Patient on Pressors?
10
If your patient is on pressors, ask the attending doctor whether you can wean the patient off pressors before reducing fluids
Страница 1: ...Burn Navigator Super User Training Guide Slides 2019 Arcos Inc June 2019 For Burn Navigator RX Version V 6 1e V 6 1h ...
Страница 2: ...Super Users Thank you for being a Super User Be sure to also review the basic Burn Navigator Training Guide 2 ...
Страница 3: ...Tablet Characteristics Rugged High heat humidity capable Water fluid resistant Can be used during debridement Battery Life 6 hours you can swap the battery without shutting down the system 3 ...
Страница 4: ...4 The pre hospital fluids are not used in the algorithms However these fluids are used in the graphs and the I O Table A patient may have urine in the bladder from before the burn ...
Страница 5: ...5 Choose Monitor only mode for patients 10 kg 24 months old Other conditions affecting urine output We can use Monitor Only mode data to build future protocols ...
Страница 6: ...6 Primary Fluid types The Primary Fluid is titrated up and down Additional Fluids are not titrated The Primary Fluid could be an albumin protocol ...
Страница 7: ...TBSA for most adult burns Consider higher starting rates for Electrical injuries 4 mL kg TBSA Inhalation injuries This is just for the starting rate Later recommendations are based on UO If a formula goes above 2 000 mL hr or below the minimum rate Burn Navigator will recommend one of those limits instead ...
Страница 8: ...8 Fluid updates are due at the top of each clock hour __ 00 unless the last To time was 15 or less minutes ago E g device started at 12 46 next update will be at 14 00 ...
Страница 9: ...You ll see this warning message anytime additional fluids are given because the algorithm doesn t take those fluids into account However Burn Navigator will adjust down on LR if there is higher UO due to additional fluids ...
Страница 10: ...Patient on Pressors 10 If your patient is on pressors ask the attending doctor whether you can wean the patient off pressors before reducing fluids ...
Страница 11: ...aph increments every minute based on the current rate All fluids with the exception of Other Fluids from the Additional Fluids section are averaged over the time period of each update Guidelines can be turned on or off here ...
Страница 12: ...I O Graph 12 Scroll buttons to see data beyond 24 hours ...
Страница 13: ...0 120 130 140 150 170 180 190 200 220 230 240 250 40 45 50 55 60 65 70 75 80 85 90 95 100 Recommendation Window First 8 Hours Post Burn Max Min if 100 TBSA Min if 20 TBSA Weight kg Rates mL hr 13 Max 28 6 x kg up to 2 000 mL hr Minimum recommendation depends on TBSA Applies to both Adult Predictive and Weight based protocols ...
Страница 14: ...New Projection Safety 14 The software won t recommend increasing the IV fluid rate if the 24 hour fluid projection is too high The too high level is set on the Clinical Admin screen ...
Страница 15: ... fluid update quickly Transfer your active patient to a USB data drive for another Burn Navigator Move to USB or delete inactive patient files Properly turn off the device Note Turning off the system during training mode will reset the clock Change the time zone date or time Security Clinical EMR settings Shows EMR status and any error messages ...
Страница 16: ...r each patient Use a disinfectant wipe per your hospital s policy to clean the screen and whole device Keep batteries fully charged when not in use Quarterly delete patient files Change System Time for Daylight Savings 2x each year 16 ...
Страница 17: ...Navigator Data Tool The Data Tool is a separate program that converts encrypted patient files into PDF and Excel CSV files See the Data Tool s instructions for use IFU 1130 for a step by step walkthrough 17 ...
Страница 18: ... 2 units FFP 5 000mL of LR and had a UO of 200mL If the physician wants you to continue the Burn Navigator after early O R excising you can Do one fluid update at 1748 that covers the entire OR time Enter all the fluid and UO in that update The device will average the fluids over those 4 hours and will provide a new recommendation Ask the doctor what rate to use after OR 18 ...
Страница 19: ... Early O R Example 19 ...
Страница 20: ...Burn Navigator Questions Arcos customer support 877 542 8025 support arcosmedical com ...
