
41
8. SpO2/Pulse Rate Monitoring
WARNING: Tissue damage can be caused by incorrect application or use
of an SpO
2
sensor, for example by wrapping the sensor too tightly or by
applying supplemental tape. Inspect the sensor site as directed in the
sensor directions for use to ensure skin integrity and correct positioning
and adhesion of the sensor.
WARNING: Do not use damaged SpO
2
sensors. Do not use an SpO
2
sensor with exposed optical components. Do not immerse sensor
completely in water, solvents, or cleaning solutions because the sensor
and connectors are not waterproof. Do not sterilize SpO
2
sensors by
irradiation, steam, or ethylene oxide. Refer to the cleaning instructions in
the directions for use for reusable SpO
2
sensors.
WARNING: Pulse oximetry readings and pulse signal can be affected by
certain ambient environmental conditions, sensor application errors, and
certain patient conditions.
WARNING: The monitor is intended only as an adjunct in patient
assessment. It must be used in conjunction with clinical
signs and
symptoms.
WARNING: Inaccurate measurements may be caused by:
•
incorrect sensor application or use
• signifi cant levels of dysfunctional hemoglobin
(such as carboxyhemoglobin or methemoglobin)
•
intravascular dyes such as indocyanine green or
methylene blue
•
exposure to excessive illumination, such as surgical
lamps (especially ones with a xenon light source), bilirubin
lamps, fl uorescent lights, infrared heating lamps, or direct
sunlight
•
excessive patient movement
•
high-frequency electrosurgical interference and
defi brillators
• venous
pulsations
•
placement of a sensor on an extremity with a blood
pressure cuff, arterial catheter, or intravascular line
•
the patient has hypotension, severe vasoconstriction,
severe anemia, or hypothermia
•
there is arterial occlusion proximal to the sensor the
patient is in cardiac arrest or is in shock
WARNING: Loss of pulse signal can occur in any of the following
situations:
•
the sensor is too tight
•
there is excessive illumination from light sources such as
a surgical lamp, a bilirubin lamp, or sunlight
•
a blood pressure cuff is infl ated on the same extremity as
the one to which an SpO
2
sensor is attached
WARNING: Do not attach any cable to the sensor port (sensor connector)
that is intended for computer use.
SpO2/Pulse Ra
te Monitoring
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