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Using an Incentive Spirometer: A Guide for Patients with Haemoglobinopathies, Study notes of Medical Sciences

What an incentive spirometer is, how to use it, and its importance for patients with haemoglobinopathies, such as sickle cell disease. It provides step-by-step instructions on using the device and its benefits in preventing chest infections and acute chest syndrome.

What you will learn

  • How often should a patient use an Incentive spirometer?
  • What are the steps to properly use an Incentive spirometer?
  • What is the purpose of using an Incentive spirometer for patients with haemoglobinopathies?

Typology: Study notes

2021/2022

Uploaded on 09/12/2022

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Wessex and Thames Valley Haemoglobinopathy Network
Adult Haemoglobinopathy service
S52
Page 1 of 4
November 2021
V.2.0
How to use an incentive spirometer
Authorised by: Sandy Hayes, ANP, Oxford
Review: November 2023
This is a controlled document and therefore must not be changed
Patient information: Incentive spirometry
This leaflet explains what an Incentive spirometer is, how and when to use it.
What is an Incentive spirometer?
An Incentive spirometer is a medical device that is used to help deep breathing. It is
designed to help you take deep breaths to expand your lungs fully. Deep breathing
opens up the air sacs in the lungs and helps to reduce the chance of developing an
infection or acute chest syndrome.
The Incentive spirometer has
three balls of different weights in
individual chambers and a tube
(a long straw) with a mouthpiece
There are different models
available, this is the one used at
OUH.
Why is it important to use an Incentive spirometer?
Sickle cell crisis pain and pain medicines such as morphine, can cause shallow
breathing. Shallow breathing can put you at risk of developing a chest infection or a
chest crisis (acute chest syndrome) because you are not expanding your lungs fully.
Using an Incentive spirometer has been shown to reduce this risk.
When should I use an Incentive spirometer?
We suggest you use an Incentive spirometer when crisis pain begins, particularly if
the pain is in your chest, back or shoulders. However, any severe pain can cause
people to shorten their breaths and breath more shallowly. Sometimes we may also
suggest you use the Incentive spirometer before and after you have had an
operation.
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Adult Haemoglobinopathy service S52 Page 1 of 4 November 2021 V.2.0 How to use an incentive spirometer Authorised by: Sandy Hayes, ANP, Oxford Review: November 2023

Patient information: Incentive spirometry

This leaflet explains what an Incentive spirometer is, how and when to use it.

What is an Incentive spirometer?

An Incentive spirometer is a medical device that is used to help deep breathing. It is designed to help you take deep breaths to expand your lungs fully. Deep breathing opens up the air sacs in the lungs and helps to reduce the chance of developing an infection or acute chest syndrome. The Incentive spirometer has three balls of different weights in individual chambers and a tube (a long straw) with a mouthpiece There are different models available, this is the one used at OUH.

Why is it important to use an Incentive spirometer?

Sickle cell crisis pain and pain medicines such as morphine, can cause shallow breathing. Shallow breathing can put you at risk of developing a chest infection or a chest crisis (acute chest syndrome) because you are not expanding your lungs fully. Using an Incentive spirometer has been shown to reduce this risk.

When should I use an Incentive spirometer?

We suggest you use an Incentive spirometer when crisis pain begins, particularly if the pain is in your chest, back or shoulders. However, any severe pain can cause people to shorten their breaths and breath more shallowly. Sometimes we may also suggest you use the Incentive spirometer before and after you have had an operation.

Adult Haemoglobinopathy service S52 Page 2 of 4 November 2021 V.2.0 How to use an incentive spirometer Authorised by: Sandy Hayes, ANP, Oxford Review: November 2023

How do I use an Incentive spirometer?

Start by sitting upright and hold the Incentive spirometer upright.

  1. Practice slow deep breathing, 3-4 long slow in breaths and out breaths before using the spirometer
  2. Place the mouthpiece of the Incentive spirometer into your mouth. Make sure you make a good seal with your lips
  3. Breathe out (exhale) fully, really trying to empty your lungs.
  4. Breathe in (inhale) slowly and deeply. Really try to expand your lungs. The balls in the Incentive spirometer will rise as they take a breath in. You should try to raise all 3 balls
  5. You should hold your breath for 3 - 5 seconds, to keep the balls elevated then slowly release your breath and exhale through the nose mouthpiece removed.
  6. Repeat this routine for 10 breaths– pause between every 3-4 breaths to prevent light headedness
  7. You should use the Incentive spirometer every 2 hours when you are awake.

Can I use an Incentive spirometer at home?

Yes, once you have been given an Incentive spirometer please use it when you have crisis pain at home and bring it with you if you are being admitted or reviewed in hospital. There is a great clip on You tube: to help you remember how to use it. Please type: How to use an Incentive Spirometer or the link below: https://www.youtube.com/watch?v=5reqyYgT65o

How do I look after my Incentive spirometer?

Refer to manufacturer’s guidance for cleaning.

Adult Haemoglobinopathy service S52 Page 4 of 4 November 2021 V.2.0 How to use an incentive spirometer Authorised by: Sandy Hayes, ANP, Oxford Review: November 2023

Incentive spirometry patient recording

Physiotherapist/Doctor/ Specialist nurse incentive spirometry

prescription

How many balls should the patient aim to rise? Number of deep breaths How often Prescribed by: Designation: Date: Time: This table can be filled out by you or your nurse, if you feel too unwell to do it. Date Time 10 - 15 exercises performed Amount reached Product: Respiprogram, Medinet.