11 - 2
11.2
NIBP Safety Information
WARNING
•
Be sure to select the correct patient category setting for your patient before
NIBP measurement. Do not apply the higher adult settings for pediatric or
neonatal patients. Otherwise, it may present a safety hazard.
•
Do not measure NIBP on patients with sickle-cell disease or on the limb
where skin damage has occurred or is expected.
•
If your monitor is using inflation algorithm, select cuffs with the
symbol. Using other cuffs may lead to incorrect or failed measurements.
•
Use clinical judgment to determine whether to perform frequent unattended
blood pressure measurement on patients with severe blood clotting
disorders because of the risk of hematoma in the limb fitted with the cuff.
•
Do not use the NIBP cuff on a limb with an intravenous infusion or arterial
catheter in place. This could cause tissue damage around the catheter when
the infusion is slowed or blocked during cuff inflation.
•
Do not apply cuff on the arm on the side of a mastectomy or lymph node
clearance.
•
Continuous cuff pressure due to connection tubing kinking may cause blood
flow interference, and resulting in harmful injury to the patient.
•
NIBP reading can be affected by the measurement site, the position of the
patient, exercise, or the patient's physiologic condition. If you doubt the NIBP
measurements, determine the patient’s vital signs by alternative means, and
then verify that the monitor is working correctly.
•
Devices that exert pressure on tissue have been associated with purpura,
ischemia, and neuropathy. Inspect the application site regularly to ensure
skin quality and inspect the extremity of the cuffed limb for normal color,
warmth and sensitivity. If the skin quality changes, or if the extremity
circulation is being affected, move the cuff to another site or stop the blood
pressure measurement immediately. Check more frequently when making
automatic or STAT measurement. Auto NIBP measurement with one and two
minute intervals is not recommended for extended periods of time.
•
NIBP diagnostic significance must be decided by the physician.
CAUTION
•
Using IABP may cause NIBP, including PR, measurements inaccurate or failed.
•
Only use parts and accessories specified in this manual. Follow the
instructions for use and adhere to all warnings and cautions.
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