Preparing The Patient And Precautions For Use - Spacelabs 90207 Operation Manual

Ambulatory blood pressure monitors
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Preparing the Patient and Precautions for Use

Note:
Blood pressure measurements determined with this device are equivalent to those ob-
tained by a trained observer using the cuff/stethoscope auscultation method, within the
limits prescribed by the American National Standard, Electronic, or automated sphyg-
momanometers.
- The fi fth Korotkoff sound was used to determine overall effi ciency.
As in manual auscultatory methods, accurate readings may not always be achieved un-
der some conditions. Patient movement, the position of the cuff relative to the level of the
heart, extreme heart rates and blood pressures, various arrhythmias, and the subject's
physiological condition and other factors may hinder an accurate reading. Vibration, such
as that in a moving automobile, is an environmental problem that may affect readings.
When some of the above factors prevent an accurate reading, an event code is provided
to indicate the reason for the missed blood pressure reading. When only a single blood
pressure parameter (systole, diastole, or mean arterial pressure) is obscured and the
other two parameters are measured, the obscured parameter may be replaced with a
computed value.
If such a value is computed in the 90217 monitor, it appears on the report in angle
brackets, e.g., < value >. On the monitor display, dashes are displayed instead of the
estimated value. The ratio used in the formula is determined by the previous successful
measurements of the pressure, rather than a fi xed ratio.
Consult a physician for interpretation of pressure measurements.
After the monitor has been initialized, prepare the patient for monitoring as fol-
lows:
1.
Power ON the monitor (wait for the monitor to perform self-tests). When the LCD displays
the current time, the monitor is ready for operation.
2.
Strap the monitor to the patient's hip opposite the side on which the cuff is worn. Secure the
monitor using the patient's own belt or the ABP pouch strapped over the opposite shoulder.
When using the shoulder strap, use the belt supplied with the monitor or the patient's belt to
provide additional security.
3.
Ensure the accuracy of blood pressure measurements through proper cuff selection and ap-
plication. To select the proper cuff, fi rst measure the circumference of the limb at the point
where the cuff will be applied. Match the limb measurement to the range of appropriate
circumferences (in centimetres) specifi ed on each cuff (refer to Error! Reference source not
found. ).
Table 2: Cuff Sizes, Circumference Ranges and Part Numbers
Description
Pediatric Cuff
Small Adult Cuff
Adult Cuff
Large Adult Cuff
Extra-Large Adult
Cuff
Operation
Limb Circumference
12 to 20cm
17 to 26cm
24 to 32cm
32 to 42cm
38 to 50cm
070-0137-03 Rev.L
Part Number
Quick-Disconnect
015-0118-01Q
015-0067-01Q
015-0068-02Q
016-0077-01Q
016-0109-01Q
Part Number
Luer-Lock
015-0118-01
015-0067-01
015-0068-02
016-0077-01
016-0109-01
1-7

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