By Editor: Suzanne M. Burns

AACN Protocols for perform: Noninvasive tracking delineates the facts for utilizing units for noninvasive sufferer tracking of blood strain, center rhythms, pulse oximetry, end-tidal carbon dioxide, and respiration waveforms. those protocols advisor clinicians within the acceptable collection of sufferers to be used of the gadget, program of the gadget, preliminary and ongoing tracking, equipment elimination, and chosen facets of qc.

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

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Though the actual configurations of the waveforms vary slightly between ventilators, an understanding of the concepts related to these graphic respiratory representations is helpful and can be applied regardless of the ventilator system. To that end, the protocol describes various pressure, volume, and flow waveforms and potential applications. Respiratory waveforms may be used to visually observe various interactions between a patient’s spontaneous effort and ventilator mode settings. Thus, patient-ventilator dyssynchrony is quickly detected.

Significant change in the ST segment was defined as 1 mm or more elevation or depression 60 milliseconds after the J point relative to the TP segment. In 50 patients who had ST elevation during PTCA, the lead that showed maximum ST elevation during PTCA was used to monitor the patients for a mean of 20 hours after PTCA. Study Strengths and Weaknesses Key Results The sample size was small, and not all patients had bedside ST-segment monitoring. qxd 28 8/22/05 10:15 AM Page 28 Chapter 1 / Bedside Cardiac Monitoring for the circumflex artery, and lead III or lead aVF for the right coronary artery.

Qxd 20 8/22/05 10:15 AM Page 20 Chapter 1 / Bedside Cardiac Monitoring Period of Use Quality Control Issues Recommendation Rationale for Recommendation Four areas of quality control and competency verification apply to ECG monitoring: 1. Proper electrode positioning for obtaining specific leads Accurate recording of cardiac electrical activity depends on proper skin preparation and proper placement of the electrodes that are doing the recording. Even minor errors in position (especially in V1) can alter the recording and invalidate many of the ECG clues used to identify arrhythmias, especially wide QRS rhythms.

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