Wednesday, September 28, 2011

Adjust Pressure on a Respironics CPAP Machine

Here's step-by-step instructions on how to adjust pressure (and other settings) on a Respironics REMStar Plus CPAP machine.

Steps


  1. Determine what kind you have. Methods to access the clinical settings vary from model to model. Try one of the following:
  2. With the machine plugged into a wall outlet, unplug the cord from the back of the CPAP. Then, press and hold down the two user buttons below the display screen while plugging the cord back into the CPAP, and continue to hold the buttons down until the CPAP beeps. This will indicate that the CPAP is in the Therapy Setup Menu.
    • For RESMED S7 and S8 models: Press and hold the right button and the down button for 5 seconds.
    • For RESMED S6: Hold down the Start and 20Min buttons while powering the unit on. These two buttons will remain lit. Now press '5' to reduce pressure and '10' to increase pressure. Power off unit to retain the setting.

  3. Reset the display. The display will first show the number of hours the machine has been used. To erase this total and begin again at zero, press and hold the ramp or humidifier button. An “X” will appear on the display. Hold the button down until the time change to “0” and the “X” disappears.
    • To skip this setting or continue, press the right user button.

  4. Set the 'elevation'. The elevation setting will appear next. To change this setting, press the ramp or humidifier button until the correct setting appears. Here are the elevation settings: 1 = less than 2,500 ft.; 2 = 2,500 to 5,000 ft.; 3 = 5,001 to 7,500 ft.
    • To skip this setting or continue, press the right user button.

  5. The therapy mode will appear, either CPAP or CFLEX. To change this setting, press the ramp or humidifier button until the correct setting appears.
    • To skip this setting or continue, press the right user button.

  6. The CPAP pressure will appear. To change this setting, press the ramp or humidifier button until the correct setting appears.
    • To skip this setting or continue, press the right user button.

  7. The CPAP fine adjustment setting will appear. This setting allows you to calibrate your CPAP pressure to a manometer. We suggest you do not try to adjust this setting.
    • To skip this setting or continue, press the right user button.

  8. The CFLEX setting will appear if you selected the CFLEX mode in number 4 above. A setting of 1 offers the least drop in pressure, 3 offers the most. To change this setting, press the ramp or humidifier button until the correct setting appears.
    • To skip this setting or continue, press the right user button.

  9. The ramp time will appear next. It may be set for 0 to 45 minutes in 5 minute increments. To change this setting, press the ramp or humidifier button until the correct setting appears.
    • To skip this setting or continue, press the right user button.

  10. The ramp starting pressure will appear. To change this setting, press the ramp or humidifier button until the correct setting appears.
    • To skip this setting or continue, press the right user button.

  11. The patient disconnect setting will appear. This sounds an alarm when there is a mask leak and turns the airflow off. 1 = On; 2 = Off. To change this setting, press the ramp or humidifier button until the correct setting appears.
  12. There are no other settings available. Press the pressure start/stop button to exit the menu or press the right user button to scroll through the settings again.


Warnings


  • Your CPAP pressure should be determined by a sleep study and prescribed by a licensed physician.

Eat Your Way to Better Sleep

When your sleep is constantly disrupted or you're simply unable to fall asleep with ease, the temptation to turn to sleeping pills is likely to be high. And yet, sleeping pills don't retrain you to sleep properly independent of them and they tend to leave many people feeling unrefreshed in the morning and sometimes they can even lead to addiction if relied upon too often, for too long. Moreover, sleeping pills are more of the quick-fix solutions that don't lead us to change a diet that may be wreaking havoc with our health.
So, can you go to sleep without taking pills? There are numerous solutions using food (and drink) that can be put to good use in helping you get better sleep. Here is how to be kind to your tummy so it will leave you alone when you want to rest!

Steps


  1. Acknowledge the food and drink that might be harming your sleep chances. Before choosing food and drinks likely to help you sleep, it is vital to remove the food and drink sources that could be preventing you from falling asleep or sleeping as well as you'd like. The worst culprits are caffeine, alcohol and sugar. These three consumables need to be managed within your overall diet so that they don't deprive you of a good sleep:
    • Caffeine: Caffeine is found in coffee, tea, chocolate, cocoa, cola, some energy drinks, and foods and medications made with these products. The amount of caffeine from each item varies according to the strength and type of source. In general, it is advisable to stop drinking or consuming caffeinated products at least five hours prior to bedtime.[1] The older you are, the more susceptible you are to caffeine, and it has the ability to suppress sleepiness, keep you up later than you should be, bring about restlessness, heartburn, tremors, etc., and can end up depriving you of much-needed refreshing sleep.[2]
    • Alcohol: While alcohol can cause you to feel drowsy enough to fall asleep initially, it plays havoc with refreshing sleep after you've gone to sleep! Alcohol can reduce REM sleep and the length of sleep, as well as causing you to sleep more shallowly and to awaken often through the night.[3][4] And for the beauty fans, alcohol creates bags under your eyes!
    • Sugar: Sugar lurks in a wide range of processed, natural, and cooked foods. Every form of sugar can interrupt sleep if we have too much of it. The problem with sugar is the blood sugar high it creates followed by the crash; experiencing this frequently reduces our energy levels and leaves us fatigued and our sleep patterns are disturbed by poor source of energy sugar is.

  2. Avoid food that brings on indigestion. What causes indigestion in one person may well not bring it on in another, so the possible list of foods here could be endless. The point is to know your own causes of indigestion and to manage these. Some of the more common causes of indigestion include:
    • Any food you have an intolerance for (foods you're allergic to shouldn't be consumed at all) – common intolerances being gluten, dairy, and chocolate or sugar;
    • Rich meals just before bedtime. When you don't give your body adequate time to break down the food, and you lie down, indigestion can easily follow. Stop eating rich food at least 5 hours prior to bedtime.[5] A light and healthy diet not only keeps down your weight but also reduces the risk of sleep apnea.
    • Onions, beans, and peppers can bring on indigestion in susceptible people.[6]

  3. Choose food that stabilizes your energy. These are foods that ensure no highs and crashes but that keep you at a relatively even energy level throughout the day. Having even energy levels stops irritability, fatigue, stress, and exhaustion; it also improves mood and eases the pathway to a better night's sleep because you feel calmer, more rested, and balanced. Energy-stabilizing foods include:[7]
    • Protein-rich meals: Lean meat, cheese, natural yogurt, eggs, fish, wholewheat bread, pulses, beans, lentils, nuts, seeds, etc. are steady sources of protein that will give you energy.
    • Chromium-rich foods: Chromium will help your body to overcome low blood sugar levels. It is found in such foods as shellfish, baked beans, and cheese.
    • Fresh fruit: Choose this over sugary snacks. You get the benefit of the fiber, the nutrients, and the slow-release energy from fresh fruit so avoid substituting it with juice, dried fruit, or fruit-based baked goods. Apples and pears are calming to the digestive system.

  4. Drink plenty of water. Water is life-giving and is free of energy-depleting substances. Moreover, it is an important aid to good digestion. Aim to drink 2 liters (about 8 cups) daily.
  5. Increase your intake of foods high in tryptophan. An amino acid and an essential chemical, tryptophan helps to build protein.[8] Found in such food as meat, fish, greens, and eggs, consuming tryptophan late in the day will release melatonin and serotonin for good sleep. It speeds up the onset of sleep, decreases the level of spontaneous awakenings during your sleep, and helps to increase the amount of refreshing sleep you get.[9]
    • It is recommended that you consume a main meal about four hours prior to bedtime that consists of complex carbohydrates and foods rich in tryptophan (see the list under "Tips" below).
    • If you're hungry for a snack before bedtime, choose one that is high in tryptophan but ensure that there is at least an hour between eating it and bedtime, to allow for proper digestion. Some bedtime snacks you could consider include:[10][11]


  6. Choose foods that can provide their own sedative effect. Calcium and magnesium calm your mind, so foods rich in these will increase your chances of a good sleep. In addition, there are some foods that are known for their beneficial sleep-inducing properties:
    • Lettuce: This contains an opium-related substance as well as hyoscyarnin which has anti-cramping properties.[12] Lettuce leaves can be juiced with a squeeze of lemon and drunk as a sleep inducing drink – much better for you than sleeping pills!
    • Complex carbohydrates: These contain serotonin which helps sleep; good sources include pasta, brown rice, and oatmeal.[13]
    • Mandarin juice: This contains bromine, which is calming.

  7. Take care with the glycemic index of foods. The glycemic index (GI for short) is a rating system for food that refers to the speed with which the food we eat gets processed. Food that is processed more slowly keeps us fuller for longer and tends to be healthier overall, so this food has a low GI. Low GI foods maintain a better sugar level, helping us to feel better, more balanced, and not tired during the day.[14] By bedtime, a day of low GI foods leaves you naturally tired and ready for sleep. Low GI foods include:
    • Wholegrain breads, pasta, rice, yams, mixed green salad, or lightly sauteed vegetables.[15]
    • Pulses, lentils, and beans are excellent low GI foods.
    • The more processed a food is, the higher its GI rating will be.

  8. Consider drinking herbal teas which are proven sleep aids. There are various herbs that are helpful in inducing sleep. When made into an herbal tea either via infusion or decoction, these can help induce sleepiness:[16]
    • Chamomile: Either tea bags or grow your own and dry it out. Adding honey or ginger can improve the flavor.
    • Verbena: Also known as lemon verbena, this herb helps with sleep.
    • Lemon balm: A lemony member of the mint family that aids sleep.
    • Passionflower: This herb is a sedative. It can be effective for insomnia and anxiety; follow the instructions provided by the dispenser or packaging. If you have a nervous stomach, try this tea three times a day.
    • Lime flower: This is also known as linden. Use the dried flowers to make a tea.

  9. Increase your intake of vitamins and minerals that improve sleep. If you're not eating a healthy diet, your nutrition levels might be low. There are a number of vitamins and minerals that are important for a good night's sleep, including vitamin B, calcium, magnesium, vitamin C, and chromium.
    • Obtaining vitamins and minerals through a healthy diet is always preferable but sometimes supplements are the only way to get enough of a particular nutrient; speak with your doctor for more advice.
    • In some countries it is possible to take the hormone melatonin, which is thought by some to stimulate sleep during disturbed sleep cycles.[17] However, note that there is little scientific evidence of the benefits to sleep of melatonin supplements thus far, and you will just be inevitably reducing the amount of melatonin that your body produces. This is probably best left to older people, whose melatonin production is in decline.[18]



Tips


  • Foods rich in tryptophan include:[19][20]
    • Bananas
    • Cabbage, spinach,
    • Turkey, poultry, red meats
    • Milk and dairy products
    • Kidney, lima beans, soybean, lentils, hummus
    • Almonds, pumpkin seeds, poppy seeds, evening primrose seed (highest source of all foods), hazelnuts, peanuts, sesame seeds, sunflower seeds
    • Oats, wheat, whole grains
    • Eggs
    • Tofu, tempeh
    • Basil, dill.

  • Kava kava (Piper methysticum) is available in the USA and Australia but not Canada or the UK. It is able to assist with insomnia and anxiety and doesn't lose its effectiveness over time.[21] Follow the instructions provided with its purchase.
  • Take a warm to hot bath prior to going to bed. Have peaceful music playing and just relax. Leave off the lights when taking a bath and light some candles for a dimmer atmosphere. You can also add chamomile to the bath to include the sleep-inducing properties of the bath.
  • Be sure to have exercised during the day. This improves sleep chances.
  • Try meditation.
  • Remember the rhyme: Don't dine after nine!


Warnings


  • Avoid having grains, sugars, and caffeine at least five hours before bedtime.
  • No drink on the market exists that can improve your ability to thrive without sleep. Sleep is the only cure for exhaustion and fatigue.
  • Always talk to your doctor before changing your diet and about any concerns that you have in relation to sleep patterns or disturbances.
  • Be aware there are food sensitivities as well as allergies. Any foods that are on the sleep aid list that actually keep you awake, especially by indigestion, are sensitivities. People with fibromyalgia need to become aware of food sensitivities because lack of sleep can have even more devastating effects resulting in greater flares and chronic pain interfering with sleep. Stress can set off fibromyalgia flares and lack of sleep can make you more vulnerable to flares.
  • If sleep is interrupted, pay attention to the sleep cycle. Waking naturally after about four hours is one complete sleep cycle. If you roll over and go back to sleep at this point you can still feel refreshed by a full night's sleep, as long as you get that full cycle twice you will be rested. Two hours sleep followed by six is only one cycle. If you need to take medication after four hours and the pain wakes you, take your medication. Try to get a time-release bedtime medication from your pain clinic if you have chronic pain, waking up at pill time can really mess with your sleep cycle.


Things You'll Need


  • Healthy food
  • Water (plenty of it)
  • Supplements (optional)

Manage Insomnia

Insomnia can be a particularly distressing illness, characterised by not being able to get to sleep or not sleeping for long enough to feel rested the next day. Insomniacs may wake up the day after feeling utterly drained, affecting their activities that day. But, how do you manage the condition? The ideal management plan should concentrate on the sleeping habits of the individual, in this article it is explained how! There is no saying that it is easy to beat the condition, however with this step by step guide combined with advice from your health professional, you should find managing the condition much easier.

Steps


  1. Don't drink drinks containing caffeine for at least four hours before bedtime. Caffeine is a stimulant, so will make it very difficult to get to sleep or may cause increased wakefulness during the course of the night. Avoiding caffeinated drinks will no doubt improve sleep in any individual especially those with insomnia.
  2. Establish routines. It is very important that if you are to gain control over your insomnia. The technique is simple enough, you should make sure you go to bed at the same time every night. Then wake up again at the same time in the morning, this way you are sleeping the same number of hours each night. It is important that you do not get up if you cannot sleep, instead just lay there and let the body get some rest.
  3. Keep the temperature of your sleeping area to your taste,not too hot or not too cold. This is down to opinion, sleep at the temperature that is best for you. This way you will be much more comfortable and maybe sleep better.
  4. Keep your bedroom as your bedroom and nothing else. If you remove distractions from the room, you will find that you sleep better. An example would be the Computer, mobile phones, televisions. All of which may cause a noise distraction and wake you up.
  5. Try not to sleep during the day, use the night instead. If you feel sleepy during the day then try to put your mind to something. Persistent napping during the day will detract from the amount and quality of sleep you get during the night.
  6. Take a hot bath, as this will help you to relax and as you cool down, you begin to feel increasingly sleepy!


Tips


  • Stick with it! It may take some time for you to see a difference!


Warnings


  • Trouble sleeping can be a sign of an underlying condition, if you are having long term sleeping problems then please contact your health professional.