User's Manual

Page 68
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 many causes a temporary loss
of pulsation 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 and select the appropriate cuff for
the patient.
1. Comfortably seated, Legs uncrossed, Feet flat on the floor, Back and arm supported, to
relax as much as possible and not talk during the measurement procedure. Recommend
to have 5 min elapse before the first reading is taken
2. Position middle of the CUFF at the level of the right atrium of the heart
3. 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.
4. Position the alignment mark on the cuff directly over the brachial artery.
5. Ensure that the blood pressure tubing has no kinks or twists.
NIBP measurement
The monitor enables you to take manual and automatic NIBP measurement
WARNING NIBP readings may be inaccurate for patients experiencing
moderate to severe arrhythmia
WARNING Inaccurate measurement risk. Pulse rate measurements
generated through the blood pressure cuff or through SpO2 are subject
artifact and might not be as accurate as heart rate measurements
generated through ECG or through manual palpation.
Caution Inaccurate measurement risk. Any external compression of the
blood pressure hose or cuff may cause system errors or inaccurate
measurements.
At the start of a measurement, the monitor inflates the cuff to the appropriate level. In the
NIBP frame or NIBP measure window, the cuff display shows the cuff inflation pressure while
the blood pressure measurement is in progress.