PMS PROCEDURE (continued) NM2C
6.25A BELLOWS: PEDIATRIC EXTERNAL - if applicable
6.25A.1 Set the ventilator frequency to 10 BPM.
6.25A.2 Set the I:E Ration to 1:2.
6.25A.3 Adjust the tidal volume to 300 ml/min.
6.25A.4 Turn the ventilator ON.
6.25A.5 Adjust the Inspiratory Flow control on the ventilator to Medium.
6.25A.6 Adjust the fine flow control of the Ped Bellows attachment fully
clockwise.
6.25A.7 Set the O
2
to 3 l/min.
6.25A.8 Occlude the 15mm patient side of the Y-piece and fill the bellows by
pressing the O
2
Flush button.
6.25A.9 Observe the absorber breathing pressure gauge as the ventilator cycles.
6.25A.10 What is the pressure when the bellows completes its downward travel?
___cmH
2
O >30
6.25A.11 What is the pressure when the bellows completes its upward travel?
___cmH
2
O ≤3
6.25A.12 Attach a test lung to the patient circuit Y-piece.
6.25A.13 Fill the bellows by pressing the O
2
Flush button.
6.25A.14 Verify that with the Pediatric Bellows Fine Flow Control turned fully
counter-clockwise the bellows does not collapse during inspiration.
Readjust the knob to the fully clockwise position.
6.25A.15 Adjust the O
2
flow to 10 l/min.
( ) 6.25A.16 What is the PEEP? ___cmH
2
O(≤3)
6.25A.17 Adjust the O
2
flow to 500 ml/min.
( ) 6.25A.18 Does the ventilator deliver the full tidal volume during 5 consecutive
cycles? ___(Y)
6.25A.19 Set the ventilator frequency to 20 BPM, and the I:E ration to 1:1.
Rev. Q
6-50
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