ZOLL X Series, Operator'S Manual

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Applying the Cuff to the Patient
9650-001355-01 Rev. M X Series Operator’s Guide 8-9
Applying the Cuff to the Patient
To apply the cuff to the patient:
1. Ensure the patient is lying down or comfortably seated with legs uncrossed, both feet on the
floor, and back supported. The limb to be used for NIBP measurement should be relaxed,
extended, and placed on a smooth surface for support. The operator position is not restricted
during NIBP measurement.
2. Squeeze as much air from the cuff as possible before placing it on the patient.
3.
Place the cuff 2 to 5 cm above the elbow crease or 5 to 10 cm (1.9 to 3.9 in.) above the knee
crease.
Warning! • Do not place the NIBP cuff on the same arm or leg as an SpO
2
sensor. Inflation of the
cuff causes the SpO
2
monitor to read incorrectly.
• Do not attach the cuff to a limb being used for IV infusion. Cuff inflation might block
the infusion, causing harm to the patient.
• Do not place cuff over a wound, as this can cause further injury.
4.
Adjust the cuff so that the artery marker on the cuff is over the artery, pointing to the hand or
foot.
5.
Check that the cuff ends between the range lines marked on the cuff.
6.
If they do not line up, use a different size cuff.
7.
Wrap the deflated cuff snugly around the limb without impeding blood flow.
8.
Ensure that the hose is routed to avoid kinking or compression.
Caution • Using a cuff that is loosely applied or too small results in measurements higher than the
patient’s actual blood pressure.
• Using a cuff that is too large results in values lower than the patient’s actual blood pressure.
• Ideally, the cuff should be at the same level as the heart. Cuff placement substantially above
or below heart level will result in blood pressure measurements that are erroneously low or
high.
The following illustrates one possible cuff placement for adult/pediatric patients and, to the
right, possible cuff placements for neonates:
Figure 8-3 Applying Cuff to the Patient