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Monitoring blood pressure (nibp) – Welch Allyn 901061 Propaq LT Vital Signs Monitor - User Manual User Manual

Page 69

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Directions for Use

Standalone monitoring

65

Monitoring blood pressure (NIBP)

When the monitor is powered on, the default cuff inflation pressure is based on the
patient mode. (See

“Default inflation pressure”

on page 148.) After an NIBP

measurement occurs, the monitor adjusts the inflation pressure to optimize subsequent
NIBP measurements.

Normal

For typical monitoring.

APOD

For monitoring when the probe is likely to detach from the
patient because of wet skin, motion, or other unusual
circumstances.

Maximum

For monitoring patients with extremely low perfusion.

Averaging Time

The period (in seconds) over which multiple SpO2
measurements are taken and a result is derived.

WARNING Always use a properly fitting cuff, placing it carefully on the patient
according to the instructions presented below. Failure to fit and locate the cuff
correctly can lead to inaccurate pressure readings.

WARNING During monitoring, periodically observe the patient’s limb to make
sure that the circulation is not impaired for a prolonged period. Prolonged
impairment of circulation or improper cuff placement can cause bruising.

WARNING Do not use the monitor to simultaneously measure NIBP on one
patient and monitor ECG on another patient.

WARNING If an NIBP measurement is suspect, repeat the measurement. If you
are still uncertain about the reading, verify it using another method.

WARNING Do not take NIBP measurements during cardiopulmonary bypass.

WARNING When monitoring NIBP, match the monitor patient mode to the NIBP
cuff. For neonates, set the monitor to Neonatal Mode unless the circumference
of the limb is too large for the cuff. In that case, use the Pediatric Mode. Be
aware, however, that the maximum cuff inflation limits are based on the patient
mode, not the cuff; the maximum cuff inflation limits for Pediatric Mode are
greater than for Neonate Mode. (See

“NIBP”

on page 148 for values.)

Caution Pulse-rate measurements generated through the blood pressure cuff
or through SpO

2

are subject to artifact and might not be as accurate as heart-rate

measurements generated through ECG or through manual palpation.

Note

Always cycle the monitor power before you begin to monitor another patient.

Normal physiological pressure variations affect NIBP measurements from reading
to reading.

If the monitor is in Adult mode and a neonate cuff is connected to the monitor,
the monitor generates an equipment alert.

If the battery charge is low and the monitor is not in the cradle, the battery icon
indicates low battery and NIBP monitoring is disabled.