Pulmonary Artery Monitoring - Escort Prism 20401 Reference Manual

Patient monitor
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10. Press the SITE softkey to cycle through site labels for invasive pressure line. Highlight
desired site.
11. Press the MORE softkey to access second page of menu.
12. Displayed values for SYSTOLIC/MEAN/DIASTOLIC are chosen by pressing the
SMD-S/D-MEAN softkey.
13. Press the CAL softkey to initiate a calibration wave (waveform must be displayed in trace).
14. Press the BP ON/OFF softkey to turn vital sign on/off. Alarm must be OFF to turn parameter
off. Turn parameter off to eliminate technical messages and halt data into VSC.
To zero invasive blood pressure:
1. Press the ALARM SUSPEND key.
2. Turn the stopcock off to patient and open to atmospheric air. WAIT for waveform to flatten.
3. Press the softkey under ZERO. User can zero all invasives simultaneously through ZERO
ALL.
ALM
ALM
SIZE/
ON
LIM
SCALE
OFF
4. Observe for the 00 (± 1) on screen. Turn the stopcock off to atmospheric air and open to
patient.
5. Press the PAGE HOME key.

Pulmonary Artery Monitoring

PULMONARY ARTERY monitoring on the Prism or Prism SE allows additional menu keys
that specifically address functions of pulmonary artery catheter. These menu keys are displayed
when invasive pressure is labeled for PA. Additional key(s) available are PAWP and
SAVE:PAM:CVP.
Measurement of pulmonary artery pressure (PAWP):
1. Press the softkey next to the PA label.
2. Press the PAWP softkey. Note display initiates a background scale and slows speed of PA
display to allow easier visualization of end expiratory phase of respiration.
3. Inflate balloon per manufacturer guidelines and observe for flattening of PA waveform,
indicating balloon is wedged. Allow full-screen display of wedged waveform. The FREEZE
key allows display to be held on screen as user allows passive balloon deflation.
SMD
BP1
S/D
CAL
ON
MEAN
OFF
SITE
ZERO
ZERO
OFF
MORE
ALL
BP1
ART
3-15

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