Connecting The Cuff Tubing To The Abpm 7100; Positioning The Patient For Measurement; Measurement Process; Safety Instructions - Welch Allyn ABPM 7100 Instrucciones De Uso

17 - Preparing the ABPM 7100
Caution
Risk of injury caused by incorrect application of the device.
• The doctor must ensure that, due to the patient's medical condition, the use of the device and the
cuff does not result in impaired blood circulation.
If the patient has limited cognitive abilities, the device may only be used under supervision.
•
• When used on children, the device must only be applied with special care and under permanent
supervision.
While it is still attached to a patient, the device may never be connected to a PC or other device.
•
• Instruct the patient to place the device in such a way that, while the cuff is inflated, the tubing is not
compressed or kinked, especially during sleep.
Petechiae, haemorrhages or subcutaneous haematoma may occur in some patients.
•
Instruct the patient to turn off the device, remove the cuff, and notify the doctor if they are
•
experiencing pain, swelling, redness or numbness in the limb where the cuff is placed. (It is expected
that the patient may experience some mild to moderate discomfort during a blood pressure
measurement.)
Applying the ABP Monitor and cuff:
1. Position the carrying pouch on the right side of the patient. By varying the length of the pouch strap, it
can be worn around the hips or around the shoulders.
2. Alternatively a normal belt matching the clothes can be used.
3. Fit the cuff onto the patient.
The correct cuff seating is very important for correct blood pressure measurement.
4. Align the cuff so that no part of the cuff tubing is kinked. In this regard, the tube connection on the cuff
must face upwards.
5. Align the cuff so that the lower edge of the cuff is approximately 2 cm above the inside of the patient's
elbow.
6. Tighten the cuff around the upper arm until one finger can be introduced under the cuff.
7. It is imperative that the artery symbol is positioned on the brachial artery. If you have aligned the cuff
correctly, the metal bar will lie on the outside of the upper arm (on the elbow side), whereby the cuff
sleeve must cover the skin under the metal bar.
8. Guide the tubing through the shirt's row of buttons and out of the clothing, behind the nape of the neck
to the ABPM 7100 on the right side of the body.
9. The cuff can be worn on the naked upper arm or over a thin shirt sleeve.
10. The placement of the pressure tube must guarantee the upper arm's free motion.

Connecting the cuff tubing to the ABPM 7100

1. Push the tube firmly onto the connection, with the cuff tubing engaging with an audible "CLICK" (to
detach, simply pull back the knurled ring).
2. Before measurement, check to ensure that tubing, ABPM 7100 and cuff are positioned correctly. The
ABPM 7100 is ready for measurement only once this is ensured.

Positioning the patient for measurement

The patient should take the following position during blood pressure measurement:
Comfortably seated
•
• Legs uncrossed
• Feet flat on the ground
• With support to the back and the arms
With the cuff center at one level with the right atrium
•
Note During measurement, the patient should be as relaxed as possible and may not speak
•
unless he wants to report any discomfort!
• Allow for 5 minutes of relaxation before recording the first measurement value.
Blood pressure measurements can be influenced by the patient's position (standing,
•
sitting, lying), by exertion or the patient's physiological state. Exclude these influencing
factors to the greatest possible degree!

Measurement process

Safety instructions

Warning
Risk of strangulation posed by the shoulder strap and cuff tubing.
• If the patient has limited cognitive abilities, the device may only be used under supervision.
• Do not place the shoulder strap and cuff tubing around the patient's neck.
Always place the cuff tubing under the outer clothing (even at night).
•
When used on children, the device must only be applied with special care and under permanent
•
supervision.
Instruct the patient to turn off the device, remove the cuff, and notify the doctor if they are
•
experiencing pain, swelling, redness or numbness in the limb where the cuff is placed. (It is expected
that the patient may experience some mild to moderate discomfort during a blood pressure
measurement.)
Measurement can be interrupted at any stage by pushing any of the buttons. This automatically
•
deflates the cuff and the device can be removed.
Warning
Poor circulation caused by continuous cuff pressure.
• Do not kink the connecting tubing.
• If the patient has limited cognitive abilities, the device may only be used under supervision.
• Ensure the correct placement of the shoulder strap and cuff tubing.
Always place the cuff tubing under the outer clothing (even at night).
•
When used on children, the device must only be applied with special care and under permanent
•
supervision.
Instruct the patient to turn off the device, remove the cuff, and notify the doctor if they are
•
experiencing pain, swelling, redness or numbness in the limb where the cuff is placed. (It is expected
that the patient may experience some mild to moderate discomfort during a blood pressure
measurement.)
Warning
Poor circulation due to overly frequent measurements.
• Check the date of the last measurement.
• Inform the patient about this warning.
• If the patient has limited cognitive abilities, the device may only be used under supervision.
Observe the patient closely.
•
Instruct the patient to turn off the device, remove the cuff, and notify the doctor if they are
•
experiencing pain, swelling, redness or numbness in the limb where the cuff is placed. (It is expected
that the patient may experience some mild to moderate discomfort during a blood pressure
measurement.)
Measurement process - 18
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