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NBP Monitoring
To manually test NBP alarm functionality on a daily basis, first apply the cuff to
yourself or a patient according the instructions given above. Then enable NBP
alarms and lower the systolic upper alarm limit setting to a value that is certain to
generate an alarm when measured against you or the patient's pressure. Start the
NBP measurement by pressing the NBP Start/Stop key. After the measurement
completes, verify that "NBPs < [upper limit]" annunciates as a medium grade
alarm. Press the ALARM SILENCE key, and return the systolic upper alarm
limit to its previous value. Verify that the alarm is no longer active.
The NBP Monitoring settings and specifications for the Nightingale PPM3 may
be found in the PPM3 Monitor Settings and Technical Data chapters. Procedures
for changing configuration settings, such as enabling alarms, adjusting alarm
limits, or setting up an automatic measurement interval, may be found in the
Working With Menus chapter.
WARNING – Only use blood pressure (NBP) cuffs approved by Zoe
Medical for use with the Nightingale PPM3. See the Accessories
chapter.
WARNING – The cuff should fit snugly according to current AHA
guidelines. Use the correct size cuff for the intended limb (see
indication of cuff size in cm printed on the cuff) of the patient. The
terminology printed on some BP cuffs like "child," "adult," "thigh,"
etc., is only an indication of the size of the cuff and should not be
used to determine if the cuff is suitable for the limb. Make sure the
index on the cuff is aligned with the brachial artery and that it falls
within the range markers to determine whether the particular cuff fits
the patient's limb or not.
WARNING – In some cases, frequent and prolonged measurements
can result in petechia, ischemia, purpura or neuropathy. You should
check the cuff site regularly when taking frequent measurements
over an extended time period. You should also check the patient for
any signs of restricted circulation in the extremities of the limb
where the NBP cuff is wrapped. Switch the blood pressure cuff site
as per hospital protocol or at least every four hours.
WARNING – Operating the PPM3 with NBP limit alarms disabled
means that no low or high NBP alarm conditions will produce alarm
6-3
April 2019
N i g h t i n g a l e P P M 3 U s e r ' s G u i d e
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