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

By Editor: Suzanne M. Burns

AACN Protocols for perform: Noninvasive tracking delineates the facts for utilizing units for noninvasive sufferer tracking of blood strain, middle rhythms, pulse oximetry, end-tidal carbon dioxide, and breathing waveforms. those protocols advisor clinicians within the applicable collection of sufferers to be used of the machine, program of the gadget, preliminary and ongoing tracking, machine elimination, and chosen elements of quality controls.

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6. Monitoring of spontaneous respiratory effort when muscle relaxants are being used. Recommended selected uses of the waveforms are found with each application below. Level of Recommendation Supporting References 37 Comments Pressure-time waveform monitoring can be done using any ventilator (separate from the graphic packages available on current ventilators). With this system the pressure-time waveform is displayed on the bedside monitoring system using standard hemodynamic/arterial line monitoring equipment, which is adapted to the bedside monitoring system and the patient’s ventilator circuit (described in the application section).

Health Devices. 1993;22:301. 11. Drew BJ. Using cardiac leads the right way. Nursing. May 1992:50–54 12. Adams-Hamoda MG, Caldwell MA, Stotts NA, Drew BJ. Factors to consider when analyzing 12-lead electrocardiograms for evidence of acute myocardial ischemia. Am J Crit Care. 2003;12:9–16. qxd 8/22/05 10:18 AM Page 31 Respiratory Waveforms Monitoring Suzanne M. qxd 8/22/05 10:18 AM Page 33 2 CHAPTER TWO Respiratory Waveforms Monitoring CASE STUDY Ms West, a 63-year-old woman, was admitted to the medical intensive care unit (MICU) after 1 week of intermittent fever, nausea with emesis, and a productive cough associated with increased dyspnea.

During follow-up, 18 patients were monitored in the cardiac care unit with a bedside monitor capable of measuring ST-segment deviation in 3 leads (1 precordial and 2 limb leads). Lead V1 was used as the precordial lead; the limb leads were the 2 that showed greatest ST deviation during the ischemic episode. Key Results Ischemia of the right coronary artery was detected in all cases by using a single lead: lead III or lead aVF. Ischemia of the left anterior descending artery was best detected with precordial leads V2, V3, and V4.

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