Table of Contents
Advertisement
4
Monitoring
4.7
NIBP monitoring
Page 56
As with occasional blood pressure measurement, petechial bleeding can occur
in patients with coagulation disorders or having anticoagulant treatment even
with the correct cuff size.
In patients who have had a single mastectomy, the cuff can be placed on the
opposite arm.
The cuff must not be placed over or near a wound that could cause further injury.
To prevent incorrect measurement results, ensure that the tube is not pinched
or compressed.
A cuff that is applied to a patient in the recumbent or sitting position is normally
located at the same level as the heart. However, if the cuff is located at a level
higher than the heart (for instance if the arm of a patient in bed is lifted), this may
result in lower-than-actual measurement readings (approx. 7.5 mmHg per 10 cm
rise).
The measurement may be inaccurate or impossible:
– if a regular arterial pressure pulse is hard or impossible to detect, e.g. with car-
diac arrhythmias, severe shock, hypothermia or with obesity or an edematous
extremity
– with excessive and continuous patient movement such as shivering or convul-
sion.
DEFIGARD/PHYSIOGARD Touch 7
Advertisement
Table of Contents
