GE CARESCAPE ONE - Page 177

Invasivepressures
ProblemSolution
Whyaredisplayedpressurevaluesdifferentthan
expected?
●Checkthepatient.Valuescouldbevalid,the
patientcouldbelyingonthetubing,orthetubing
couldbekinked.
●Checktubingforbubbles.
●Removeexcesstubing.
●Checkphlebostaticaxisplacementoftransducer.
●Rezeropressure.
●IfpatientisonIABP,verifythatthemonitor’sIABP
programisturnedon.Ifnecessary,turniton.
Whyarethearterial,non-invasive(oscillometric),
andauscultatedbloodpressurereadingsindicating
differentvalues?
Thethreemeasurementmethodsusedifferent
technologies.Auscultationandoscillometricare
bothindirectmethodsofmeasuringbloodpressure.
Inauscultation,changesinarterialsoundsduring
cuffdeationarerelatedtosystolicanddiastolic
pressure.Withoscillometricmeasurement,changes
inmeasuredpressureoscillationsduringcuff
deationarerelatedtosystolic,meananddiastolic
pressures.Changesinthevasculartoneofthe
arterialsystemcancausethesetwoindirectmethods
todifferfromoneanotherandfromdirectarterial
pressuremeasurements.
Invasivearterialbloodpressureisadirectmethod
ofmeasuringbloodpressure.Differencesbetween
directandindirectbloodpressuremeasurementsare
expected.Thesedifferencesoccurbecausedirect
methodsmeasurepressureandindirectmethods
measureow.Inaddition,differencesoccurbecause
themeasurementlocationisnotthesame(e.g.,
brachialarteryforNIBPvs.radialarteryforinvasive
arterialpressuremonitoring).
Whyisthemonitoralarmingarterialdisconnect?●Checkthepatientimmediatelyintheeventthe
catheterhasbeendislodged.
●Ifthearterialdisconnectalarmisturnedonand
themeanpressurefallsbelow10mmHg,the
monitoralarms.Whenzeroingapressureline,
startthezeroingprocesswithin8seconds.After
thattimethedisconnectalarmisactivated.
●Ifzeroing,closethestopcock.Oncethemonitor
detectsthereturnofwaveformandnumericdata,
thealarmwillreset.
Whyisthereaashinghearticondisplayednext
tothePRvalueinthecorrespondingparameter
window?
ArtX,FemX,orUACX(whereXrepresentsthechannel
number)hasbeenselectedastheBeatSourceinthe
ECGorSpO2menu.
●Noactionisrequired.
2094480-001CARESCAPEONE177
CARESCAPE ONE User Manual DRAFT 26 October 2017