Physio Control LIFEPAK 15, Руководство по эксплуатации

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Chapter 4 | Monitoring
©2007-2015 Physio-Control, Inc. LIFEPAK 15 Monitor/Defibrillator Operating Instructions
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Special Situations for Electrode or Paddle Placement
When placing therapy electrodes or standard paddles, be aware of the special requirements
in the following possible situations:
Obese Patients or Patients with Large Breasts
Apply therapy electrodes or standard paddles to a flat area on the chest, if possible. If skin
folds or breast tissue prevent good adhesion, it may be necessary to spread skin folds apart
to create a flat surface.
Thin Patients
Follow the contour of the ribs and spaces when pressing the therapy electrodes or standard
paddles onto the torso. This limits air spaces or gaps under the electrodes and promotes
good skin contact.
Patients with Implanted Devices Such as Pacemakers or Defibrillators
If possible, place therapy electrodes or standard paddles away from implanted device.
Paddles ECG Monitoring Procedure
To monitor using standard paddles or therapy electrodes:
1. Press
ON
.
2. Prepare the patient’s skin:
•
Remove all clothing from the patient’s chest.
• Remove excessive chest hair as much as possible. Avoid nicking or cutting the skin if
using a shaver or razor. If possible, avoid placing electrodes over broken skin.
• Clean and dry the skin, if necessary. Remove any medication patches and ointment on
the patient’s chest.
• Briskly wipe the skin dry with a towel or gauze. This mildly abrades the skin and
removes oils, dirt, and other debris for better electrode adhesion to the skin.
• Do not use alcohol, tincture of benzoin, or antiperspirant to prep the skin.
3. Apply the standard paddles or therapy electrodes in the anterior-lateral position. For
therapy electrodes, confirm that the package is sealed and the Use By date is not passed.
For standard paddles, apply conductive gel over the entire electrode surface.
4. Connect the therapy electrodes to the therapy cable.
5. Select
PADDLES
lead.