Справочник Пользователя для Innokas Yhtyma Oy VC150

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9-8
VC150 Vital Signs Monitor
KO00065K
Nellcor SpO
2
Description
If patient activity presents a problem, try one or more of the following remedies 
to correct the problem.
Verify the sensor is properly and securely applied.
Move the sensor to a less active site.
Use an adhesive sensor that improves patient skin contact.
Use a new sensor with fresh adhesive backing.
Keep the patient quiet and still, if possible.
Patient Conditions
Application issues and certain patient conditions can affect the measurements 
of the monitoring system and cause the loss of the pulse signal.
Anemia — Anemia causes decreased arterial oxygen content. 
Although SpO
2
 readings may appear normal, an anemic patient 
may be hypoxic. Correcting anemia can improve arterial oxygen 
content. The pulse oximeter may fail to provide an SpO
2
 reading if 
hemoglobin levels fall below 5 gm/dl.
Dysfunctional hemoglobins — Dysfunctional hemoglobins such as 
carboxyhemoglobin, methemoglobin, and sulphemoglobin are 
unable to carry oxygen. SpO
2
 readings may appear normal; 
however, a patient may be hypoxic because less hemoglobin is 
available to carry oxygen. Further assessment beyond pulse 
oximetry is recommended.
Additional possible patient conditions may also influence 
measurements.
– Poor peripheral perfusion
– Excessive patient activity
– Venous pulsations
– Dark skin pigment
– Intravascular dyes, such as indocyanine green or methylene blue
– Externally applied coloring agents (nail polish, dye, pigmented 
cream)
– Defibrillation
– Excessive patient talking
– Respiration rate outside the range of 4 to 40 breaths per minute
– Significantly irregular cardiac rhythms (three or more events of 
irregularity observed within 30 seconds)