GE Marquette Responder 3000, Руководство оператора

Страница: 22 / 90

Manual Defibrillation / Non-synchronized Defibrillation
22 Marquette Responder® 3000 227 490 02-C
Danger
Shock Hazard — For defibrillation with dispos-
able adhesive electrodes, the paddles including
their leads must be replaced with the adapter cable
223 383 01. Switch off the defibrillator before
exchanging the lead. Also, the defibrillator must
be switched off when the adapter cable is con-
nected to the pads.
Figure 4-6. Connecting the lead
STERNUM
electrode and connector
APEX
electrode and connector
Figure 4-7. Defibrillation pad application points
(anterior - anterior)
Using Disposable Defibrillation Pads
−
Use pads before their expiration date.
−
Do not reuse the pads.
−
A pair of pads may remain attached to the
patient for up to 24 hours and withstands up to
50 shocks of 360 J each.
−
Use electrodes 919 202 94 for adults and
electrodes 919 202 95 for children.
−
Shave the application points; this improves
conductivity and makes removal of the pads
easier.
STERNUM: right sternal edge at the level of
the 2nd intercostal space,
APEX: left axillary line at the level of the 5th
intercostal space (Figure 4-7).
−
Place the pads on the patient such that the
connectors point to either side of the patient
and that the cables are not hindering patient
treatment.
−
The electrodes are pregelled; therefore, do not
use additional contact cream or gel.
−
Do not use pads, if the gel is dry.
•
Rub the patient's chest dry.
•
Press the connector of the lead on to the
electrode contact pin until you hear it click into
place (Figure 4-6).
•
Peel off the backing from each pad.
•
Press the pads carefully on the appropriate
sites, observing the APEX and STERNUM
labels (Figure 4-7).