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NHS Nippy 4 Leaflet
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NHS Nippy 4 Leaflet

Non-invasive ventilation (niv) at home
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Non-invasive ventilation (NIV)
at home
Information for patients using a Nippy 4 or
Nippy 4+ ventilator
This leaflet provides information for patients using a Nippy 4 or Nippy 4+
ventilator. If you have any other questions or concerns, please do not
hesitate to speak to the team caring for you.

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Summary of Contents for NHS Nippy 4

  • Page 1 Information for patients using a Nippy 4 or Nippy 4+ ventilator This leaflet provides information for patients using a Nippy 4 or Nippy 4+ ventilator. If you have any other questions or concerns, please do not hesitate to speak to the team caring for you.
  • Page 2 What is non-invasive ventilation? Non-invasive ventilation (NIV) is a treatment that can help you breathe more easily if your breathing problem is getting worse. NIV supports your breathing but does not take over it. It involves you using a cushioned mask that fits over your mouth and nose (Fig 1), or just your nose (Fig 2).
  • Page 3 How often should I use the NIV machine? It is important to use your NIV every night, for a minimum of 4 hours (ideally the whole night if you can). You should also use your NIV if you sleep in the daytime. Your doctor will tell you if you need to use your NIV any more than when you are asleep.
  • Page 4 • Connect the power lead to the adapter and then the adapter connector to the back of the machine. • Plug the other end of the lead into the mains power socket and switch the socket on. • Connect your tubing to the air outlet. •...
  • Page 5 To stop or start treatment • To start the flow of air press and hold the power on/off button until the progress bar is filled. • To stop the flow of air press and hold the power on/off button until the progress bar is filled and then select YES by pressing SET to confirm you wish to stop treatment.
  • Page 6 Your oxygen concentrator should be set at ………. litres per minute when connected to your NIV machine. Will I need a humidifier as well? We might decide that breathing damp (humidified) air will help you if you have a productive sticky cough (you cough up phlegm or mucus) or a dry mouth or throat.
  • Page 7 You can also remove the lid and fill the water through the top of the chamber. Always make sure the lid of the water chamber is totally sealed before re-inserting. Re-insert the chamber and push it until you hear an audible click. Warning To avoid a burn injury, be careful not to touch the heater plate or the heated water in the water chamber when the humidifier is switched on or has not yet cooled down.

  • Page 8: Internal Battery

    Adjusting the humidification level Press the menu button Use the + and - buttons to highlight humidification settings and press the SET button to open it. Use the + and - buttons to highlight humidifier settings and select EDIT. Use the + and – to change the settings and then CLOSE to save.
  • Page 9 The click in battery will last approximately 3 hours depending on your settings. Release the side cover by pressing the button under the handle. Remove the side panel Insert the ‘click in’ battery and replace the side cover. Make sure its clicks into place When running on the battery the battery status is indicated by the following symbols.
  • Page 10 Looking after my NIV machine Machine care Keep the NIV machine clean and dust free. If you are using a humidifier: • you can wash the water chamber in warm soapy water or in the top drawer of a dishwasher •...
  • Page 11 Filter care The patient air filter is located at the side of the machine and prevents dust from entering. Disconnect the device from the power source and place on a dust free surface. Lift the handle (A) to access the release button. To remove the filter side panel, press and hold the button above the panel...

  • Page 12: What To Do If The Alarm Sounds

    Yearly Replace both filters. Caution: Never install a wet filter into the device. You must ensure sufficient drying time for the cleaned filter. Important: Do not let the filter get blocked with dust because this will affect how well the ventilator works.
  • Page 13 Nippy device. If you have any problems with your machine at home, please contact the Respiratory Physiologists. Chest Unit King’s College Hospital Tel: 020 3299 4743, option 3 Email: kch-tr.CPAPkings@nhs.net Chest Unit Princess Royal University Hospital (PRUH). Tel: 01689 863104...
  • Page 14 They can also pass on praise or thanks to our teams. PALS at King’s College Hospital, Denmark Hill, London SE5 9RS Tel: 020 3299 3601 Email: kch-tr.palsdh@nhs.net PALS at Princess Royal University Hospital, Farnborough Common, Orpington, Kent BR6 8ND Tel: 01689 863252 Email: kch-tr.palspruh@nhs.net...