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Dinamap Pro Series Operation Manual - Ardus Medical, Inc.

Dinamap Pro Series Operation Manual - Ardus Medical, Inc.

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to produce a peripheral pulse or the patient may have<br />

poor peripheral perfusion. Also, if a patient’s beat-tobeat<br />

pulse amplitude varies significantly (e.g., because<br />

of pulsus alternans, atrial fibrillation, or the use of a<br />

rapid-cycling artificial ventilator), blood pressure and<br />

pulse rate readings can be erratic, and an alternate<br />

measuring method should be used for confirmation.<br />

General Notes<br />

• A patient’s vital signs may vary dramatically during the<br />

use of cardiovascular agents such as those that raise or<br />

lower blood pressure or those that increase or decrease<br />

heart rate.<br />

9 Because treatment protocols based on the patient’s<br />

blood pressure may rely on specific values and differing<br />

measurement methods, such as auscultatory, clinicians<br />

should note a possible variance from values obtained<br />

with the PRO Monitor in planning patient care<br />

management. The PRO Monitor values are based on<br />

the oscillometric method of noninvasive blood pressure<br />

measurement and correspond to comparisons with<br />

inn-a-aortic values within ANSI /AAMI Standards for<br />

accuracy (a mean difference of + 5 mmHg, and a<br />

standard deviation of + 8 mmHg).<br />

. Several conditions may cause the BP parameter to<br />

calculate and display only the mean arterial pressure<br />

(MAP) without a systolic and diastolic reading. These<br />

conditions include very low systolic and amplitude<br />

fluctuations, so an accurate calculation for these values<br />

can’t be made (e.g., patient in shock); too small of a<br />

difference between systolic and MAP calculations in<br />

relationship to the difference between diastolic and<br />

MAP; or a leak has occurred in the PRO Monitor<br />

(1. Check all BP connections 2. Monitor may need<br />

calibration and leak testing). If only the MAP value is<br />

displayed, the systolic and diastolic will display dashes<br />

(-) and an alarm message “N99-BP FAILED” will be<br />

displayed.<br />

26

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