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Instructions for Intellivue Patient Monitors

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Instructions for Intellivue Patient Monitors ,QVWUXFWLRQVIRU8VH ,QWHOOL9XH3DWLHQW0RQLWRU 0; 5HOHDVH1ZLWK6RIWZDUH5HYLVLRQ1[[[ 3DWLHQW0RQLWRULQJ 2 &RQWHQWV ,QWURGXFWLRQ 15 Safety Information 15 Security Information 18 Introducing the Monitor 20 Devices for Acquiring Measurements 21 Operating and Navigating 37 Operating Modes 45 Understanding Screens 46 Viewing Notifications 47 Using the XDS Remote Display 48 Using the Visitors Screen 48 Understanding Profiles 49 Understanding Settings 50 Changing Wave Speeds 52 Freezing Waves 52 Using Labels 53 Entering Measurements Manually 56 Setting Up the Synchronization Output (with MMX or X3 only) 56 Changing Monitor Settings 57 Checking Your Monitor Revision 58 Getting Started 58 Disconnecting from Power 59 Networked Monitoring 59 Using Remote Applications 60 Using the Integrated PC 61 Using Your Monitor with an X2 or X3 in Companion Mode 63 $ODUPV 65 Visual Alarm Indicators 66 Audible Alarm Indicators 67 Acknowledging Alarms 69 Pausing or Switching Off Alarms 70 Alarm Limits 72 Reviewing Alarms 75 Alarm Advisor 76 Latching Alarms 79 Testing Alarms 80 Alarm Behavior at Power On 80 Alarm Recordings 81 3 3DWLHQW$ODUPVDQG,123V 83 Patient Alarm Messages 83 Technical Alarm Messages (INOPs) 90 0DQDJLQJ3DWLHQWVDQG(TXLSPHQW 119 Patient Concepts 119 Equipment Concepts 119 Bed Management with a Hospital Information System 120 Managing Patients 120 Managing Equipment 134 Care Groups 140 Information Center Compatibility 146 (&*$UUK\WKPLD67DQG470RQLWRULQJ 147 Skin Preparation for Electrode Placement 147 Connecting ECG Cables 147 Selecting the Primary and Secondary ECG Leads 147 Checking Paced Mode 148 Understanding the ECG Display 148 Monitoring Paced Patients 149 Changing the Size of the ECG Wave 150 Changing the Minimum QRS Detection Threshold 151 Changing the Volume of the QRS Tone 151 Changing the ECG Filter Settings 151 Choosing EASI or Standard Lead Placement 152 Selecting Positions of Va and Vb Chest Leads (for 6-electrode placement) 152 About ECG Leads 153 ECG Lead Fallback 154 ECG Lead Placements 154 EASI Lead Placement for a 5-Electrode Cable Set 159 Capture 12-Lead 160 ECG and Arrhythmia Alarm Overview 164 Using ECG Alarms 166 ECG Safety Information 167 About Arrhythmia Monitoring 169 Switching Arrhythmia Analysis On and Off 169 Choosing an ECG Lead for Arrhythmia Monitoring 170 Atrial Fibrillation Alarm 170 Aberrantly-Conducted Beats 170 Intermittent Bundle Branch Block 171 Understanding the Arrhythmia Display 171 Arrhythmia Relearning 173 Arrhythmia Alarms 174 About ST Monitoring 179 4 Switching ST or STE On and Off 180 Understanding the ST Display 181 Updating ST Baseline Snippets 182 Recording ST Segments 183 About the ST Measurement Points 183 ST Alarms 185 STE Alarms 185 Viewing ST Maps 186 Viewing STE Maps 189 About QT/QTc Interval Monitoring 190 QT Alarms 193 Switching QT Monitoring On and Off 194 0RQLWRULQJ3XOVH5DWH 195 Entering the Setup Pulse Menu 195 System Pulse Source 195 Switching Pulse On and Off 195 Using Pulse Alarms 196 QRS Tone 197 0RQLWRULQJ5HVSLUDWLRQ5DWH 5HVS 199 Lead Placement for Monitoring Resp 199 Understanding the Resp Display 200 Changing Resp Detection Modes 200 Changing the Size of the Respiration Wave 201 Changing the Speed of the Respiration Wave 201 Using Resp Alarms 201 Changing the Apnea Alarm Delay 202 Resp Safety Information 202 0RQLWRULQJ6S2 203 Nellcor Patents 203 Masimo Patents 203 SpO2 Sensors 204 Applying the Sensor 204 Connecting SpO2 Cables 205 Measuring SpO2 205 SpO2 Signal Quality Indicator (FAST SpO2 only) 206 Assessing a Suspicious SpO2 Reading 206 Changing the Averaging Time 207 Understanding SpO2 Alarms 207 Pleth Wave 211 Perfusion Numeric 211 5 Perfusion Change Indicator (Philips FAST SpO2 and Nellcor OxiMax only) 211 Setting SpO2/Pleth as Pulse Source 212 Setting Up Tone Modulation 212 Setting the QRS Volume 212 Calculating SpO2 Difference 212 0RQLWRULQJZLWK0DVLPRUDLQERZ6(7 213 Masimo Patents 213 Safety Information 213 Alarm Capabilities 218 SpO2 Measurement with Masimo rainbow SET 220 0RQLWRULQJ1%3 229 Introducing the Oscillometric NBP Measurement 229 Preparing to Measure NBP 231 Starting and Stopping Measurements 233 Enabling Automatic Mode and Setting Repetition Time 234 Enabling Sequence Mode and Setting Up The Sequence 235 Choosing the NBP Alarm Source 235 Switching Pulse from NBP On/Off 235 Assisting Venous Puncture 236 Calibrating NBP 236 0RQLWRULQJ7HPSHUDWXUH 237 Making a Temp Measurement 237 Calculating Temp Difference 238 0HDVXULQJ7\PSDQLF7HPSHUDWXUH 239 Thermometer Display and Controls 240 Making a Temperature Measurement 242 Body Reference Sites and Monitor Labels 243 0RQLWRULQJ,QYDVLYH3UHVVXUH 245 Setting up the Pressure Measurement 246 Overview of Calibration Procedures 247 Zeroing the Pressure Transducer 248 Calibrating Reusable Transducers 250 Adjusting the Calibration Factor 252 Displaying a Mean Pressure Value Only 252 Changing the Pressure Wave Scale 252 Optimizing the Waveform 252 Using the Wave Cursor 252 6 Non-Physiological Artifact Suppression 253 Choosing the Pressure Alarm Source 253 Calculating Cerebral Perfusion Pressure 254 Calculating Pulse Pressure Variation 254 Measuring IAP 255 Measuring Pulmonary Artery Wedge Pressure 256 Editing the Wedge 257 Identifying the Pressure Analog Output Connector 258 0RQLWRULQJ&DUGLDF2XWSXW 259 Hemodynamic Parameters 259 Using the C.O. Procedure Window 260 Accessing the Setup C.O. and Setup CCO Menus 262 Entering the HemoCalc Window 262 Measuring C. O. Using the PiCCO Method 262 Measuring C.O. Using the Right Heart Thermodilution Method 266 Documenting C.O. Measurements 269 C.O. Injectate Guidelines 269 C.O./CCO Curve Alert Messages 270 C.O./CCO Prompt Messages 271 C.O./CCO Warning Messages 272 C.O./CCO Safety Information 273 0RQLWRULQJ&DUERQ'LR[LGH 275 Measurement Principles 276 Measuring CO2 using 867040, M3014A, MMX or X2/X3 277 Measuring Microstream CO2 using 867041 or M3015A/B 282 Setting up all CO2 Measurements 283 Understanding the IPI Numeric 285 0HDVXULQJ$QHVWKHWLFDQG5HVSLUDWRU\*DVHV 287 Identifying Gas Analyzer Module Components 288 Water Trap 288 Understanding the Gas Measurement 289 Making Measurements 290 Understanding the Gas Analyzer Display 292 Installing the Water Trap 292 Removing the Water Trap 293 Emptying the Water Trap 294 Water Trap Replacement 295 Changing Settings for the Gas Analyzer 295 Agent Identification 296 MAC Calculation 297 7 Entering Gas Analyzer Standby Mode 300 Zero Calibration 301 Using the Gas Analyzer During a Cardiopulmonary Bypass 301 Gas Analyzer Safety Information 302 0RQLWRULQJ,QWUDYDVFXODU2[\JHQ6DWXUDWLRQ 305 Selecting a Measurement Label 305 Preparing to Monitor with the M1011A SO2 Module 306 Checking Suspicious Values 308 Calculating Oxygen Extraction 308 0RQLWRULQJ((*D((* 309 EEG/aEEG Monitoring Setup 310 Using the EEG Impedance/Montage Window 310 About Compressed Spectral Arrays (CSA) 312 Changing EEG Settings 313 About aEEG 314 EEG Reports 315 EEG Safety Information 315 EEG and Electrical Interference 316 0RQLWRULQJ%,6 317 BIS Monitoring Setup 318 BIS Signal Quality Indicator and EMG Indicator 318 BIS Continuous Impedance Check 319 BIS Sensor Check 319 BIS Window 319 Bilateral BIS Measurements 320 Changing the BIS Smoothing Rate 321 Switching BIS and Individual Numerics On and Off 321 Changing the Scale of the EEG Wave 321 Switching BIS Filters On or Off 321 BIS Safety Information 321 0RQLWRULQJ107 323 Stimulation Modes 324 Preparing to Measure NMT 324 Taking NMT Measurements 326 Changing the NMT Measurement Settings 328 Alarms 329 Understanding NMT Numerics 329 8 *XDUGLDQ(DUO\:DUQLQJ6FRULQJ 331 Understanding Guardian Early Warning Scoring 331 Performing the Scoring Procedure 332 Triggering Scoring Automatically 334 Viewing EWS Trend Data 334 8VLQJD7HOHPHWU\'HYLFHDQGD0RQLWRU 3,,&RQO\ 337 How Can You Combine Devices? 337 Use Models With Telemetry 339 7UHQGV 341 Viewing Trends 341 Setting Up Trends 345 Documenting Trends 348 Trends Databases 349 Screen Trends 349 &DOFXODWLRQV 353 Performing Calculations 354 Viewing Calculations 355 Reviewing Calculations 356 Documenting Calculations 356 +LJK5HVROXWLRQ7UHQG:DYHV 359 Changing the Hi-Res Trend Waves Displayed 359 Hi-Res Trend Wave Scales 359 Hi-Res Trend Waves and OxyCRG 359 Printing Hi-Res Trend Wave Reports 360 Hi-Res Trend Wave Recordings 360 (YHQW6XUYHLOODQFH 361 Levels of Event Surveillance 361 Event Groups 362 Event Episodes 363 Events Pop-Up Keys 363 Event Triggers 364 The Events Database 368 Viewing Events 368 Annotating Events 371 Documenting Events 371 9 3URWRFRO:DWFK 381 SSC Sepsis Protocol 381 5HFRUGLQJ 387 Paper-Strip Recording 387 Electronic Strip Recording 394 *HQHUDWLQJ3DWLHQW5HSRUWV 397 Starting Reports 397 Canceling Reports 399 Checking Report Status and Printing Manually 399 Viewing Reports on the Screen 403 Setting Up Printing and Storage for the Print Database 404 Checking Printer Settings 404 Printing a Test Report 405 Switching Printers On or Off for Reports 405 Dashed Lines on Reports 405 Unavailable Printer: Re-routing Reports 405 Printer Status Messages 406 Sample Report Printouts 407 8VLQJWKH'UXJ&DOFXODWRU 413 Accessing the Drug Calculator 413 Performing Drug Calculations 414 Charting Infusion Progress 416 Using the Titration Table 416 Documenting Drug Calculations 417 ,QWHOOL%ULGJH(& 419 Connecting an External Device 419 Changing Waves and Numerics Displayed 420 Viewing the IntelliBridge Device Data Window 420 Using Screens with External Device Data 420 Alarms/INOPs from External Devices 420 8VLQJ7LPHUV 423 Viewing Timers 423 Timer Setup Pop-up Keys 423 Setting
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