heavy items of furniture,
and that it is not allowed to kink.
Flow Rate - Litre Per Minute (LPM)
Your flow rate has been prescribed by your Doctor or Nurse
and must not be changed without asking them first.
G Homecare Technicians ARE NOT allowed to set your
medical oxygen flow rate to anything other than that
prescribed
G Before opening the flow valve, make sure that the flow rate
indicator is set to zero
G Open the flow valve slowly by turning it anti-clockwise and
then set the flow meter at the flow rate prescribed by your
healthcare professional
G Check for leaks on the connections after opening the valve.
Your Homecare Technician will show you how this is done
G You can check for a flow by placing the end of the tube in a
glass of water and watch for bubbles. DO NOT place the
end of your cannula in the water
6
Section 1: Safety
Medical Oxygen Supply
G Check on a regular basis that there is an adequate supply
of oxygen in your medical oxygen equipment by checking
the gauge on your medical oxygen cylinder or on your
medical liquid oxygen units
G NEVER allow your medical oxygen cylinder or medical
liquid oxygen base unit to completely empty
G ALWAYS close the valve on your oxygen supply when you
are not using your medical oxygen
G It is natural for medical liquid oxygen to evaporate, but this
happens very slowly from the base unit and you should not
run out if you check the contents on a regular basis
Cleaning
G Use only a clean damp cloth to clean your medical oxygen
equipment
G Use only mild non-abrasive cleaning materials
G Always allow your equipment to dry after wiping it down
before using
Repairs
G Should your medical oxygen equipment fail for any reason
call the Customer Services Helpline on 0808 143 9999
immediately
G NEVER attempt to repair or modify any fault unless
instructed to do so by a qualified Homecare Technician
G Air Liquide cannot be responsible for accessories that you
attach to your equipment if they have not been supplied
by us
NEVER attempt to repair or modify any fault unless
instructed to do so by a qualified Homecare Technician.
7
What is a Concentrator?
An oxygen concentrator is a machine that separates oxygen
from other gases that are present in the surrounding air. Air is
made up of 79% nitrogen and 21% oxygen and minute traces
of other gases.
The concentrator draws air from the room and separates
oxygen from the other gases using a filtration system. The filter
traps most of the other gases and allows oxygen to pass
through.
Oxygen can now be delivered to you by way of tubing to your
cannula for you to breathe. Other people in the room will still be
breathing normal amounts of oxygen present in atmospheric air.
The concentrator operates with electricity and uses
approximately 280 watts of power. This may vary depending
upon the flow rate that is prescribed for you.
It will make a slight humming sound very much like that of a
refrigerator.
Parts of the
Concentrator
Main Flow Control (lpm)
Oxygen Outlet
Purity Warning Light
Hour Meter
On/Off Switch
8
How do I use my Concentrator?
Using a concentrator is very simple. Your Homecare Technician
will talk you through all the following steps during the installation:
1. Insert the power plug into a power outlet source/mains
socket and switch ON.
2. Attach the tubing from your cannula to the outlet connection
on your concentrator. Tubing over 15 metres long MUST
NOT be used because this will reduce the flow (Refer to
Fig. 1).
Fig. 1
3. Locate the ON/OFF switch on the front of your concentrator
(Refer to Fig. 2).
4. To turn your concentrator ON press the button up (I). An
alarm will sound for approximately five (5) seconds and then
stop, this is a normal event and indicates that the alarm is
working correctly and that the battery is in full working order
(Refer to Fig. 2).
ON
OFF
Fig. 2
5. Turn the adjustment knob anti-clockwise until the ball reaches
the prescribed flow rate (Refer to Fig. 3).
6. Check that there is a flow of oxygen from your equipment.
This can be done by placing the end of the tube in a glass of
water. If there is a flow you will see bubbles coming from the
end of the tube (Refer to Fig. 4).
7. If there is no flow, please contact the Customer Services
Team on 0808 143 9999.
8. In the event of a power failure, you have been provided with
a back-up cylinder which must be used only for this
purpose. The back-up cylinder should not be used as a
main oxygen supply.
Fig. 3
Fig. 4
Before you use your equipment make
sure that you have read the safety
information in Section 1 of this guide.
9
After using your Concentrator
OFF
Fig. 5
1. When not using your concentrator flick the power switch to
the OFF (O) position (Refer to Fig. 5).
2. If you are not going to use your concentrator for an extended
period of time, you are advised to switch your unit off at the
mains socket.
Looking after your Concentrator
Before carrying out any of the following maintenance tasks on
your concentrator, PLEASE READ THE SAFETY
INFORMATION IN SECTION 1 OF THIS GUIDE.
1. Clean the cabinet occasionally with a damp cloth and then
wipe it dry. Avoid letting water into the internals of your
concentrator. DO NOT use any detergents or abrasives
when cleaning the unit.
2. Wash the filter from the unit at least once a week.
G Remove the filter and replace it with the spare filter
G Hand wash the filter in warm soapy water
G Rinse it thoroughly and remove any excess
water with a clean absorbent towel
G Allow the filter to dry naturally, and put it in a safe place
until you change the filter again
3. If you have a humidifier fitted you must change the water
on a daily basis.
4. Wash the humidifier bottle once a week.
G Wash the bottle with warm soapy water
G Rinse thoroughly with clean water
G Dry the outside of the bottle with a clean absorbent cloth
G Refill the bottle with distilled water
If you run out of distilled water, use boiled water that has been
kept in a covered container and allowed to cool.
10
Servicing
The concentrator that you have been provided with will give you
a constant supply of oxygen 24 hours per day every single day
of the year. Your Homecare Technician will visit every six (6)
months to carry out maintenance on your concentrator.
Concentrator
Attachment
Oxygen Outlet
A member of our Customer Services Team will contact you in
advance to advise you when this routine maintenance will take
place.
During a maintenance visit the Homecare Technician will:
– check that the tubing is in good condition,
– check that your back-up cylinder(s) are full and working
properly,
– supply you with new cannulae and any other consumables
that you may need.
Fig. 6a
Humidification
Few home oxygen users require humidification. However, if it
has been prescribed for you, there are a few simple steps for
you to follow:
1. Unscrew the top of your humidifier bottle and fill with distilled
water. NEVER fill the bottle above the line indicated.
2. Screw the top of your humidifier bottle back on.
3. On the top of the humidifier bottle you will see a threaded
nut. Screw the humidifier onto the concentrator and secure
tightly. Make sure you do not cross thread or over tighten
your humidifier bottle (Refer to Fig. 6a).
Fig. 6b
4. Attach your short tube to the oxygen outlet on the humidifier
bottle (Refer to Fig. 6b). Attach the water trap to the other
end (Refer to Fig. 7). Place it lower than the humidifier bottle.
Fig. 7 Attaching the
Water Trap
11
Do’s and Don’ts of Concentrators
General Instructions
Power
Cleaning the Air Filter
G DO NOT alter your flow
G NEVER leave your
G Clean the air inlet filter
rate on the concentrator
unless advised to do so
by your Doctor, Nurse or
Healthcare Professional
G Homecare Technicians
are NOT ALLOWED to
alter your flow rates
without express
instruction from any of
the above named
Healthcare Professionals
oxygen concentrator
running when it is not in
use
G Always use the electrical
power outlet/mains
socket that was identified
by the Homecare
Technician during the
initial installation
G Allow enough slack on
the power cable
G Your concentrator MUST
be used as detailed in
the How do I use my
Concentrator section of
this guide
G DO NOT alter the original
installation in any way
G Position the concentrator
at least 30 cm (12")
away from walls or other
obstructions to ensure
that the air intake is not
obstructed
Electric Shock
G NEVER open or remove
the concentrator cover at
any time
G DO NOT use an
extension cord unless
instructed to do so
G ONLY authorised
personnel should carry
out repairs on your
concentrator
located at the rear of
your concentrator at
least once a week
G The filter MUST be
thoroughly dry before
you replace it
G SWITCH OFF and
isolate your oxygen
concentrator from the
mains supply when
removing or replacing
the filter
G DO NOT apply heat to
the filter to assist in
drying it out
G DO NOT run your
concentrator unless the
filter is fitted
G DO NOT use your
concentrator with a
damp filter fitted
G USE ONLY the filter
provided
G Ensure that the operating
controls are within easy
reach and sight
12
ONLY authorised personnel
should carry out repairs on your
concentrator.
Electricity Rebates
We will make a payment to you every three (3) months estimating
the costs of running your concentrator according to the
prescription supplied by your Doctor or Healthcare Professional.
Hour
Meter
Every six (6) months during the routine maintenance visit, the
Homecare Technician will take a reading and record the hours
that your concentrator has been used. This reading will enable
us to calculate the electricity that has been used to run your
concentrator and we will send you a payment to cover these
costs. We will take into account any under or over payment that
has been made to you as a result of the three monthly estimate.
Payments are usually issued in the patient’s name, but we can
change this for you if this is not convenient. You will need to
advise us by completing an Electricity Application form and
return it to us in the Pre-Paid Envelope provided.
If you are concerned about your electricity reading, you can
take a reading for yourself and call the Customer Helpline and
speak to our Accounts Team who will gladly discuss your
reading with you.
On/Off
Switch
The meter is located on the front of the concentrator, just below
the serial number (Refer to Fig. 8).
To read your meter on the concentrator turn your head so that it
touches your left shoulder. You can now read the number
correctly: this number is the number of hours that your
concentrator has been operating (32 hours shown in Fig. 8).
Fig. 8
13
Minor Troubleshooting Guide for
Concentrators
The following guide will assist you to correct any minor problems
that you may experience with your equipment.
You may also wish to refer to your ‘Manufacturers Patient
Handbook’ that was provided by your Homecare Technician.
These booklets will give you further advice on basic
troubleshooting.
If after carrying out any of the following steps you find that your
equipment is still not working please call 0808 143 9999.
Customer Services Team on
14
PROBLEM
Back-up cylinder is on but
oxygen does not flow.
PROBABLE CAUSE
SOLUTION
Tubing trapped.
Check to see that the tubing
has not become trapped by a
chair, door or furniture
standing on it.
Blocked cannula.
Replace the cannula with a
new one as the old one may
have secretions in the fine
tubing.
Cylinder is empty.
Check the contents indicator
gauge and replace if needed.
Compressor does not run.
No power to the unit.
Constant audio alarm with
power switch in the On position.
Check wall outlet for power.
Compressor shuts down
intermittently.
Restricted airflow through unit.
Unit overheating due to
improper location.
Clean the inlet filter or remove
the obstruction.
Alarm does not sound.
Dead battery.
Call Customer Services.
Limited or low flow.
Restriction in tubing or
humidifier if fitted.
Replace tubing or humidifier.
Blocked internal air filter.
Call Customer Services to
arrange replacement filter.
Low oxygen concentration/
low purity.
Relocate unit away from
heating source, provide
adequate ventilation on all
sides.
Check the filter.
15
Portable and Transportable Concentrators
Freestyle™ Lightweight Portable Concentrator
A Lightweight Portable Concentrator, the AirSep® Freestyle™
delivers an equivalent flow of up to 3 litres per minute and can
easily be carried and used away from home.
IMPORTANT NOTE: This concentrator will not be suitable for
all patients; it is therefore very important that you have been
properly assessed by a specialist Respiratory Doctor or Nurse
who will be the only people able to order this concentrator for
your use.
Flow Rate Selector
and On/Off Switch
Battery Contents
Indicator
Oxygen Outlet
Battery Charger
and Battery
Belt Input
16
Freestyle™ Portable Concentrator
G Flow Rates 1 – 3 LPM equivalent
G Pulsed (demand mode only)
G Weight = 2.0kg (4.4 lbs)
G Additional Battery Belt = 0.8 kg
G Three (3) Mode of Power4
G AC Mains Power
G Two DC Power Supplies, via built in battery and battery belt
pack and the cigarette lighter in the car
G Average Battery Duration = 3.5 hrs
G Battery Belt = 3 hours
G Total Battery life = 6.5 hours
If your Respiratory Doctor or Respiratory Nurse Specialist find
that after assessment that the Freestyle™ Portable Concentrator
meets your oxygen needs, then you may find that you have
greater freedom to travel near and far.
You will be able to use the Freestyle™ in the car as you travel;
this concentrator can also be used on some airlines for travel
abroad, but you are advised to check with your airline before
starting your travel arrangements.
The use of this portable concentrator is unlimited for those
patients who have been assessed by a Respiratory Doctor or
Respiratory Nurse Specialist. Only they will be able to determine
if the Freestyle™ Portable Concentrator will fulfil your ambulatory
needs.
17
The Sequal Eclipse® Transportable Concentrator
At about the same size as a small travel case, the Sequal
Eclipse Transportable Concentrator will be the answer to most
patients’ travel problems.
The Eclipse has a flow rate of up to 3 litres per minute on
constant flow and a flow rate of 1 – 6 litres per minute when
used on demand or in the pulsed dose mode.
To save the waiting for cylinders when you arrive at your holiday
destination and the worry of carrying additional cylinders for your
return journey, Air Liquide can provide the Sequal Eclipse
Transportable Concentrator for travel to those patients for whom
it is found suitable following consultation with your Respiratory
Doctor or Respiratory Nurse Specialist.
The Eclipse means extended travel without the fear of running
out of oxygen. Just plug the Eclipse into your car accessory
(cigarette lighter) outlet and go as far and as long as you like.
By Air
The Eclipse has been approved for use on most commercial
airlines. However, each airline company has different rules so
you are advised to check with your carrier before you fly to avoid
disappointment.
By Train
Most intercity trains within the UK now have a power outlet by
the window seats, so you can use the Eclipse without fear of
running out of oxygen during your journey.
Cruises
The Eclipse has proven very popular on cruises as it will give
you freedom to roam around your cruise liner and visit the ports
of call without the fear of running out of oxygen.
18
Typical Duration of Use
FLOW SETTINGS
LITRES PER MINUTE
CONTINUOUS FLOW
MODE DURATION
0.5
1.0
2.0
3.0
4.0
5.0
6.0
4.4
3.7
2.4
1.3
hours
hours
hours
hours
PULSE FLOW MODE
DURATION
4.4
3.6
3.0
2.6
2.3
2.1
hours
hours
hours
hours
hours
hours
Equipment Specification
Size
Weight
Sound Level
19.3 high, 12.3 wide, 7.1 deep
7.9kg (17.4 lbs) with battery installed
48 dB at 3.0 LPM Continuous Flow
40 dB at 3.0 LPM Pulse Flow Setting
19
The Basics
Medical oxygen cylinders have a black body and a white
shoulder and are fitted with an integral valve and dial select flow
control knob which is ready and easy to use.
NEVER use cylinders that are not correctly labelled. Medical
oxygen cylinders will ALWAYS display a label confirming that
they contain ‘Medical Oxygen’.
A white plastic guard protects the valve against accidental
damage and must NEVER be removed.
Medical oxygen cylinders contain gas at a very high pressure of
between 200-230 bar at a temperature of 15°C. This pressure
is some 115 times greater than the typical pressure in the tyres
on a car which are only 2 bar.
All cylinders supplied by Air Liquide have integral regulators,
your Homecare Technician will show you how to use this and
will point out the various controls.
20
How do I use my Medical Oxygen
Cylinder? (Refer to Fig. 9)
1. Ensure the flow meter is set to (0).
2. Attach the tubing and cannula to the oxygen outlet.
3. Check the contents gauge to ensure that the cylinder
contains oxygen. Slowly turn the ON/OFF knob located on
the side of the cylinder anti-clockwise to fully open.
4. Turn the flow control to the prescribed flow rate which is
indicated below the flow control knob.
5. Check for leaks on the tubing connection.
6. Check for flow from the cylinder.
7. If there is no flow, check that your cannula is not blocked.
After Use
Oxygen
Outlet
1. Turn the ON/OFF knob clockwise to close hand tight.
2. A hissing sound may be heard for a few seconds whilst the
residual gas is released.
3. Wait until all of the residual gas has stopped flowing and
then turn the flow control knob to the (0) position.
Flow Selector
Knob
Fig. 9
Changing a Cylinder
1. Ensure that the ON/OFF knob of the empty cylinder is
fully closed.
2. Detach your tubing and cannula from the oxygen outlet
on the cylinder regulator.
3. Now follow the ‘How do I Use My Medical Oxygen
Cylinder’ instructions as detailed earlier.
On/Off
Knob
Content
Gauge
21
Do’s and Don’ts of Cylinders
General Instructions
Cylinder Integral Regulator
Leaks
G Follow the advice your
G NEVER use excessive
G If a hissing noise is
Homecare Technician
has given you about
where to safely store and
use your cylinders
G When stored, cylinders
must either be laid down
or secured upright to
prevent them falling over
Looking after your
Medical Oxygen
Cylinder
G DO NOT attempt to
remove the integral
regulator from a cylinder
G NEVER use excessive
force when opening or
closing the flow control
knob
G NEVER use spanners to
tighten pieces of
equipment to the cylinder
22
force when closing a
cylinder valve
G Keep cylinder valves
closed when not in use
G Empty cylinders MUST
be stored with their
valves closed
Contents Gauge
G The contents gauge will
always show you how
much oxygen there is in
your cylinder. There is no
need to switch the
cylinder On and Off in
order to check the
contents level
heard, check for a leak
at the connection
between the tubing and
the oxygen outlet
G Turn off the flow
regulator to (0) and close
the cylinder valve. If the
needle on the contents
gauge falls this indicates
that there is a leak
G Turn off the cylinder and
notify Customer Services
immediately
Customer Services Team on
Minor Troubleshooting Guide for Medical Oxygen Cylinders
The following guide will assist you to correct any minor problems that you may experience with
your equipment.
If after carrying out any of the following steps you find that your equipment is still not working
please call 0808 143 9999.
PROBLEM
Cylinder is on but oxygen
does not flow.
Low flow.
PROBABLE CAUSE
SOLUTION
Tubing trapped.
Check that the tubing has not
become trapped by a chair,
door or furniture standing on it.
Blocked cannula.
Replace the cannula with a
new one as the old one may
have secretions in the fine
tubing.
Cylinder is empty.
Check the contents indicator
gauge and replace if needed.
Regulator set incorrectly.
Set control to prescribed flow
rate.
Leaks from tubing connections.
Refit tubing or replace with
new tube.
Kinked, blocked or split tubing. Remove obstruction if possible,
if split contact Customer
Services.
Any other problem or if
problem persists.
Contact us immediately.
23
Cylinder Usage Chart
If you are not sure how long your cylinder(s) will last at a given
flow rate, please refer to the Cylinder Usage Chart opposite.
This information is only for guidance and is not an accurate
calculation but it will give you some very useful information and
assist you to determine how long your medical oxygen supply
will last you at your prescribed flow rate.
If you need more medical oxygen, please remember to call us
at least three working days in advance and before 5:00pm so
that your next delivery can be scheduled.
24
2
Pressure
(Bar)
Cylinder Size (Litre)
2
2
2
230
230
230
200
230
M02HQL
HC02HQ
HC02H
HC02M
HC10H
HC104C
35.4
40.7
17.7
20.4
Duration (Hours)
0.25
32.6
0.5
16.3
0.75
10.9
7.08
8.14
8.14
1.5
2.0
10
200
Flow
Setting
1.0
10
8.14
5.43
3.54
4.07
4.07
2.5
4.07
3.26
3
2.36
2.71
2.71
2.71
11.8
13.6
4
1.77
2.04
2.04
2.04
8.85
10.2
5
1.42
1.63
1.63
1.63
7.08
8.14
6
1.18
1.36
1.36
1.36
5.9
6.79
7
1.01
1.16
1.16
5.06
5.82
8
0.89
1.02
1.02
4.43
5.09
0.71
0.81
0.81
3.54
4.07
0.59
0.68
0.68
2.95
3.39
0.47
0.54
0.54
2.36
2.71
9
10
11
12
13
14
15
25
Useful Information:
G 1 litre of medical liquid oxygen will ‘evaporate’ as it warms
up to provide 860 litres of oxygen gas.
G A typical portable 0.8 litre medical liquid oxygen unit contains
about 688 litres of oxygen gas.
G A typical base unit will hold approximately 26,660 litres of
oxygen gas. That is the equivalent of having 55 portable
cylinders ‘on tap’. Lighter medical liquid oxygen portable
units provide you with excellent mobility.
G A medical liquid oxygen base unit takes up less floor space
than 4 standard 10 litre medical oxygen cylinders. This
makes it a highly efficient method of storage and supply.
G Home oxygen users / their carers may refill the portable units
directly from the base unit as and when required.
G Portable medical liquid oxygen units may be carried over the
shoulder or worn across the chest using the strap provided.
IMPORTANT!
Safety information for medical liquid oxygen
In the unlikely event of a leak from the base unit, wheel the
base unit outside. If possible, open the doors and windows
for ventilation and allow the oxygen to disperse.
In the event of accidental contact with the skin
G DO NOT rub
G Remove any clothing if necessary and gently apply
slightly warm water for at least 15 minutes
G Call your Doctor
26
What is Medical Liquid Oxygen?
Medical liquid oxygen is stored in an insulated stainless steel
container similar to a thermos flask. These storage containers
are referred to as base units and they hold the medical liquid
oxygen at an extremely low temperature.
Medical liquid oxygen base units are low pressure storage
containers designed to safely store more oxygen than gas
cylinders can.
The temperature of liquid oxygen is -183°C and can cause
serious ‘cold’ burns if it should ever come into contact with
your skin.
A medical liquid oxygen system that is installed in your home
will generally consist of a base unit mounted on a roller base
with a separate portable unit similar to the ones shown (Refer to
Fig. 10).
Medical liquid oxygen systems are installed to meet portable
oxygen requirements outside the home. If you have been
supplied with an oxygen concentrator for use in the home, you
MUST NOT use your medical liquid oxygen system for this
purpose.
Fig. 10
In the event of a power or concentrator failure, the medical liquid
oxygen base unit, in conjunction with the portable unit, may be
used as a temporary back-up supply until the concentrator or
electricity supply has been repaired or restored.
27
5a
How to use your Medical Liquid Oxygen
Your portable medical liquid oxygen unit should only be used
for your active use and not for storage. You should fill your
portable unit about 15 minutes before you intend to use it, this
will maximise the time available when you do go out.
5b
1.
Wash your hands before handling any oxygen equipment.
2.
Wipe both blue filling connections with a dry lint free cloth.
The blue connections are located as follows, one on top of
the base unit and the other on the base of your portable
unit. These two connections must be clean and dry to
prevent ice formation during filling.
3.
NEVER try to fill your portable unit if your base unit is
empty.
4.
Turn the flow rate selector on your portable unit to (0).
5a. Hold the portable unit in both hands and then position the
two blue quick release connectors together, one is on the
base unit and the other is on the bottom of the portable
unit and press down firmly with two hands.
5c
5b. Begin filling the portable unit by simply pressing down the
vent valve handle into the open position while continuing to
apply downward pressure on the portable unit to maintain
a connection. When the portable unit starts to let out
vapour and sounds as if it is ‘spitting’ it is full and you
should close the valve.
5c. When disconnecting the portable unit, simply depress or
push the grey disconnect plunger on the base unit, this will
disengage your portable unit from the base unit.
If the portable unit freezes to the base unit, simply close
the vent valve handle and leave it attached. Once the
connections have thawed out in about 10-15 minutes the
units can be easily disengaged.
28
5d. To check the contents hold the strap as shown in picture
5d. The bar as in 5e will show a green zone indicating how
much liquid oxygen you have in your portable unit.
6.
Never touch the blue quick release connectors after filling,
as they are very cold and will cause cold burns.
7.
Connect the cannula to the oxygen outlet on your portable
unit.
8.
Using the flow rate selector on either the top or front of the
portable unit set this to your prescribed number (litres per
minute). This is the flow rate prescribed by your Healthcare
Professional.
5d
Take care that the flow rate selector has
been set properly and is not set in between
two correct settings, if this is the case then
your oxygen will not be able to flow.
The above filling guide is only a quick reference guide.
For further information regarding your particular medical
liquid oxygen system, please refer to the ‘Manufacturers
Patient Handbook’ that your Homecare Technician has
provided you with.
9.
5e
The medical liquid oxygen in your portable unit is
measured with an internal contents gauge. Check this
gauge indicator and ensure that you have sufficient oxygen
for your trip. The chart on the following page will help you
work out how long your oxygen will last, but you should
remember that these are only estimates and will vary due
to patient use and the conditions under which you are
using your portable unit.
29
Medical Liquid Oxygen Usage Charts
Depending upon which portable unit you have been supplied
with will determine the length of time your oxygen will last at
various flow rates (litres per minute). The charts are for
guidance only and durations will depend upon conditions that
the equipment is used in.
Companion Portable Liquid Systems
30
Type
Flow
(LPM)
C1000
Time
(Hours)
0.25
0.50
0.75
1.00
1.50
2.00
2.50
3.00
70.5
35.3
23.5
17.6
11.8
8.8
7.1
5.9
Companion
C1000T
Time
(Hours)
17.6
8.8
5.9
Helios
Type
Flow
(LPM)
3.50
4.00
5.00
6.00
8.00
10.00
12.00
15.00
C1000
Time
(Hours)
C1000T
Time
(Hours)
4.4
3.5
2.9
4.4
3.5
2.9
2.2
1.80
1.50
1.20
Stroller
Helios Portable Liquid Systems
Type
Flow
(LPM)
H850 Marathon
Time
Time
(Hours)
(Hours)
On
Demand
1.00
1.50
2.00
2.50
3.00
4.00
5.00
6.00
Constant
Flow
11.5
17 - 20
5.7
8 - 10
2.9
1.9
Stroller Portable Liquid Systems
Type
Flow
(LPM)
Stroller
Time
(Hours)
Type
Flow
(LPM)
Stroller
Time
(Hours)
0.25
0.50
0.75
1.00
1.50
2.00
68.4
34.2
22.8
17.1
11.4
8.6
2.50
3.00
4.00
5.00
6.00
6.8
5.7
4.4
3.5
2.9
31
Important Information
Electricity Company
Data Protection
We recommend that you inform your electricity
provider that you are using an oxygen
concentrator for medical purposes so that in
the event of a power supply failure they are
aware of your special needs.
For us to supply you with all of your oxygen
requirements and reimburse you for electricity
payments, it is important that we keep personal
data about your oxygen needs.
Insurance Company
Whilst it should not affect your insurance
premium, it is advisable that you inform your
Home Insurance company to ensure that you
are fully covered should you ever have the need
to make a claim.
Moving House/Changing Telephone
Numbers
Please remember to inform us if you are
moving house or if you have changed your
telephone number. It is very important that you
tell us this information so that we can maintain
a regular medical oxygen supply to you.
Contacts
General enquiries:
Customer Services Department
8:30am - 5:00pm Monday to Friday
0808 143 9999
For emergencies:
Outside of normal working hours, 24/7
0808 143 9999
This information will be kept securely within our
database and we will only disclose this
information to those Healthcare Professionals
who are directly involved in your care or in the
administration of your care.
You have the right under the Data Protection
Act to see the personal data that we hold and
process. If you wish a copy of this information,
an application must be made in writing and
sent to:
The Business Manager,
Air Liquide Limited,
Unit 2, Tyne Dock - East Side,
South Shields,
Tyne and Wear,
NE33 5SP
Useful Numbers
British Lung Foundation
Helpline: 08458 50 50 20
Email: [email protected]
Website: www.lunguk.org
www.uk.airliquide.com
Air Liquide Limited. Unit 2, Tyne Dock - East Side, South Shields, Tyne and Wear, NE33 5SP.
South West - Version 1 Dec 08

Guide to home oxygen therapy

Transcription

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