Welch Allyn ABPM 7100, Инструкция по эксплуатации

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23 - Preparing the ABPM 7100
Caution
Risk of injury caused by incorrect application of the cuff.
•
The doctor must ensure that, due to the patient’s medical condition, the use of the device and the cuff does not
result in impaired blood circulation.
•
If the patient has limited cognitive abilities, the device may only be used under supervision.
•
When used on children, the device must only be applied with special care and under permanent supervision.
•
It is imperative that you instruct the patient in the correct seating of the cuff.
•
Inform the patient that the cuff may only be used on the upper arm.
•
Ensure that neither the shoulder strap nor the cuff tubing can ever wrap around the patient’s neck. Always place
the cuff tubing under the outer clothing (even at night).
•
Instruct the patient to place the device in such a way that, while the cuff is inflated, the tubing is not compressed
or kinked, especially during sleep.
•
Petechiae, haemorrhages or subcutaneous haematoma may occur in some patients.
•
Instruct the patient to turn off the device, remove the cuff, and notify the doctor if they are experiencing pain,
swelling, redness or numbness in the limb where the cuff is placed. (It is expected that the patient may
experience some mild to moderate discomfort during a blood pressure measurement.)
Caution
Risk of injury caused by incorrect application of the device.
•
The doctor must ensure that, due to the patient’s medical condition, the use of the device and the cuff
does not result in impaired blood circulation.
•
If the patient has limited cognitive abilities, the device may only be used under supervision.
•
When used on children, the device must only be applied with special care and under permanent
supervision.
•
While it is still attached to a patient, the device may never be connected to a PC or other device.
•
Instruct the patient to place the device in such a way that, while the cuff is inflated, the tubing is not
compressed or kinked, especially during sleep.
•
Petechiae, haemorrhages or subcutaneous haematoma may occur in some patients.
•
Instruct the patient to turn off the device, remove the cuff, and notify the doctor if they are experiencing
pain, swelling, redness or numbness in the limb where the cuff is placed. (It is expected that the patient
may experience some mild to moderate discomfort during a blood pressure measurement.)
Preparing the ABPM 7100 - 24
Applying the ABP Monitor and cuff:
Warning
The monitor must not be connected to other external devices while fitted to the patient!
1. Position the carrying pouch on the right side of the patient. By varying the length of the pouch strap, it can be
worn around the hips or around the shoulders.
2. Alternatively a normal belt matching the clothes can be used.
3. Fit the cuff onto the patient.
The correct cuff seating is very important for correct blood pressure measurement.
4. Align the cuff so that no part of the cuff tubing is kinked. In this regard, the tube connection on the cuff must
face upwards.
5. Align the cuff so that the lower edge of the cuff is approximately 2 cm (0.8 in) above the inside of the
patient’s elbow.
6. Tighten the cuff around the upper arm until one finger can be introduced under the cuff.
7. It is imperative that the artery symbol is positioned on the brachial artery. If you have aligned the cuff
correctly, the metal bar will lie on the outside of the upper arm (on the elbow side), whereby the cuff sleeve
must cover the skin under the metal bar.
8. Guide the tubing through the shirt’s row of buttons and out of the clothing, behind the nape of the neck to the
ABPM 7100 on the right side of the body.
9. The cuff can be worn on the naked upper arm or over a thin shirt sleeve.
10. The placement of the pressure tube must guarantee the upper arm’s free motion.
Connecting the cuff tubing to the ABPM 7100
1. Push the tube firmly onto the connection, with the cuff tubing engaging with an audible “CLICK” (to detach,
simply pull back the knurled ring).
2. Before measurement, check to ensure that tubing, ABPM 7100 and cuff are positioned correctly. The ABPM
7100 is ready for measurement only once this is ensured.
Positioning the patient for measurement
The patient should take the following position during blood pressure measurement:
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Comfortably seated
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Legs uncrossed
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Feet flat on the ground
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With support to the back and the arms
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With the cuff center at one level with the right atrium
Note
•
During measurement, the patient should be as relaxed as possible and may not speak
unless he wants to report any discomfort!
•
Allow for 5 minutes of relaxation before recording the first measurement value.
•
Blood pressure measurements can be influenced by the patient’s position (standing,
sitting, lying), by exertion or the patient’s physiological state. Exclude these influencing
factors to the greatest possible degree!