Gambro AK 98, Руководство оператора

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HCEN12745 Revision 10.2016
Program version 2.xx
AK 98 Dialysis Machine - Measuring blood pressure A:133
CAUTION!
Do not apply a blood pressure cuff over a wound, as this can cause further injury to
the patient.
CAUTION!
Do not apply a blood pressure cuff to any limb where intravascular access or
therapy, or an arterio-venous (A-V) shunt, is present. Doing so may result in
temporary interference to blood flow and can cause injury to the patient.
CAUTION!
Do not apply a blood pressure cuff on the arm on the side of a mastectomy as this
may affect the blood pressure measuring.
CAUTION!
A blood pressure reading can be affected by the position of the patient (standing,
sitting, lying down) or recent exercise.
CAUTION!
A blood pressure reading can be affected by the patient's physiological condition.
CAUTION!
Environmental or operational factors can affect the performance of the Blood
Pressure Monitor and/or its blood pressure reading, for example arterial sclerosis,
poor perfusion, diabetes, age, pregnancy, pre-eclampsia, renal diseases, patient
motion, trembling, shivering, common arrhythmias (such as atrial or ventricular
premature beats, or atrial fibrillation).
The patient should preferably not move or talk during measuring, since it may affect
the result. The patient should be comfortably seated or lying down.
Check that the blood circulation in the patient’s arm is not affected.
Blood pressure can be affected by the patient's physiological condition, for example
arterial sclerosis, poor blood circulation, diabetes, age or renal diseases.
Risk factors:
● After measuring blood pressure some patients get small purple spots containing
blood on the forearm. It could lead to fewer thrombocytes in the blood, or
inflammation of a vein.
● Check that the connection tube to the cuff is not twisted or knotted, since the cuff
may then continue to put pressure on the patient’s arm. This is harmful to the
patient and affects the blood flow.
● Measuring a patient’s blood pressure too often can be harmful and affects the
blood flow.
8.7.2 Patients with high blood pressure
CAUTION!
During hypertension the operator shall always continuously monitor the blood
pressure reading and have the patient under direct observation.
CAUTION!
To obtain accurate resting blood pressure measurements for patients with the
condition hypertension, the patient shall be comfortably seated, with legs uncrossed
and feet flat on the floor. The patients back and arm shall be supported. The middle
of the cuff should be at the same level as the right atrium of the heart. It is
recommended that the patient relax and refrain from talking during the measurement
procedure.