15 Monitoring Uterine Activity Internally
134
C
Toco
+
Transducer (M2735A)
Internal (IUP) Monitoring
Read the instructions that accompany the intrauterine catheter and the adapter cable before you start
monitoring. Zero the monitor when instructed.
WARNING
Do not catheterize if placenta previa is diagnosed or if uterine bleeding from an undetermined source
is present.
Prepare for IUP monitoring using the list below. The standard procedures in use in your facility
determine the sequence of actions.
•
Perform a complete clinical evaluation.
•
Catheterize after membrane rupture. Insert the catheter according to its accompanying
instructions.
•
Connect the catheter to the socket on the patient module.
•
Connect the patient module to a free socket on the monitor. The monitor is automatically zeroed.
The IUP display shows 0. "IUP", indicating internal measurement, is printed at intervals on the
trace.
•
Zero the monitor (see “Zeroing the Monitor” on page 134).
•
If you suspect the catheter is not responding appropriately, flush as directed in the catheter's
instructions for use. A pressure spike appears on the trace if you flush after connecting the
transducer to the monitor.
Zeroing the Monitor
Zero the monitor by selecting the
Zero IUP
SmartKey
or selecting
Zero IUP
in the
Setup
IUP
menu. This resets the display and trace to 0. If you do not zero the monitor properly, the pressure
trace may exceed the paper scaling. While zeroing the IUP measurement, ensure that the transducer is
at the same level as the maternal xiphoid (lower end of the sternum).
Selecting the IUP Unit
You can select between mmHg (default) and kPa for the IUP unit.
1
Enter the
Setup IUP
menu.
2
Press
Unit
to toggle between mmHg and kPa.
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 ...