ZOLL E Series Monitor Defibrillator Rev G NIBP - Manual (Page 7)

Preparing to Take Measurements
9650-1214-01 Rev. G 7
The NIBP display symbols shown in the preceding table
are described as follows:
• Cuff Inflation Status Bar — The movement of the
cuff inflation status bar reflects the cuff inflation
pressure, lengthening as the cuff inflates and
shortening as the cuff deflates. When the cuff is fully
deflated, the Cuff Inflation Status Bar is not displayed.
• Artifact Indicator — The artifact indicator flashes
when the E Series unit detects artifact in the signal.
Under such circumstances, the displayed pressure
values may be inaccurate. Perform additional blood
pressure measurements before taking clinical action.
If you repeatedly obtain artifact, use alternate
techniques to obtain blood pressure prior to taking
clinical action.
Note that the E Series default unit of measure is
millimeters of mercury (mmHg), but you can configure
the E Series to display kilopascals (kPa). Refer to the
E Series Configuration Guide for information on
configuring alternate units of measure.
Preparing to Take Measurements
The following sections describe how to prepare to take
measurements.
Selecting the Proper Size Cuff
The NIBP option comes with a cuff that inflates to cut off
the patient’s blood flow and then deflates slowly to allow
the blood flow to resume gradually. To take accurate
measurements, you must use the proper sized cuff.
Bladder length should be at least 80 percent of the limb
circumference, while the cuff width should be equal to
40 percent of the limb circumference.
Select the appropriate size cuff for the patient from the
following table:
You can order additional cuffs and hoses from ZOLL
Medical Corporation. See “NIBP Accessories” on
page 14.
Connecting the Hose
The NIBP option comes with a hose that has a plastic
connector on one end and a metal connector on the
other end; you must attach the hose to both the E Series
unit rear panel using the metal connector and the cuff’s
hose using the plastic connector. The cuff has its own
short length of hose with a connector on the end. This
connector fits into the end of the hose that is not
connected to the E Series unit.
To connect the hose:
1. Insert the metal connector on the NIBP hose into the
NIBP connector at the back of the E Series unit and
push the connector until it snaps into place.
2. Insert the plastic connector on the NIBP hose into the
cuff hose connector, and twist the connectors until
they lock into place.
You can now apply the cuff to the patient.
Applying the Cuff to the Patient
Using a cuff that is too small or is loosely applied results
in values higher than the patient’s actual blood pressure.
Using a cuff that is too large results in values lower than
the patient’s actual blood pressure.
To apply the cuff to the patient:
1. Ensure the patient is sitting or lying down with the
limb relaxed, extended, and placed on a smooth
surface for support.
2. Place the cuff 2 to 5 cm above the elbow crease or 5
to 10 cm (1.9 to 3.9 in.) above the knee crease.
Limb Circumference Cuff
38 to 50 cm
(14.96 to 19.69 in.)
Thigh
31 to 40 cm
(12.20 to 15.75 in.)
Adult Plus
23 to 33 cm
(9.06 to 12.99 in.)
Adult
17 to 25 cm
(6.69 to 9.84 in.)
Small Adult
12 to 19 cm
(4.72 to 7.48 in.)
Child
NIPB connector