Courtney's Equipment Photos

	We have the EnteraLite Infinity Feeding Pump, we get a box of 30, 500 ML bags a month.
	My husband made this hanging canister that we fill with clean water and a few squirts of mouth wash. We dip the suction yankauer in to the canister and suction some of the water through to keep the yankauer clean after each use.
	This Instavac II stationary suction is the quietest and strongest suction machine we have ever used. We were told this is like the one hospitals have on their crash carts. It blows cool air out the back. I wash and dry the filter on the back about once a week. We replace the suction canister with a clean one that we put a few squirts of mouth wash in, clean tubing and a clean yankauer, several times a day. We get 4 suction cannisters with lids, 8 suction tubings and 2 suction yankauer's a month.
	This is how we have everything positioned on the IV pole next to Courtney's bed. The sterile water bag for the vent humidifier is hung on the top left side. The feeding bag is hung on the top right side. Under these is the feeding pump, under the pump is where the vent humidifier is attached. We get 15 Sterile H20 INH 1000 ML bags a month for the humidifier. The humidifier is the Fisher Paykel HC 500.

Courtney's Ventilator and Humidifier Set Up

This is Courtney's vent and heater/humidifier set up

Press button to check temperature- We keep Courtney's heater/humidifier set at 35. Your setting will be ordered by your Pulmonologist.

Courtney's peep is set and kept at 5, your Pulmonologist will order the peep setting, everyone's settings are not the same and must be kept to Doctor's orders.

Hold the peep with left hand to set the peep with thumb pushing in on bottom of the peep, with right hand turn to right while having the vent scrolled to read the peep setting. Watch while turning for the number you are setting the peep to. Do this everytime you change the circuit. We change circuit once a week. Courtney is on IPV treatments so this makes it easy for the circuit to be changed while she is off the vent. If not for that then she would have to be bagged until the circuit is changed.

This is how we position the circuit, we use pony tail holders to hold the circuit to the hospital bed railing to keep the weight of the circuit off of Courtney's chest.

These are pictures that show how Courtney's trach, swivel tip adapter, and pediatric.omni-flex are attached to the circuit.

Courtney's Nebulizer Set Up

Courtney's Nebulizer machine	Keep in mind that this is how we give Courtney her treatments and that you should follow the advice of your child's own physician as to how to give treatments and medications. I only am posting these pictures and telling how we do Courtney's treatments so you can get an idea of the way a trached and vented child would get inhaled medication treatments.	Neb. kits that go with the Nebulizer for inhaled medication treatments
The neb kits can be used without a nebulizer machine. The medication can be put in the neb cup then blown in through the circuit with an e-tank of oxygen set at 5. Remember that Courtney is trached and on a ventilator, I don't know how the parents of children who are not trached give their inhaled medications.	Courtney uses the vials of Tobramycin which Candace prefers to use, she has problems with Courtney's circuit peep getting too sticky with the Tobi. Courtney is on Tobra for one full month and then off for the next month, this rotating schedule had helped keep Courtney's pseudomonas at bay. We believe the inhaled Tobra and the Azithromycin (given via G-tube) have helped Courtney so much.	The last picture is the Tobi which must be refrigerated, this is the one that Candace doesn't like to use for Courtney.