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iv LIFEPAK 20e Defibrillator/Monitor Operating Instructions

Battery Operation .......................................................................................................2-20

LIFEPAK 20e Defibrillator/Monitor Battery ..........................................................2-20

CodeManagement Module Battery ......................................................................2-23

3 Monitoring

Monitoring the ECG......................................................................................................3-2

ECG Monitoring Warning.......................................................................................3-2

Selecting ECG Lead and Size ...............................................................................3-2

Adjusting the Systole Tone Volume.......................................................................3-3

Monitoring with the Patient ECG Cable .................................................................3-5

Troubleshooting Tips for ECG Monitoring .............................................................3-7

Monitoring S

pO2 ..........................................................................................................3-9

O2 Warnings and Cautions ...............................................................................3-9

When to Use a Pulse Oximeter ...........................................................................3-10

How a Pulse Oximeter Works..............................................................................3-10

SpO2 Monitoring Considerations.........................................................................3-11

SpO2 Monitoring Procedure ................................................................................3-12

SpO2 Waveform ..................................................................................................3-12

SpO2 Volume ......................................................................................................3-12

Sensitivity.............................................................................................................3-12

Averaging Time....................................................................................................3-13

Pulse Oximeter Sensors ......................................................................................3-13

Cleaning...............................................................................................................3-13

Troubleshooting Tips for SpO2............................................................................3-14

Monitoring EtCO2.......................................................................................................3-16

EtCO2 Warnings and Cautions............................................................................3-16

How Capnography Works....................................................................................3-17

EtCO2 Monitoring Waveform Analysis ................................................................3-17

EtCO2 Monitoring Procedure...............................................................................3-18

CO2 Display.........................................................................................................3-20

CO2 Alarms .........................................................................................................3-20

CO2 Detection .....................................................................................................3-21

Cleaning...............................................................................................................3-21

Troubleshooting Tips for EtCO2 ..........................................................................3-22

4 Therapy

General Therapy Warnings and Cautions....................................................................4-2

Therapy Electrode and Standard Paddle Placement ...................................................4-3

Anterior-lateral Placement .....................................................................................4-3

Anterior-posterior Placement .................................................................................4-3

Special Placement Situations ................................................................................4-4

Automated External Defibrillation.................................................................................4-5

AED Warnings .......................................................................................................4-5

AED Setup .............................................................................................................4-5

AED Procedure......................................................................................................4-6

Special AED Setup Options.................................................................................4-10

Troubleshooting Tips for AED Mode....................................................................4-13

Switching from AED to Manual Mode ..................................................................4-14

Manual Defibrillation...................................................................................................4-14

Manual Defibrillation Warnings ............................................................................4-15

Impedance ...........................................................................................................4-15

Defibrillation Procedure .......................................................................................4-16

CPR Metronome ..................................................................................................4-17