V Series Operating Instructions 14 - 5
Non-Invasive Blood Pressure (NIBP) Measuring NIBP
14.3 Measuring NIBP
WARNING: Do not use the NIBP cuff on the arm on the side of a mastectomy, as the
pressure increases the risk of lymphedema. For patients with a bilateral
mastectomy, use clinical judgement to decide whether the benefit of
the measurement outweighs the risk.
WARNING: Continuous non-invasive blood pressure measurements may cause
purpura, ischemia and neuropathy in the limb with the cuff. Inspect the
application site regularly to ensure skin quality and inspect the
extremity of the cuffed limb for normal color, warmth and sensitivity. If
any abnormality occurs, move the cuff to another site or stop the blood
pressure measurements immediately.
CAUTION: Do not measure NIBP on patients with sickle-cell disease or on the limb
where skin damage has occurred or is expected.
CAUTION: To monitor and trend NIBP measurements, the NIBP tile or NIBP list tile
must be configured to display. No NIBP monitoring occurs unless one of
these tiles are configured to display.
NOTE: Try to measure infants when they are calm. A kicking or crying baby
may disturb or jiggle the cuff, causing noise within the system and
resulting in unstable blood pressure readings. If necessary, hold the
cuffed limb steady, without impeding circulation. Do not hold onto the
cuff and do not pat the cuffed limb to comfort the child.
NOTE: NIBP cannot be taken under all conditions. Even manual methods,
employing a sphygmomanometer and stethoscope, will not work on
unstable or active patients.
14.3.1 Measurement Types
14.3.2 NIBP Cuff Checklist
• On infants, try the calf. Irritable newborns will react to the cuff pressure but may tolerate the
calf better than the arm. Place the cuff just above the ankle.
• On infants, place the cuff lightly. If the cuff is too snug, it will not work properly. On infants, you
should be able to easily move the cuff over the limb.
• To reduce errors, adjust the cuff so that little or no air is present within the cuff.
• Ensure that the cuff lies directly against the patient’s skin. No clothing should come between
the patient and the cuff.
MEASUREMENT TYPE DESCRIPTION
Interval Takes NIBP measurements based on a specified time period (for example,
every 10 minutes, 20 minutes, etc.).
Clock Synchronizes the NIBP measurement interval with the real time clock. For
example, if the Interval button is configured to 10 min, and you start the
NIBP measurement at 1:05 pm, the following measurements will be taken at
1:10 pm, 1: 20 pm, 1: 30 pm, and so on.
NIBP Stat Allows continuous measurements for a maximum of five (5) minutes or 10
measurements. In the Stat mode, measurements are taken every two (2)
seconds).
Manual Allows for an instant NIBP measurement without configuring an interval or
clock setting.
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