cardiac monitor and pulse oximeter

8/11/2019 Cardiac Monitor and Pulse Oximeter

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CARDIAC MONITOR


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CARDIAC MONITOR

A device that shows the electrical andpressure waveforms of the cardiovascular

system for measurement and treatment.

Parameters specific to respiratoryfunction can also be measured.


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PURPOSE

Cardiac ECG tracing

Cardiovascular pressures and cardiac

outputOxygen Saturation

Other vital signs

Continuous cardiovascular and pulmonarymonitoring allows for prompt identification andinitiation of treatment.


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EQUIPMENT

cardiac monitormonitor cable leadwires

electrodesdry washcloth orgauze pad

alcohol spongesBlood pressure cuffPulse oximeter


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LEAD

PLACEMENT


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PRECAUTION!

Pacemakers


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PREP R TION

Plug in the monitor, turn on power, andconnect the cable if not already attached.

Connect the lead wires to the properposition and ensure that color-coded wiresmatch the color-coded cable.

Open the electrode package, and attach an

electrode to each lead wire.Expose the chest and the sites selected for

electrode placement.


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PREP R TION

Using the rough patch on the electrode, adry washcloth, or gauze pad, each siteshould be rubbed briskly until it reddens.

Patients who are extremely hairy mayneed to be shaved prior to application ofthe electrodes. An alcohol pad is used toclean the sites in patients with oily skin.


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PREP R TION

Apply one electrode to each site, pressone side of the electrode against the skin,and pull gently. Then, the opposite side

of the electrode should be pressed againstthe skin.

Press two fingers on the electrode in a

circular pattern to affix the gel andstabilize the electrode, then repeat foreach electrode.


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AFTERCARE

Observe the monitor and evaluate the quality ofthe tracing and adjustments as needed.

Take an apical pulse and comparing the pulse to

the digital display. The upper and lower alarm limits should be set

according to institutional policy. Activate thealarm.

A rhythm strip should be recorded for the medicalrecord, and labeled with patient name, roomnumber, date, time, and interpretation of thestrip.


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COMPLICATIONS

There is a potential for skin breakdown atthe electrode placement site. The patientmay be allergic to the adhesive used, or

the electrode may have been left on theskin too long. The electrodes should beremoved and new electrodes applied,using hypoallergenic electrodes ifnecessary.


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RESULTS

NORMALRegular rate and rhythmNo deviations in the QRST complex

ABNORMALAlarm

BradycardiaTachycardiaDeviations in the QRST complex

cardiac monitor and pulse oximeter

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