E) During Treatment; F) After Treatment - CefarCompex Physio 5 Guia Practica

ATTENTION: Avoid placing the active electrode over scarred areas. Unless the
Iontophoresis treatment is intended to soften a scar or improve a keloid, avoid placing the
active electrode on an area of skin with scarring.
ATTENTION: Do not place electrodes over skin wounds, however slight. Apart from special
forms of Iontophoresis treatment, such as antibiotic therapy for instance, only place the
electrodes over healthy, intact skin with no lesions, however slight.
2. When attaching the electrodes it is important to make sure that their entire surface
area is applied to the skin. Just applying a strap passing through the centre of the
electrode and leaving the outer edges unattached is inadmissible. Use the widest
possible strap, use several straps or several turns of the same strap or even use
adhesive tape to fix the sides of the electrodes properly.
ATTENTION: Make sure there is never any contact between a metal component and the
skin. If the connector of an electrode comes into contact with the skin, the current will
flow preferentially through that point of low impedance. As this contact has a very small
surface area, the density of the electricity will be very high, resulting in an electric burn.
3. If possible, place the inactive electrode at right angles to the active electrode. There
has been no study on how the positioning of the two electrodes in relation to
each other influences the efficacy of Iontophoresis treatment. However, the depth of
penetration should logically be greater if the direction of the electric field is
perpendicular to the surface of the skin rather than oblique or longitudinal.
E. During treatment
ATTENTION: Do not move or remove the electrodes without stopping the treatment
first. Physio 5 is programmed so that the current increases gradually at the start of
the treatment and decreases gradually at the end or when the treatment is stopped.
This means that there can be no excitation phenomenon and the patient will never be
surprised by a shock or a painful electrical discharge. If, by contrast, the electrodes are
disconnected the sudden break in the circuit may give rise to an excitation phenomenon.
1. Ask the patient to move as little as possible during the treatment and not to remove
the electrodes. For the same reasons as in the previous point.
2. Warn the patient that a pricking sensation from the electrodes is normal and harmless.
This is a normal effect of the galvanic current which has nothing to do with burning.
3. If there is an electrode fault during treatment. The Physio 5 measures the impedance
of the circuit and, when this is too high, the equipment stops and indicates
"ELECTRODE FAULT" as well as the number of the channel on which there is a
problem. There are a number of possible reasons for this safety and efficacy check
system coming into operation:
• electrode disconnected
• channel reversal
• defective electrode
F. After treatment
1. Thoroughly clean the skin over the treated area using tap water. During Iontophoresis
treatment, acids and bases form on the electrodes and hence come into contact with
the skin. If the concentration of these substances is too high and they stay on the skin
for too long, chemical burns may result. It is advisable to clean the patient's skin im
mediately after the treatment to remove these chemical substances.
2. Clean the electrodes thoroughly with tap water, then rinse with distilled water before
leaving them to dry.
• poor connection
• defective cable
• solution not conducting
(non-ionizable medicine
or concentration too low)
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