Spacelabs Ultraview 91341, Operation Manual

Page: 44 / 68

Ultraview Digital Telemetry
4-2 071-0774-00 Rev. A
Setting Up NIBP Monitoring
Proper cuff selection and application is critical in ensuring the accuracy of NIBP
readings. To ensure proper cuff selection, first measure the circumference of the
limb at its midpoint. Match the limb measurement to the range of appropriate
circumferences (in centimeters) specified on each cuff. If the cuff bladder is too
wide for the patient, the reading will be falsely lowered; if it is too narrow, the
reading will be falsely elevated. Undersizing the cuff results in the greatest chance
of error, so a variety of cuff sizes should be available to accommodate your full
patient population.
Apply the cuff snugly. When the cuff is properly applied to an adult, you should be
able to insert one finger between the cuff and the arm. If you can insert two
fingers, the cuff is too loose, which may result in falsely elevated readings. Ensure
that the hose is not kinked when the cuff is applied.
During blood pressure measurement, the inflated cuff reduces blood flow to the
limb to which it is applied. Do not apply a cuff to a limb that has restricted blood
flow. Check the patient periodically.
!
• The 90217 ABP Monitor is intended for use with adult patients
only and, when used with the 91343 Digital Telemetry System,
must also involve ECG monitoring.
• The ECG lead wires of the 91343 must be connected to the
patient in order to perform ECG and NIBP monitoring.
• The 90217 ABP, when used with the 91343 Digital Telemetry
system, purges its measurements as they are successfully sent.
This operation differs from when the 90217 ABP is used in a
stand-alone manner and stores a maximum of 240 NIBP
readings and event codes.
• NIBP readings which are not successfully transmitted by the
90217 to the 90478 within twenty-four hours of their
measurement are unavailable for patient monitor display or
trending.
!
• Do not apply a blood pressure cuff to a limb being monitored
with a pulse oximetry sensor, because SpO
2
is affected during
NIBP readings. Avoid applying a cuff to a limb that has an
intravenous line in place. Do not apply a cuff to a limb that has
restricted blood flow.
• Use only single hose cuffs to ensure proper operation.
Spacelabs Medical’s hoses are non-conductive with respect to
defibrillator discharge effects.
To set up NIBP monitoring:
1 Configure 91343 DIP switch 5
to ON (refer to
Figure 4-4 on
page 4-7)
2 Initialize 90217 with 90121
ABP report management
system using the ABP Remote
Management System adapter
cable (P/N 700-0015-00)
3 Apply appropriate cuff to
patient
4 Attach cuff to 90217 monitor
5 Connect NIBP adapter cable
(012-0588-00) between 90217
and 91343
6 Touch ECG
7 Touch CHANNEL FORMAT
8 Select NIBP ON