Treatment FAQ

how often should you give an incentive spirometry treatment

by Prof. Timmy Brakus DDS Published 2 years ago Updated 2 years ago

By using the incentive spirometer every 1 to 2 hours, or as instructed by your provider, you can take an active role in your recovery and keep your lungs healthy.Oct 23, 2021

Full Answer

How long Did you Use Your incentive spirometer?

Your doctor or respiratory therapist will direct you as to how frequently and for how long you should use the spirometer. Most of the time it's recommended that spirometry be done every one to two hours, but some physicians may recommend more or less frequent usage.

Why is it important to use incentive spirometer?

Using your incentive spirometer

  • Sit upright in a chair or in bed. ...
  • Put the mouthpiece in your mouth and close your lips tightly around it. ...
  • Breathe in (inhale) slowly through your mouth as deeply as you can. ...
  • Try to get the piston as high as you can, while keeping the indicator between the arrows. ...

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Does Incentive spirometry actually work?

One study published in 2019 found that the use of incentive spirometry in people who have recently had lung surgery can prevent post-surgery complications such as pneumonia, but other studies have shown that the practice is not as helpful after bariatric surgery, however.

How do you use an incentive spirometer?

To use an incentive spirometer: 4

  • Sit upright.
  • Exhale fully.
  • Put the mouthpiece in your mouth, creating a tight seal with your lips.
  • Inhale slowly so that the flow indicator remains in the middle of the smaller chamber and the piston rises to the level preset by your healthcare provider in the main ...
  • When you have inhaled to your full capacity, remove the mouthpiece.

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How often use incentive spirometer post op?

At the hospital: You will need to use the incentive spirometer 10 times every hour you are awake after surgery.

How often is spirometry done?

When used to monitor breathing disorders, a spirometry test is typically done once every 1 or 2 years to monitor changes in breathing in people with well-controlled COPD or asthma.

How many is the frequency recommended for the incentive spirometer to be performed on a patient while awake?

Advise patient to take approximately ten incentive spirometry breaths per waking hour (use clinical reasoning to prescribe using Frequency, Intensity, Time and Type principles). Patients with an oxygen requirement can use the device with a nasal cannula or a device, which entrains oxygen.

Can you use a spirometer everyday?

Just like other exercise tools, you need to use a spirometer regularly to get the best results of the exercise on your lungs. You can use it every day depending on the number of times you use it in a day. If you are not sure about the frequency, you can check with your doctor.

How often should a pulmonary function test be done?

PFTS should be performed three times to ensure that the results are reproducible (less than 200ml variation) and accurate.

How can spirometry be used during asthma treatment?

Overview. Spirometry (spy-ROM-uh-tree) is a common office test used to assess how well your lungs work by measuring how much air you inhale, how much you exhale and how quickly you exhale. Spirometry is used to diagnose asthma, chronic obstructive pulmonary disease (COPD) and other conditions that affect breathing.

How do you do incentive spirometry?

How Do I Use an Incentive Spirometer?Sit up straight and tall, and hold the spirometer in your hands.Take a deep breath in and let it out.Place the mouthpiece in your mouth. ... Breathe in slowly through the mouthpiece (like sucking through a straw). ... Hold your breath in for 3 seconds and then let it out.More items...

What is the goal of incentive spirometry?

An incentive spirometer is a handheld medical device that measures the volume of your breath. It helps your lungs recover after surgery or lung illness, keeping them active and free of fluid. A piston rises inside the device to measure your breath volume when you breathe from an incentive spirometer.

How do you use a 3 ball incentive spirometer?

0:502:45Learn to Use an Incentive Spirometer - YouTubeYouTubeStart of suggested clipEnd of suggested clipHold your breath for at least 5 seconds allowing the piston to fall back to 0. Take your time andMoreHold your breath for at least 5 seconds allowing the piston to fall back to 0. Take your time and slow down if you begin to feel light-headed.

How often should an incentive spirometer be used for COPD?

Repeat these steps 10 to 12 times every hour you are awake, or as often as your healthcare provider recommends. If you do not reach your goal, do not get discouraged. You will improve with practice and as you heal.

Should COPD patients use incentive spirometer?

Incentive spirometry is widely accepted as a safe procedure, and has been studied specifically in patients who have undergone both upper and lower abdominal surgery, as well as thoracic surgery. Additionally, incentive spirometry is recommended in patients with COPD if there is concern for postoperative atelectasis.

Can a spirometer improve lung function?

Using an incentive spirometer can improve overall lung function, which in turn increases the amount of oxygen that is breathed into the lungs, ultimately increasing the oxygen that ends up in the body. This device is also able to help patients clear mucus from their lungs.

What is incentive spirometer?

Takeaway. An incentive spirometer is a device that can help you strengthen your lungs. Your doctor might give you a spirometer to take home after leaving the hospital after surgery. People with conditions that affect the lungs, like COPD, may also use an incentive spirometer to keep their lungs fluid-free and active.

How to clean lungs after spirometry?

Hold your breath for at least 5 seconds, then exhale until the piston falls to the bottom of the spirometer. Rest for several seconds and repeat at least 10 times per hour. After each set of 10 breaths, it’s a good idea to cough to cleanse your lungs of any fluid buildup.

How does a spirometer measure breath?

The piston in the main chamber of the spirometer rises upward along the grid as you breathe in . The deeper your breath, the higher the piston rises .

Why do you need a spirometer after surgery?

Here’s more information: After surgery. An incentive spirometer can keep the lungs active during bed rest. Keeping the lungs active with a spirometer is thought to lower the risk of developing complications like atelectasis, pneumonia, bronchospasms, and respiratory failure. Pneumonia.

How to use a spirometer?

Your doctor, surgeon, or nurse will likely give you specific instructions on how to use your incentive spirometer. The following is the general protocol: 1 Sit at the edge of your bed. If you can’t sit up completely, sit up as far as you can. 2 Hold your incentive spirometer upright. 3 Cover the mouthpiece tightly with your lips to create a seal. 4 Slowly breathe in as deep as you can until the piston in the central column reaches the goal set by your healthcare provider. 5 Hold your breath for at least 5 seconds, then exhale until the piston falls to the bottom of the spirometer. 6 Rest for several seconds and repeat at least 10 times per hour.

How to use a piston inhaler?

To use, place mouth around mouthpiece, breath out slowly, and then inhale slowly only through your mouth as deeply as you can. Try to get the piston as high as you can while keeping the indicator between the arrows, and then hold your breath for 10 seconds.

What is next to the main chamber on a spirometer?

Next to the main chamber is an indicator that your doctor can set as a target. There’s a smaller chamber on your spirometer that measures the speed of your breath. This chamber contains a ball or piston that bobs up and down as the speed of your breath changes.

What is incentive spirometer?

An incentive spirometer is a device used to help your lungs recover after surgery or a lung illness. Read more to learn how to use an incentive spirometer. Using your incentive spirometer after surgery will help you keep your lungs clear. The incentive spirometer will also help keep your lungs active when you are recovering from surgery, ...

How to get a spirometer to work?

Hold your breath as long as possible (at least for 5 seconds). Then exhale slowly and allow the piston to fall to the bottom of the column. Rest for a few seconds and repeat steps one to five at least 10 times every hour. Position the yellow indicator on the left side of the spirometer to show your best effort.

How to use a yellow spirometer?

Position the yellow indicator on the left side of the spirometer to show your best effort. Use the indicator as a goal to work toward during each slow deep breath. After each set of 10 deep breaths, cough to be sure your lungs are clear. If you have an incision, support your incision when coughing by placing a pillow firmly against it.

Why do you need a spirometer after surgery?

Using your incentive spirometer after surgery will help you keep your lungs clear. The incentive spirometer will also help keep your lungs active when you are recovering from surgery, as if you were at home performing your daily activities.

How to support an incision when coughing?

If you have an incision, support your incision when coughing by placing a pillow firmly against it. Once you are able to get out of bed safely, take frequent walks and practice coughing. You may stop using the incentive spirometer unless otherwise instructed by your healthcare provider. Incentive Spirometer.

How to use a spirometer after surgery?

After that, a spirometer is easy to use. Sit straight on a chair or the edge of your bed. If you’ve had surgery on your chest or belly, you may be sore there. Hold a pillow there to support it and help keep it from hurting. Breathe out completely to clear all the air from your lungs.

What does a spirometer look like?

It has a mouthpiece that looks like a vacuum tube. When you inhale with it, the suction will move a disc or a piston up inside a clear cylinder. The deeper you breathe, the higher the piston rises. Most spirometers have numbers on the cylinder to show how much air you take in.

How to clear mucus from lungs after tracheotomy?

When you finish, cough to clear any mucus from your lungs. If you’re sore from surgery, hold the pillow against you while you cough. Repeat the exercise every hour you’re awake, or as often as your doctor says. You can use a special spirometer if you have an opening in your windpipe because of a tracheotomy.

How to breathe in a syringe?

Close your lips firmly around the mouthpiece. You’ll have to breathe in only through your mouth. Plug your nose if you need to . Breathe in slowly, and make the piston rise as high as you can while you keep the indicator between two arrows to know you are inhaling at the right pace.

Can you use a spirometer for a tracheotomy?

You can use a special spirometer if you have an opening in your windpipe because of a tracheotomy. It has a valve instead of a mouthpiece. You hook it up to the tracheostomy tube connected to your throat. When you empty out and refill the air in your lungs, you get rid of fluid and germs that can lead to an infection.

Can you breathe through an incentive spirometer?

The breaths you take may not be as deep as usual. That means the air in your lungs may not move much and may not clear out any infections. You inhale through an incentive spirometer to exercise your lungs and to get air into every nook and cranny. Your doctor may also call it a manual incentive spirometer.

Who can use an incentive spirometer?

Medical professionals such as respiratory therapists, nurses, or doctors will normally explain to a person how to effectively use an incentive spirometer. A person should breathe through their mouth while using the incentive spirometer.

Why are incentive spirometers used?

Uses and who uses it. Incentive spirometers ensure the lungs remain active. They encourage deep breathing, lung expansion, and mucus clearance, which allows people to retrain their lungs to take slower and fuller breaths and optimize ventilation.

What does the piston on a spirometer mean?

If they breathe in too fast or too slow, they will not expand the lungs fully. The piston indicates the maximal volume, or how deep, a person’s breath is.

What happens when the piston in a spirometer rises?

As this occurs, the piston in the spirometer will begin to slowly rise . The indicator on the spirometer should also begin to move upwards. Typically, the incentive spirometer will have markings by the indicator, such as arrows, to show a person’s goal measurement and where they should aim to keep the indicator.

Why do we need a spirometer after surgery?

A 2019 study suggests that the use of incentive spirometers following surgery may reduce the risk of complications such as pneumonia. A person may also need to use an incentive spirometer if they have a certain condition that may make breathing difficult. Some of these conditions may include:

How to use a spirometer to check for leaks?

Sit upright in a chair or the edge of a bed and hold the spirometer at eye level. Cover the mouthpiece tightly with the lips to ensure there are no leaks. Exhale slowly and completely through the mouth. Next, breathe in through the mouth slowly and as deeply as possible.

What is COPD training?

Chronic obstructive pulmonary disease (COPD): This refers to a group of conditions that cause long-term breathing difficulties. Training the lungs with incentive spirometry can help reduce. exacerbations of the condition. Sickle cell disease: This is a group of red blood cell disorders.

What is incentive spirometer?

An incentive spirometer is a device that will expand your lungs by helping you to breathe more deeply and fully. The parts of your incentive spirometer are labeled in Figure 1.

How long should you hold your breath on a spirometer?

When you get it as high as you can, hold your breath for 10 seconds, or as long as possible. While you’re holding your breath, the piston will slowly fall to the base of the spirometer. Once the piston reaches the bottom of the spirometer, breathe out slowly through your mouth. Rest for a few seconds. Repeat 10 times.

How to keep lungs active after lung surgery?

Use your incentive spirometer after your surgery and do your deep breathing and coughing exercises. This will help keep your lungs active throughout your recovery and prevent complications such as pneumonia. If you have an active respiratory infection (such as pneumonia, bronchitis, or COVID-19) do not use the device when other people are around.

Why do you need a spirometer after surgery?

Your health care provider may recommend that you use an incentive spirometer after surgery or when you have a lung illness, such as pneumonia. The spirometer is a device used to help you keep your lungs healthy. Using the incentive spirometer teaches you how to take slow deep breaths.

How to tell how big of a breath you should take?

Try to get this piece to rise as high as you can. Usually, there is a marker placed by your doctor that tells you how big of a breath you should take. A smaller piece in the spirometer looks like a ball or disk. Your goal should be to make sure this ball stays in the middle of the chamber while you breathe in.

What is the best way to take deep breaths after surgery?

Expand Section. Many people feel weak and sore after surgery and taking big breaths can be uncomfortable. A device called an incentive spirometer can help you take deep breaths correctly.

How to use an incentive spirometer?

Steps to Use an Incentive Spirometer: While sitting in a relaxed, comfortable position, hold your incentive spirometer upright in front of you. Seal your lips around the mouthpiece. Inhale as slowly and deeply as possible, then hold your breath for as long as you can (at least 3-5 seconds).

Why are incentive spirometers helpful?

Incentive spirometers are particularly helpful for those who are recovering from a short-term illness like a lung infection or COPD exacerbation. These conditions often cause temporary lung function loss that can be recovered with treatment and time.

How does a spirometer help you?

Using an incentive spirometer every day can help you strengthen your breathing muscles and improve how well your lungs function.

What does a spirometer look like?

Different spirometers have different types of floats; some look like balls, some look like small cylinders, and some have a flat, puck-like shape. When you you inhale through the incentive spirometer, it creates an air current that blows the floats in each tube upward.

How to get rid of COPD?

Breathing exercises are an important part of COPD treatment, and experts recommend doing them regularly to keep your breathing muscles strong. They can also help you recover some of the breathing strength and function you lose after an illness or exacerbation weakens your lungs. Unfortunately, practicing these techniques every day can be tedious, ...

What is sustained maximal inspiration?

It does this by helping you practice taking long, slow, deep breaths (known in medical jargon as sustained maximal inspirations), and training you how to sustain those deep breaths for longer. It's essentially a kind of lung exercise and recovery aid for people who struggle to breathe properly.

How to control breathing with a larger tube?

For the larger tube, your goal is to push the puck up as high as possible by taking in deeper breaths. The markings on the side of the tube indicate how much air (in volume) you inhale.

What is incentive spirometer?

An incentive spirometer is a device that measures how deeply you can inhale (breathe in). It helps you take slow, deep breaths to expand and fill your lungs with air. This helps prevent lung problems, such as pneumonia. The incentive spirometer is made up of a breathing tube, an air chamber, and an indicator. ...

How to use a spirometer?

Sit up as straight as possible. Do not bend your head forward or backward. Hold the incentive spirometer in an upright position. Place the target pointer to the level that you need to reach or that your healthcare provider has suggested. Exhale (breathe out) normally and then do the following: 1 Put the mouthpiece in your mouth and close your lips tightly around it. Do not block the mouthpiece with your tongue. 2 Inhale slowly and deeply through the mouthpiece to raise the indicator. Try to make the indicator rise up to the level of the goal marker. 3 When you cannot inhale any longer, remove the mouthpiece and hold your breath for at least 3 seconds. 4 Exhale normally. 5 Repeat these steps 10 to 12 times every hour when you are awake, or as often as directed. 6 Clean the mouthpiece with soap and water after each use. Do not use a disposable mouthpiece for longer than 24 hours. 7 Keep a log of the highest level you are able to reach each time. This will help healthcare providers see if your lung function improves.

Why do people use spirometers?

Reasons to use an incentive spirometer: An incentive spirometer is most commonly used after surgery. People who are at increased risk of airway or breathing problems may also use one. These include people who smoke or have lung disease. This may also include people who are not active or cannot move well.

How long should you keep a mouthpiece?

Clean the mouthpiece with soap and water after each use. Do not use a disposable mouthpiece for longer than 24 hours. Keep a log of the highest level you are able to reach each time. This will help healthcare providers see if your lung function improves.

Uses and Benefits

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Using this device teaches you how to take slow, deep breaths. It can help you to build your lung capacity after surgery or when you have a progressive condition, such as lung disease. Using this device helps you take active steps in your recovery and healing. An incentive spirometer may be useful for:2 1. Emphysema 2. Chroni…
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Risks and Complications

  • There are very few risks or possible complications with regular incentive spirometer use. Still, it's important to stop if you find yourself becoming lightheaded. Rarely, very aggressive use of spirometry has led to collapsed lungs (pneumothorax) in people with emphysema. You shouldn't use one if:3 1. You've recently had eye surgery, because forceful breathing may harm your eyes …
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Before You Get Started

  • To use an incentive spirometer, you will need the device. They come in a few different models ranging from under $20 to over $100. You may need a prescription if you want to file an insurance claim. If you have had surgery, the hospital will likely give you an incentive spirometer to take home with you. Your healthcare provider or respiratory therapist will explain how often and for h…
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Step-By-Step Instructions

  • Using a spirometer can be tricky at first, but following these steps will help: 1. Sit upright in a comfortable chair or on the edge of your bed. 2. Hold the device upright with both hands. Slide the indicator to the desired target level. The indicator is usually on the left near the mouthpiece. Your healthcare provider may tell you where to start, but 1250 millimeters (mm) is a good ballpark. Yo…
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Summary

  • Incentive spirometry is a breathing treatment you can do after surgery or with a lung condition. It can help you strengthen your lungs and prevent infections like pneumonia. You may receive a spirometry device when you're discharged from the hospital. A respiratory therapist or another healthcare provider will advise you how often to use the device and where to set the level for you…
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A Word from Verywell

  • Compared to other methods used to treat lung disease and prevent complications from surgery, incentive spirometry is easy, quick, and noninvasive. It helps you take charge of part of your healthcare journey. If you have any trouble, talk to your healthcare provider.
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