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Our veteran clinicians share their tips for success for CPAP therapy

ASK APRIA

Today's Clinician

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Collyn Pullam

Collyn Pullam is a Registered Respiratory Therapist with 29 years of experience and has worked for Apria for a total of 15 years. She loves staying active outdoors, walking, hiking, tennis, swimming, and both water and snow skiing. She also enjoys traveling to new places, reading, and painting. Most of all, she cherishes time with her family and friends, especially her grandchildren.

 

Q. I'm developing sores on the sides of my face where my mask fits. Could this be because the mask is too tight?

A. Yes. Pressure sores usually indicate the mask is too tight. PAP masks should seal using the air cushion, not by tightening the straps. Try loosening the headgear and repositioning the mask. If the mask still doesn’t seal without overtightening, it may be the wrong size or style—contact your local branch for a fit consultation. Also ensure your mask and skin are cleaned daily, as oils can affect the seal and cause irritation. If irritation continues, liners or a different mask material may help prevent skin breakdown.

Q. Why does the water only last 4-5 hours during the night, causing me to wake up to refill the water tank?

 

A. Water usage varies based on humidity setting, therapy pressure, hours of use, environmental dryness, and especially mask leaks. If the PAP detects a leak, it increases airflow to maintain pressure, which causes the humidifier to use significantly more water. Check your mask fit and replace cushions as needed. An RT at your local branch can review your usage data to determine exactly what’s causing the increased consumption. Extremely dry household air or high humidity settings can also reduce water duration.

Q. I've been using spring water instead of distilled water. Is that okay, and could it cause any issues?

 

A. It is recommended you use distilled water for 2 reasons. To protect the equipment and to protect your lungs. Spring or tap water has minerals that will collect in the chamber and damage the humidifier or affect the function of your equipment. Spring and tap water also has bacteria and other microorganisms that can become aerosolized and inhaled. For routine use, always use distilled water to avoid respiratory and equipment issues. It is recommended you use distilled water for 2 reasons. To protect the equipment and to protect your lungs. Spring or tap water has minerals that will collect in the chamber and damage the humidifier or affect the function of your equipment. Spring and tap water also has bacteria and other microorganisms that can become aerosolized and inhaled. For routine use, always use distilled water to avoid respiratory and equipment issues.

 

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