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Philips MX400 Instructions For Use Manual Page 353

Intellivue series patient monitors.
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Authorized Clinician Review
To review the protocol, select
phase.
Confirm
Select
continue to the Sepsis Resuscitation Bundle phase.
Sepsis Resuscitation Bundle
The treatment recommendations from the Sepsis Resuscitation Bundle are presented and the
implementation of the recommendations is monitored.
When the Sepsis Resuscitation Bundle phase begins, the
on the monitor (if configured and available on the monitor).
The lower area of the screen contains:
a reminder list of the treatment recommendations - recommendations which have been fulfilled
are shown in gray, overdue recommendations are shown in orange
a timer showing the time already passed in this phase
three horizon trends for MAP, CVP and ScvO
a list of the latest manually entered values - if you select this list you will open the
Log
window where the last 24 manually entered values are shown for reference
If ScvO
2
intervals to ask for a manually measured value.
Monitoring the Sepsis Resuscitation Bundle Recommendations
When you select the lower area of the
window appears. If you do not have the
Bundle
window appears automatically once an hour.
Select the
had previously been entered, the box is checked.
Check the
Check the
therapy.
The remaining three recommendations are automatically compared to the Sepsis Resuscitation Bundle
criteria, if the measurements are available on the monitor. A box is checked when the corresponding
recommendation has been fulfilled.
Depending on your configuration, continuously measured CVP values may be disregarded if they
exceed a set limit. Whether this is so, and which limit is applied, is set in the monitor's Configuration
mode.
If you have manually measured ScvO
Enter CVP
The boxes for MAP, ScvO
monitor does not measure them) but only when the timer has reached 4 hours to ensure that these
values are achieved and maintained mid-term. Check these boxes if the recommendation has been
fulfilled.
To see more details about the recommendations, select the
Confirm
Select
Protocol Log
to complete the screening phase and, if you have the appropriate monitor option,
or SvO
and CVP are not being continuously measured, a pop-up window appears at hourly
2
Enter Lact
key to enter a lactate value. When you have entered a value, or if a lactate value
Take Blood Cultures
box when you have taken blood cultures.
Administer Intravenous Antibiotics
keys. The box is checked automatically if the value fulfills the recommendation.
/SvO
2
2
when the check boxes reflect the current treatment status.
. You can also print out the log to document the screening
ProtocolWatch
or SvO
, if these measured values are available
2
2
ProtocolWatch
Screen, the
ProtocolWatch
Screen displayed, the
box when you have started broad-spectrum antibiotic
or CVP, you can enter the values using the
2
and CVP can also be checked manually (for cases where the
Show Details
27 ProtocolWatch
Screen automatically appears
Manual Entry
Sepsis Resuscitation Bundle
Sepsis Resuscitation
Enter ScvO₂
key.
and
353

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