ZOLL X Series, Руководство оператора

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Chapter 1 General Information
1-20 www.zoll.com 9650-001355-01 Rev. M
CPR
•
Place the patient on a firm surface before performing CPR.
•
The patient must be motionless during CPR for accurate CPR measurements.
Pulse Oximeter
•
Keep the ZOLL finger probe clean and dry.
•
SpO
2
measurements may be affected by certain patient conditions: severe right heart failure,
tricuspid regurgitation or obstructed venous return.
•
SpO
2
measurements may be affected when using intravascular dyes, in extreme
vasoconstriction or hypovolemia or under conditions where there is no pulsating arterial
vascular bed.
•
SpO
2
measurements may be affected in the presence of strong EMI fields, electrosurgical
devices, IR lamps, bright lights, improperly applied sensors; the use of non-ZOLL sensors,
or damaged sensors; in patients with smoke inhalation, or carbon monoxide poisoning, or
with patient movement.
•
Tissue damage can result if sensors are applied incorrectly, or left in the same location for an
extended period of time. Move sensor every 4 hours to reduce possibility of tissue damage.
•
Do not use any oximetry sensors during MRI scanning. MRI procedures can cause
conducted current to flow through the sensors, causing patient burns.
•
Do not apply SpO
2
sensor to the same limb that has an NIBP cuff. The SpO
2
alarm may
sound when the arterial circulation is cut off during NIBP measurements, and may affect
SpO
2
measurements.
•
In some instances, such as obstructed airway, the patient's breathing attempts may not
produce any air exchange. These breathing attempts can still produce chest size changes,
creating impedance changes, which can be detected by the respiration detector. It is best to
use the pulse oximeter whenever monitoring respirations, to accurately depict the patient's
respiratory condition.
Noninvasive Blood Pressure
•
Only a physician can interpret pressure measurements.
•
Blood pressure measurement results may be affected by the position of the patient, his or her
physiological condition and other factors.
•
Substitution of a component different from that supplied by ZOLL (e.g., cuff, hoses, etc.)
may result in measurement error. Use only ZOLL-approved cuffs and hoses. To avoid the
risk of intravenous line misconnection and possible introduction of air into a patient’s blood,
do not modify the NIBP system or hoses with Luer Lock adapters.
•
Do not use a blood pressure cuff on the limb being used for IV infusion or for SpO
2
monitoring.
•
Accurate pressure readings may not be achieved on a person experiencing arrhythmias,
shaking, convulsions or seizures. Medication may also affect pressure readings. The correct
size cuff is essential for accurate blood pressure readings.
•
Blood pressure hoses must be free of obstructions and crimps.
•
If the patient’s cuff is not at heart level, an error in measurement may result.
•
When monitoring blood pressure at frequent intervals, observe the cuffed extremity of the
patient for signs of impeded blood flow.
•
Do not monitor one patient’s NIBP while monitoring another patient’s ECG.