Administration Medicine Economics

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 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 acceptable collection of sufferers to be used of the machine, program of the gadget, preliminary and ongoing tracking, machine elimination, and chosen points of qc.

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

Example text

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. With pressure modes, pressure is stable and the volume varies.

Nected properly, electrodes are in the proper locations, and the appropriate leads are selected for the patient. The monitoring lead on each rhythm strip should be indicated. 14. Drew BJ, Adams MG, Pelter MM, Wung SF. ST-segment monitoring with a derived 12-lead electrocardiogram is superior to routine CCU monitoring. Am J Crit Care. 1996;5:198–206. Study Sample Patients treated for angina or myocardial infarction in a cardiac care unit (n = 250). Comparison Studied The study compared the value of continuous, derived 12lead ST-segment monitoring vs routine cardiac monitoring with leads V1 and II.

Study Strengths and Weaknesses This study reconfirmed previously published criteria for differentiating wide QRS complexes with the morphology of both right and left bundle-branch blocks. This study validated the use of leads MCL1 and MCL6 as substitutes for leads V1 and V6 for bedside monitoring. The study proposes the use of the new criterion with lead V6 or lead MCL6 as an additional aid in differentiating wide QRS complexes. The sample size of 81 beats was fairly small. A larger sample size would be helpful, especially with wide QRS beats that differ between leads V1 and MCL1.

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