17 Monitoring Noninvasive Blood Pressure
144
CAUTION
If you spill liquid onto the equipment or accessories, particularly if there is a chance that it can get
inside the tubing or the measurement device, contact your service personnel.
Measurement Limitations
Measurements are impossible with heart rate extremes of less than 40 bpm or greater than 300 bpm, or
if the patient is on a heart-lung machine.
The measurement may be inaccurate or impossible:
•
with excessive and continuous patient movement such as during contractions
•
if a regular arterial pressure pulse is hard to detect
•
with cardiac arrhythmias
•
with rapid blood pressure changes
•
with severe shock or hypothermia that reduces blood flow to the peripheries
•
with obesity, where a thick layer of fat surrounding a limb dampens the oscillations coming from
the artery
•
on an edematous extremity.
Measurement Methods
There are two measurement methods:
•
Manual
- measurement on demand. Results are displayed for up to one hour.
•
Auto
- continually repeated measurements (between one and 120 minute adjustable interval). You
can make a manual measurement between two measurements in Auto mode.
Reference Method
The measurement reference method can be Auscultatory (manual cuff) or Invasive (intra-arterial). For
further information, see the Application Note supplied on the monitor documentation DVD.
To check the current setting, select
Main Setup
->
Measurements
->
NBP
, and check whether the
Reference
setting is set to
Auscultatory
or
Invasive
. This setting can be changed in Configuration
Mode.
Preparing to Measure Noninvasive Blood Pressure
If possible, avoid taking measurements during contractions because the measurement may be
unreliable and may cause additional stress for the patient.
1
Connect the cuff to the air tubing.
2
Plug the air tubing into the red NBP connector. Avoid compression or restriction of pressure
tubes. Air must pass unrestricted through the tubing.
3
Make sure that you are using a Philips-approved correct sized cuff and that the bladder inside the
cover is not folded or twisted.
Summary of Contents for Avalon FM20
Page 2: ......
Page 8: ...8 ...
Page 56: ...3 Basic Operation 56 ...
Page 72: ...5 Alarms 72 ...
Page 82: ...6 Patient Alarms and INOPs 82 ...
Page 86: ...7 Admitting and Discharging 86 ...
Page 90: ...8 Non Stress Test Timer 90 ...
Page 120: ...11 Monitoring Twin FHRs 120 ...
Page 126: ...12 Monitoring Triple FHRs 126 ...
Page 136: ...15 Monitoring Uterine Activity Internally 136 ...
Page 142: ...16 Monitoring FHR Using DECG 142 Testing DECG Mode Refer to the monitor s Service Guide ...
Page 154: ...18 Monitoring SpO2 154 ...
Page 164: ...20 Printing the ECG Waveform 164 ...
Page 166: ...21 Paper Save Mode for Maternal Measurements 166 ...
Page 170: ...22 Recovering Data 170 ...
Page 174: ...23 Care and Cleaning 174 ...
Page 188: ...25 Accessories and Supplies 188 ...
Page 216: ...26 Specifications and Standards Compliance 216 ...
Page 221: ...Part Number 453564290161 Printed in Germany 08 11 453564290161 ...