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Stryker LIFEPAK 15, Карманный справочник

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Stryker LIFEPAK 15 Скачать руководство пользователя страница 8

Page 6

LIFEPAK 15 

Monitor/Defibrillator

Noninvasive blood pressure  

monitoring procedure

1.  Press ON  

2.  Select appropriate sized cuff, attach snugly to extremity; 

align cuff marking (if present) with artery

3.  Connect tubing to the cuff and to the NIBP port  

on the monitor 

4.  Change initial inflation pressure if necessary—Default: 

160 mmHg 

5.  Position extremity in relaxed and supported position  

at heart level

6.  Inform patient that cuff will inflate and squeeze arm

7.  Press NIBP to start measurement  

NIBP

To cancel measurement, press NIBP again

When the measurement is complete, systolic, diastolic, and mean 

arterial pressures are displayed.

NIBP measurement typically takes 40 

seconds to complete. If the measurement 

is not completed in 120 seconds, the cuff 

automatically deflates.

Содержание LIFEPAK 15

Страница 1: ...Defibrillator Pocket guide LIFEPAK 15 Monitor Defibrillator This is not the complete instructions for use Refer to the Operating Instructions for complete device information including directions for use indications and warnings ...

Страница 2: ......

Страница 3: ... low battery The defibrillator is using the battery in well 1 for power Battery status indicators display up to 4 green bars Each green bar represents approximately 25 remaining charge For example 3 green bars indicate about 75 remaining charge Battery in well 1 is in use and is low One yellow bar indicates 5 to 10 remaining charge Battery in well 1 is in use and is very low 1 red flashing bar ind...

Страница 4: ...brillator QUIK COMBO Electrodes with REDI PAKTM preconnect system Reads ECG with lead II Delivers defibrillation shock Delivers external pacing Therapy cable connector QUIK COMBO electrode connector QUIK COMBO Therapy Electrodes Anterior Lateral Connecting therapy electrodes Connecting therapy cable to defibrillator Listen for click ...

Страница 5: ... decreases energy level while in Manual Mode CHARGE charges the device in Manual Mode SHOCK initiates discharge of the defibrillator energy to the patient ANALYZE initiates analysis in AED Mode CPR initiates or silences METRONOME feature CPR SYNC activates synchronization mode Manual defibrillation controls ...

Страница 6: ...t is conscious 4 Press PACER 5 Confirm placement of the sense marker is near the middle of each QRS 6 Press RATE to select desired pacing rate 7 Press CURRENT until electrical capture occurs 8 Check blood pressure and pulse to verify mechanical capture PAUSE button facilitates temporary viewing of underlying rhythm Note Heart rate alarms are disabled during pacing Observe patient continuously ...

Страница 7: ...es and silences alarms LED illuminated when alarms are enabled and flashes when an alarm condition occurs OPTIONS Accesses optional functions EVENT Accesses user defined events Returns to Home Screen display SPEED Scrolls through and selects screen or DIAL menu items Display mode button switches between color display and black and white display Other features right side ...

Страница 8: ...nflation pressure if necessary Default 160 mmHg 5 Position extremity in relaxed and supported position at heart level 6 Inform patient that cuff will inflate and squeeze arm 7 Press NIBP to start measurement NIBP To cancel measurement press NIBP again When the measurement is complete systolic diastolic and mean arterial pressures are displayed NIBP measurement typically takes 40 seconds to complet...

Страница 9: ...NIBP tubing connector into the NIBP port Disconnect Press the latch on the left side of the port and pull tubing connector out Connect To connect green ECG connector with ECG port align green key on cable with notch on port Insert cable until connector is firmly seated Disconnect Use the finger pull to pull the ECG connector straight out Connect Align the IP invasive pressure cable connector with ...

Страница 10: ... gray buttons on each side of the cable connector simultaneously and pull connector out Connect Insert NIBP tubing connector into the NIBP port Disconnect Press the latch on the left side of the port and pull tubing connector out Connect The green ECG connector with the green ECG port Insert the cable connector into the port until the connector is firmly seated Disconnect Use the finger pull to pu...

Страница 11: ... of Louis Lead Location V1 C1 Fourth intercostal space to the right of the sternum V2 C2 Fourth intercostal space to the left of the sternum V3 C3 Directly between leads V2 C2 and V4 C4 V4 C4 Fifth intercostal space at midclavicular line V5 C5 Level with V4 C4 at left anterior axillary line V6 C6 Level with V5 C5 at left midaxillary line Main Cable 4 wire Protective flap open Precordial lead attac...

Страница 12: ...Verify CO2 area is displayed 5 Display CO2 waveform in Channel 2 or 3 6 Connect FilterLine set to the patient 7 Confirm the EtCO2 waveform is displayed Auto zero is part of initialization self test performed by monitor Scale is automatically selected for best visualization Note If you use a ventilation system do not connect FilterLine set to the patient ventilation system until self test is comple...

Страница 13: ...r indicates relative signal quality 5 Confirm SpO2 reading appears and is stable SpCO SpMet Perform steps 1 5 then 6 Verify that SpCO SpMet sensor is in use ONLY Rainbow sensors are capable of reading SpCO SpMet 7 Rotate Speed Dial to outline SpO2 area 8 Select parameter 9 Select SpCO or SpMet Selected value displays for 10 seconds CO2 SpO2 NIBP ECG P1 P2 SpO2 SpCO SpMet monitoring procedure Note ...

Страница 14: ...AK 15 Monitor Defibrillator Invasive pressure monitoring ECG P1 P2 Label Description ART Arterial Pressure PA Pulmonary Artery Pressure CVP Central Venous Pressure ICP Intracranial Pressure LAP Left Atrial Pressure ...

Страница 15: ... 6 Use speed dial to outline and select CHANNEL 2 on Home Screen 7 Select WAVEFORM and then label as desired 8 Open transducer stopcock to air to zero the transducer and remove stopcock cap Select P1 area Select ZERO from menu P1 ZEROED appears once complete and pressure values displayed as zeros 9 Close the stopcock to air Patient s pressure waveform should be displayed Scale automatically select...

Страница 16: ... 3 Connect temperature probe to adapter cable 4 Attach temperature probe to patient according to probe Instructions for Use 5 Confirm temperature reading appears and is stable Note The temperature probe may require three minutes to equilibrate after patient placement Monitoring continuous temperature ...

Страница 17: ...ated 3 Connect power adapter output cable to power adapter 4 Connect green end of output cable to auxiliary power connector on back of defibrillator 5 Confirm power connected and battery charging LEDs are illuminated Note At least one battery should be installed at all times Keep monitor defibrillator connected to auxiliary power whenever possible to maintain battery charge level ...

Страница 18: ...wer management 1 Install batteries in battery wells 1 and 2 2 Press ON 3 Check battery indicators for charge level of each battery 4 If battery is low replace with charged battery or connect defibrillator to auxiliary power using approved power adapter ...

Страница 19: ...rodes Prepare the patient s skin 1 Remove all clothing from the patient s chest 2 Remove excessive chest hair Avoid nicking or cutting the skin Avoid placing electrodes over broken skin implanted devices or medication patches 3 Clean and dry the skin 4 Briskly wipe the skin dry with a towel or gauze 5 Do not use alcohol tincture of benzoin or antiperspirant to prep the skin 6 Discard the electrode...

Страница 20: ...0 seconds Replace battery with fully charged battery or connect to AC power Energy not delivered to patient when shock button pressed Wait for tone and message indicating full charge Press shock button within 60 seconds of full charge For hard paddles simultaneously press shock buttons CONNECT CABLE CONNECT ELECTRODE or PADDLES LEADS OFF message appears Check cable connection Check therapy electro...

Страница 21: ... therapy electrodes for ECG monitoring Poor ECG signal quality or baseline wander Prepare skin and apply new electrodes Check Use By date on electrode packages Check or reconnect cable connections Inspect ECG and therapy cables Replace if damaged Fine baseline artifact Prepare skin and apply new electrodes confirm limbs are resting on a supportive surface Monitor displays instead of HR HR is out o...

Страница 22: ... or message displayed NOISY DATA PRESS 12 LEAD TO ACCEPT Prepare skin and apply new electrodes Press 12 LEAD again to override the message Examine printout to determine leads affected by noise Replace or reposition the affected electrodes and lead wires Encourage patient to lie quietly Stop vehicle while acquiring 12 lead ECG data EXCESSIVE NOISE 12 LEAD CANCELLED Press 12 LEAD to acquire another ...

Страница 23: ...g Change to a different ECG lead or reposition the ECG electrode Noisy ECG signal Confirm adequate skin preparation Move the ECG electrodes farther away from the pacing electrodes Consider selecting another ECG lead Monitor screen displays distortion while pacing Reposition electrodes away from pacing electrodes or select another lead I II or III Intrinsic QRS complexes not sensed when pacing Incr...

Страница 24: ...extremity Repeat measurement NIBP WEAK PULSE Check for pulse distal to cuff and ensure cuff fits snugly on the patient s arm NIBP CHECK CUFF Apply appropriately sized cuff and properly align cuff artery markings to extremity Repeat measurement NIBP MOTION Have patient lie quietly with extremity relaxed and supported NIBP AIR LEAK Apply appropriately sized cuff and properly align cuff artery markin...

Страница 25: ... Defibrillator EtCO2 A CO2 waveform appears when any CO2 is detected but CO2 must be 3 5 mmHg to display numeric value Valid breaths will not be detected unless CO2 is at least 8 mmHg Valid breaths must be detected in order for the no breath alarm to function and count the respiratory rate RR The RR represents an average over the last 8 breaths ...

Страница 26: ...flat Measured CO2 is 3 5mmHg See detection above CO2 FilterLine OFF message appears and waveform is Connect FilterLine set to device port Twist FilterLine connector clockwise until snug and firmly seated CO2 FilterLine PURGING message appears and waveform is Disconnect then reconnect the FilterLine set Twist FilterLine connector clockwise until snug and firmly seated CO2 FilterLine BLOCKAGE messag...

Страница 27: ...est extremity Confirm BP cuff is on opposite extremity Motion Place sensor on ring finger of non dominant hand and restrict patient movement Consider adhesive sensor if available Poor sensor placement Orient the sensor so the cable is on the back of the patient s hand The tip of the finger should touch the raised digit stop inside the sensor Reposition sensor as needed Slender digits Use on larges...

Страница 28: ...ed waveform Check the entire system for leaks Tighten all connections Replace any defective stopcocks Use syringe to draw back air or particles in catheter then flush system No waveform or pressure reading Check patient Check stopcock positions and monitor setup Invasive BP lower than cuff BP Reposition transducer to correct height Tighten all connections Flush system Open stopcock to air and reze...

Страница 29: ...ed not connected or the cable not connected to the monitor Check that probe is properly positioned CHECK SENSOR message appears while value is displayed Temp probe is dislodged and value is below 31 C 87 8 F or above 41 0 C 105 8 F TEMP ACCURACY OUTSIDE LIMITS message appears and value is XXX Temperature module is not calibrated or accuracy check failed Turn device off then on again If problem per...

Страница 30: ...l is now part of Stryker For further information please contact Physio Control at 800 442 1142 U S 800 668 8323 Canada or visit our website at www physio control com Physio Control Inc 11811 Willows Road NE Redmond WA 98052 USA Physio Control Headquarters 11811 Willows Road NE Redmond WA 98052 USA Tel 425 867 4000 www physio control com Customer Support P O Box 97006 Redmond WA 98073 Toll free 800...

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