AACN Protocols for Practice: Noninvasive Monitoring, Second by Editor: Suzanne M. Burns

By Editor: Suzanne M. Burns

AACN Protocols for perform: Noninvasive tracking delineates the proof for utilizing units for noninvasive sufferer tracking of blood strain, middle rhythms, pulse oximetry, end-tidal carbon dioxide, and breathing waveforms. those protocols consultant clinicians within the applicable collection of sufferers to be used of the equipment, program of the equipment, preliminary and ongoing tracking, equipment removing, and chosen elements of qc.

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Extra info for AACN Protocols for Practice: Noninvasive Monitoring, Second Edition

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Drew BJ, Tisdale LA. qxd 8/22/05 10:15 AM Page 27 Bedside Cardiac Monitoring angioplasty: identification of optimal bedside monitoring leads. Am J Crit Care. 1993;2:280–292. Study Subjects Adult cardiac patients (n = 27) who had acute myocardial infarction (2) or had PTCA (25). Comparison Studied The purpose of the study was to determine which of the limb leads provides the greatest sensitivity for detecting myocardial ischemia. 27 ST-segment monitoring in the follow-up period had ischemia, so there was no direct evidence of the bedside monitor’s ability to detect ischemia in these patients.

A to B represents inspiratory time and expiratory time is seen from B to C. The highest expiratory flow rate (peak expiratory flow) is represented by E. This flow waveform is from a volume breath and is referred to as a square flow waveform. qxd 38 8/22/05 10:18 AM Page 38 Chapter 2 / Respiratory Waveforms Monitoring Period of Use Selection of patients (continued) Recommendation Understanding essential concepts related to volume and pressure modes is required for accurate interpretation. With volume modes of ventilation, volume is stable but airway pressure is dependent on changes in lung compliance and/or airways resistance.

Use leads recommended for detection of ischemia in the artery involved in the patient’s clinical situation. 3. Proper documentation of significant changes in rhythm Placing a rhythm strip in the chart for each significant change in rhythm is essential. Documenting many rhythm changes, especially tachycardias (narrow or wide QRS) with a full 12-lead ECG is helpful in determining the mechanism of the arrhythmia. Indicating the monitoring lead on each rhythm strip is essential in analyzing many arrhythmias, especially wide QRS rhythms.

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