Guest guest Posted October 14, 2003 Report Share Posted October 14, 2003 , We do often see that when a patient re-starts their Vest treatments, they bring up a bunch of stuff that has been sitting there for a long time. If she is coughing so violently that she passes out, that is not good. Not only that, but she will come to hate her Vest treatments and not do them. She needs to start out slow...have her do 7 -8 minutes at 10 Hz with a pressure setting of 4 (1 if it is the Chest Vest) twice a day for now. This way her lungs can get used to it again. Then she can slowly start increasing the time and the pressure and the frequency (Hz) until she has reached the settings the MD ordered. She needs to learn how to huff cough instead of glottal coughing (what she is doing now and what you and I do when we cough). Huff cough is much more gentle and will prevent the bronchospasms that she is experiencing. That may be what is making her feel faint. The best way to learn how to do a huff cough is to get a toilet paper cardboard roll, put your lips around one end and blow the air out forcefully and continuously. That is a huff cough. It is just like when you blow into the PFT machine. There will be an urge to glottal cough, but she needs to resist that. Encourage her to visit her MD and get the RT in the office to review her Vest treatment with her. If the office doesn't have an RT, just have the MD write a prescription for Vest retraining and send it to us. We'll help her get re-started. I hope this helps. Let me know if there is anything else you need. Randy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2003 Report Share Posted October 15, 2003 AGAIN, Randy, that is so helpful ...to all the readers here!! bless you! LOVE & HUGS, grandmomBEV RE: Vest problems , We do often see that when a patient re-starts their Vest treatments, they bring up a bunch of stuff that has been sitting there for a long time. If she is coughing so violently that she passes out, that is not good. Not only that, but she will come to hate her Vest treatments and not do them. She needs to start out slow...have her do 7 -8 minutes at 10 Hz with a pressure setting of 4 (1 if it is the Chest Vest) twice a day for now. This way her lungs can get used to it again. Then she can slowly start increasing the time and the pressure and the frequency (Hz) until she has reached the settings the MD ordered. She needs to learn how to huff cough instead of glottal coughing (what she is doing now and what you and I do when we cough). Huff cough is much more gentle and will prevent the bronchospasms that she is experiencing. That may be what is making her feel faint. The best way to learn how to do a huff cough is to get a toilet paper cardboard roll, put your lips around one end and blow the air out forcefully and continuously. That is a huff cough. It is just like when you blow into the PFT machine. There will be an urge to glottal cough, but she needs to resist that. Encourage her to visit her MD and get the RT in the office to review her Vest treatment with her. If the office doesn't have an RT, just have the MD write a prescription for Vest retraining and send it to us. We'll help her get re-started. I hope this helps. Let me know if there is anything else you need. Randy ------------------------------------------- The opinions and information exchanged on this list should IN NO WAY be construed as medical advice. PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR TREATMENTS. ------------------------------------ Quote Link to comment Share on other sites More sharing options...
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