ZOLL X Series Monitor Defibrillator Rev H - Manual (Page 32)

C HAPTER 1 G ENERAL I NFORMATION
1-20 www.zoll.com 9650-001355-01 Rev. H
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.
Noninvasive Blood Pressure
Only a physician can interpret pressure measurements.
Blood pressure measurement results may be affected by the position of the patient, his or her
physiological condition and other factors.
Substitution of a component different from that supplied by ZOLL (e.g., cuff, hoses, etc.) may
result in measurement error. Use only ZOLL-approved cuffs and hoses. To avoid the risk of
intravenous line misconnection and possible introduction of air into a patient’s blood, do not
modify the NIBP system or hoses with Luer Lock adapters.
Do not use a blood pressure cuff on the limb being used for IV infusion or for SpO
2
monitoring.
Accurate pressure readings may not be achieved on a person experiencing arrhythmias,
shaking, convulsions or seizures. Medication may also affect pressure readings. The correct
size cuff is essential for accurate blood pressure readings.
Blood pressure hoses must be free of obstructions and crimps.
If the patient’s cuff is not at heart level, an error in measurement may result.
When monitoring blood pressure at frequent intervals, observe the cuffed extremity of the
patient for signs of impeded blood flow.
Do not monitor one patient’s NIBP while monitoring another patient’s ECG.
Blood pressure measurement may be inaccurate if taken while accelerating or decelerating in a
moving vehicle.
If an NIBP measurement result is questionable or “motion” indication is displayed, repeat the
measurement. If the repeated measurement result is still questionable, use another blood
pressure measurement method.
Do not use the NIBP on cardiopulmonary bypass patients.
IBP
To ensure compatibility and electrical safety, accessory pressure sensors should comply with
ANSI/AAMI BP-22 and IEC 60601-2-34 for IBP or ANSI/AAMI NS28 for ICP.
Follow instructions supplied with any accessory pressure sensor regarding calibration and
removal of trapped air.
Avoid touching metal parts of any transducer while it is in contact with the patient.
Do not reuse any components that are labeled for single use only.
Transducers should be rated to withstand an accidental drop of at least a meter onto a hard
surface.
Transducers that are subject to immersion in liquids should be rated as watertight.