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Position the cuff – Welch Allyn Connex Integrated Wall System - User Manual User Manual

Page 78

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Cuff Size

Circumference (cm)

Circumference (in)

NEO 3

5.4 – 9.1

2.1 – 3.6

NEO 4

6.9 – 11.7

2.4 – 4.6

NEO 5

8.9 – 15.0

3.5 – 5.9

Multi-pack

1 of each

1 of each

For ordering information, see Approved Accessories in the Appendix.

Position the cuff

Note

The monitor and cuffs were validated using the bare upper arm site.

WARNING Patient injury risk. Do not use the NIBP for continuous monitoring

without frequently checking the patient's limb. When a patient is being monitored

frequently or for a prolonged period, regularly remove the cuff to inspect it and to

check the cuff site for ischemia, purpura, or neuropathy.

WARNING Inaccurate measurement risk. Do not place the cuff where it can

disturb proper circulation. Do not place the cuff on any area where circulation is

compromised or on any extremity used for intravenous infusions. Do not use an

SpO2 finger clip sensor and a blood pressure cuff simultaneously on the same limb.

Doing so may cause a temporary loss of pulsatile flow, resulting in either no reading

or an inaccurate SpO2 or pulse rate until the flow returns.

WARNING The blood pressure cuff must be properly positioned to ensure blood

pressure accuracy and patient safety. Wrapping the cuff too loosely (preventing

proper inflation) may result in inaccurate NIBP readings.

CAUTION If a site other than the bare upper arm is used, the blood pressure

measurements may be different. It is important to document the alternate site on the

patient record.

CAUTION To minimize inaccurate measurement, limit patient movement during

an NIBP measurement cycle.

Before taking an NIBP measurement, follow these steps to properly attach the cuff to the patient.

1. Position the cuff on the patient's bare upper arm midway between the shoulder and the elbow.
2. Wrap the cuff snugly so that there is room for no more than two fingers between the cuff and

the patient's bare upper arm.

3. Position the alignment mark on the cuff directly over the brachial artery.
4. Ensure that the blood pressure tubing has no kinks or twists.

Note

In situations where you cannot position the cuff level with the heart,

you should adjust the measurements as follows for greater

accuracy. For each inch (2.54 cm) that the cuff is above the level of

the heart, add 1.8 mmHg to the displayed reading. For each inch

(2.54 cm) that the cuff is below the level of the heart, subtract 1.8

mmHg from the displayed reading. It is important to document the

adjustment on the patient record.

72 Patient monitoring

Welch Allyn Connex

®

Integrated Wall System