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B40/B20 Patient Monitor
11-4
Preparing the patient and placing the electrodes
Preparing the patient
•
Prepare the skin properly to ensure optimal signal quality.
•
Shave any hair from the electrode site. Gently rub the skin surface to increase capillary
blood flow and remove dead skin cells and oil.
•
Clean the skin using a mild soap and water solution.
•
Dry the skin completely before applying the electrodes.
•
Pre-gelled electrodes are recommended. Check that the electrodes are moist and have
not dried out during storage.
Placing the electrodes
NOTES:
•
Pre-gelled ECG electrodes are recommended. Check the expiration date.
•
Make sure the electrode gel is moist.
•
Make sure the electrodes have good skin contact.
•
Replace all electrodes at least every 24 to 48 hours.
•
Use the Multi-Link electrosurgical unit (ESU) ECG patient cable when using the monitor in
the presence of an electrosurgical unit. This cable, with a built-in ESU filter, helps reduce
electrosurgical noise detected on the ECG signal.
•
Whenever a cable, electrode or V-lead is changed, the monitor automatically relearns.
When placing the electrodes, avoid bones close to the skin, obvious layers of fat and major
muscles.
Patient connection
NOTE: Keep the ECG cable, lead set and connectors dry. Avoid excessive use of liquids
when cleaning the cables and connectors.
Figure 11-3 ECG setup
L
L
R
L
R
A
I
I
I
III
L
A
R
L
R
A
L
A
2
LEAD I
LE
A
D
II
I
LEA
D
II
L/ LA
R/RA
F/LL
1
3
R=RED (IEC)
RA=WHITE (AAMI)
L=YELLOW (IEC)
LA=BLACK (AAMI)
R=RED (IEC)
RA=WHITE (AAMI)
L=YELLOW (IEC)
LA=BLACK (AAMI)
C=WHITE (IEC)
V=BROWN (AAMI)
F=GREEN (IEC)
LL=RED (AAMI)
F=GREEN (IEC)
LL=RED (AAMI)
N=BLACK (IEC)
RL=GREEN (AAMI)
Summary of Contents for B20
Page 2: ......
Page 16: ...B40 B20 Patient Monitor xii ...
Page 17: ...1 Introduction ...
Page 18: ......
Page 27: ...2 System description ...
Page 28: ......
Page 58: ...B40 B20 Patient Monitor 2 30 ...
Page 59: ...3 Installation ...
Page 60: ......
Page 69: ...4 Monitoring basic ...
Page 70: ......
Page 79: ...5 Alarms ...
Page 80: ......
Page 102: ...B40 B20 Patient Monitor 5 22 ...
Page 103: ...6 Monitor setup ...
Page 104: ......
Page 123: ...7 Trends ...
Page 124: ......
Page 140: ...B40 B20 Patient Monitor 7 16 ...
Page 141: ...8 Print and record ...
Page 142: ......
Page 153: ...9 Cleaning and care ...
Page 154: ......
Page 163: ...10 Troubleshooting ...
Page 164: ......
Page 181: ...11 ECG ...
Page 182: ......
Page 205: ...12 Impedance respiration ...
Page 206: ......
Page 215: ...13 Pulse oximetry ...
Page 216: ......
Page 232: ...B40 B20 Patient Monitor 13 16 ...
Page 233: ...14 Non invasive blood pressure ...
Page 234: ......
Page 248: ...B40 B20 Patient Monitor 14 14 ...
Page 249: ...15 Invasive blood pressure ...
Page 250: ......
Page 261: ...16 Temperature ...
Page 262: ......
Page 267: ...17 Airway gas ...
Page 268: ......
Page 293: ...18 Entropy ...
Page 294: ......
Page 316: ...Abbreviations A 12 ...
Page 318: ...B40 B20 Patient Monitor B 2 ...
Page 319: ......