Philips IntelliVue X2 - Using Resp Alarms; Changing the Apnea Alarm Delay; Resp Safety Information

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7ECG, Arrhythmia, ST and QT Monitoring Switching QT Monitoring On and Off

136

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Table of Contents3
Installation9
Installation Checklist9
Unpacking and Checking the Shipment10
Mounting the Monitor11
Mounting the External Power Supply (M8023A)11
Connecting the Monitor to AC Mains11
Checking out the Monitor13
Operating the Monitor14
Setting the Date and Time15
Checking Country-Specific Default Settings15
Handing over the Monitor16
Basic Operation17
Introducing the Intellivue X217
Controls, Indicators and Connectors19
Extending Measurements22
Operating and Navigating25
Operating Modes31
Understanding Screens32
Using the XDS Remote Display33
Using the Visitor Screen33
Understanding Profiles34
Understanding Settings36
Changing Measurement Settings36
Switching a Measurement on and off36
Adjusting a Measurement Wave36
Using Labels37
Changing Monitor Settings39
Checking Your Monitor Revision40
Getting Started40
Disconnecting from AC Mains Power42
Monitoring after a Power Failure42
Networked Monitoring42
Using the X2 with a Host Monitor (Companion Mode Indicated)43
Pairing When Connected to a Host Monitor (Companion Mode Indicated)43
Pairing Without a Direct Connection43
Unpairing the Host Monitor and the Paired Device44
Capturing Alarm Reports and Printing44
What's New45
What's New in Release G.047
What's New in Release F.048
Alarms49
Visual Alarm Indicators50
Audible Alarm Indicators51
Acknowledging Alarms52
Pausing or Switching off Alarms53
Alarm Limits55
Reviewing Alarms59
Latching Alarms60
Testing Alarms61
Alarm Behavior at On/Off61
Alarm Recordings61
Patient Alarms and Inops63
Patient Alarm Messages63
Technical Alarm Messages (Inops)69
Managing Patients93
Admitting a Patient93
Quick Admitting a Patient95
Editing Patient Information95
Discharging a Patient95
Transferring Patients96
ECG, Arrhythmia, ST and QT Monitoring101
Skin Preparation for Electrode Placement101
Connecting ECG Cables101
Selecting the Primary and Secondary ECG Leads102
Checking Paced Status102
Understanding the ECG Display103
Monitoring Paced Patients104
Changing the Size of the ECG Wave105
Changing the Volume of the QRS Tone106
Changing the ECG Filter Settings106
Selecting Positions of Va and Vb Chest Leads (for 6-Lead Placement)107
Choosing EASI or Standard Lead Placement107
About ECG Leads107
ECG Lead Fallback108
ECG Lead Placements108
Capture 12-Lead112
EASI ECG Lead Placement113
ECG and Arrhythmia Alarm Overview114
Using ECG Alarms115
ECG Safety Information116
About Arrhythmia Monitoring117
Switching Arrhythmia Analysis on and off118
Choosing an ECG Lead for Arrhythmia Monitoring118
Understanding the Arrhythmia Display119
Arrhythmia Relearning122
Arrhythmia Alarms123
About ST Monitoring129
Switching ST on and off129
Understanding the ST Display and Windows130
Updating ST Baseline Snippets131
About the ST Measurement Points132
ST Alarms134
Viewing ST Maps134
About Qt/Qtc Interval Monitoring139
QT Alarms142
Switching QT Monitoring on and off143
Monitoring Pulse Rate145
Entering the Setup Pulse Menu145
System Pulse Source145
Switching Pulse on and off146
Using Pulse Alarms146
Monitoring Respiration Rate (Resp)149
Lead Placement for Monitoring Resp149
Understanding the Resp Display150
Changing Resp Detection Modes150
Changing the Size of the Respiration Wave151
Changing the Speed of the Respiration Wave152
Using Resp Alarms152
Changing the Apnea Alarm Delay152
Resp Safety Information152
Monitoring Spo155
Spo 2 Sensors155
Applying the Sensor155
Connecting Spo 2 Cables156
Measuring Spo 2156
Spo 2 Signal Quality Indicator (Fast Spo 2 Only)157
Assessing a Suspicious Spo 2 Reading157
Changing the Averaging Time158
Setting the Measurement Mode158
Understanding Spo 2 Alarms158
Pleth Wave159
Perfusion Numeric160
Perfusion Change Indicator160
Setting Spo 2 /Pleth as Pulse Source160
Setting up Tone Modulation160
Setting the QRS Volume161
Monitoring NBP163
Introducing the Oscillometric NBP Measurement163
Preparing to Measure NBP164
Starting and Stopping Measurements166
Enabling Automatic Mode and Setting Repetition Time166
Enabling Sequence Mode and Setting up the Sequence166
Choosing the NBP Alarm Source166
Switching Pulse from NBP On/Off167
Assisting Venous Puncture167
Calibrating NBP168
Monitoring Temperature169
Making a Temp Measurement169
Calculating Temp Difference170
Monitoring Invasive Pressure171
Setting up the Pressure Measurement171
Zeroing the Pressure Transducer173
Adjusting the Calibration Factor174
Displaying a Mean Pressure Value Only174
Changing the Pressure Wave Scale174
Optimizing the Waveform175
Non-Physiological Artifact Suppression175
Choosing the Pressure Alarm Source175
Calibrating Reusable Transducer CPJ840J6177
Calculating Cerebral Perfusion178
Monitoring Carbon Dioxide179
Measuring CO 2 Using the CO 2 Option or M3014A181
Measuring Mainstream CO 2 Using M3016A183
Measuring Microstream CO185
Using M3015A185
Setting up All CO 2 Measurements186
Assigning Two Devices to One Patient189
How Can You Combine Devices189
Functions Available When the Telemetry Data Window Is Displayed193
Functions Available for Devices Connected Via SRR194
General Telemetry-Related Functions195
Use Models with Telemetry196
Enhancing Telemetry Monitoring with the Monitor197
Trends199
Viewing Trends199
Setting up Trends201
Documenting Trends204
Trends Databases204
Screen Trends205
Recording211
Starting and Stopping Recordings211
Overview of Recording Types212
Creating and Changing Recordings Templates212
Recorder Status Messages213
Printing Patient Reports215
Starting Report Printouts215
Stopping Reports Printouts216
Setting up Reports216
Setting up Individual Print Jobs218
Checking Printer Settings218
Printing a Test Report218
Switching Printers on or off for Reports218
Dashed Lines on Reports219
Unavailable Printer: Re-Routing Reports219
Checking Report Status and Printing Manually219
Printer Status Messages220
Sample Report Printouts221
Care and Cleaning225
General Points225
Cleaning the Monitor226
Disinfecting the Monitor226
Sterilizing the Monitor226
Cleaning, Sterilizing and Disinfecting Monitoring Accessories227
Cleaning Batteries and the Battery Compartment227
Using Batteries229
Battery Power Indicators230
Checking Battery Charge232
Replacing a Battery233
Optimizing Battery Performance233
Battery Safety Information235
Maintenance and Troubleshooting237
Inspecting the Equipment and Accessories237
Inspecting the Cables and Cords237
Maintenance Task and Test Schedule238
Troubleshooting239
Disposing of the Monitor239
Disposing of Empty Calibration Gas Cylinders239
Accessories241
Ecg/Resp Accessories241
NBP Accessories245
Invasive Pressure Accessories246
Spo 2 Accessories247
Temperature Accessories251
Mainstream CO 2 Accessories251
Sidestream CO 2 Accessories252
Mainstream CO 2 Accessories (for M3016A)252
Microstream CO 2 Accessories252
Battery Accessories253
Specifications255
Intended Use255
Manufacturer's Information255
Symbols256
Installation Safety Information257
Altitude Setting258
Monitor Safety Specifications258
EMC and Radio Regulatory Compliance258
Out-Of-Hospital Transport - Standards Compliance259
Monitor Performance Specifications262
M4607A Battery Specifications265
Measurement Specifications266
Safety and Performance Tests278
Default Settings Appendix283
Country-Specific Default Settings283
Alarm and Measurement Default Settings289
Alarm Default Settings289
ECG, Arrhythmia, ST and QT Default Settings290
Pulse Default Settings293
Respiration Default Settings293
Spo 2 Default Settings294
NBP Default Settings295
Temperature Default Settings295
Invasive Pressure Default Settings295
Cardiac Output Default Settings298
CO 2 Default Settings298

Philips IntelliVue X2 - Using Resp Alarms; Changing the Apnea Alarm Delay; Resp Safety Information

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