ZOLL Propaq MD Rev A - Manual (Page 27)

Warnings
9650-0805-01 Rev. A Propaq MD Operator’s Guide 1-17
Transcutaneous pacing may cause discomfort ranging from mild to severe, depending on the
patient’s tolerance level, muscle contractions and electrode placement. In certain cases,
discomfort may be decreased by slightly relocating the pacing pads.
It is important to monitor the patient closely to verify that both mechanical and electrical
capture are occurring. Electrical capture can be verified by observing the presence of a large
ectopic beat after the pacing pulse is delivered. The size and morphology of the beat are
dependent on the patient. In some instances the beat may appear as a relatively normal looking
QRS pulse. Mechanical capture can be verified by checking for signs of increased blood flow
i.e., reddening of the skin, palpable pulses, increased blood pressure, etc. Continuously observe
the patient during pacing administration, to insure capture retention. Do not leave the patient
unattended when administering external pacing therapy.
Warning! This device can only be used for external pacing of patients and cannot be used for
internal pacing. Do not connect internal pacing lead wires to the Propaq MD defibrillator.
Pulse Oximeter
Keep the ZOLL finger probe clean and dry.
SpO
2
measurements may be affected by certain patient conditions: severe right heart failure,
tricuspid regurgitation or obstructed venous return.
SpO
2
measurements may be affected when using intravascular dyes, in extreme
vasoconstriction or hypovolemia or under conditions where there is no pulsating arterial
vascular bed.
SpO
2
measurements may be affected in the presence of strong EMI fields, electrosurgical
devices, IR lamps, bright lights, improperly applied sensors; the use of non-ZOLL sensors, or
damaged sensors; in patients with smoke inhalation, or carbon monoxide poisoning, or with
patient movement.
Tissue damage can result if sensors are applied incorrectly, or left in the same location for an
extended period of time. Move sensor every 4 hours to reduce possibility of tissue damage.
Do not use any oximetry sensors during MRI scanning. MRI procedures can cause conducted
current to flow through the sensors, causing patient burns.
Do not apply SpO
2
sensor to the same limb that has an NIBP cuff. The SpO
2
alarm may sound
when the arterial circulation is cut off during NIBP measurements, and may affect SpO
2
measurements.
In some instances, such as obstructed airway, the patient's breathing attempts may not produce
any air exchange. These breathing attempts can still produce chest size changes, creating
impedance changes, which can be detected by the respiration detector. It is best to use the pulse
oximeter whenever monitoring respirations, to accurately depict the patient's respiratory
condition.