飞利浦监护仪简易使用手册.ppt
- 文档编号:30856342
- 上传时间:2024-03-23
- 格式:PPT
- 页数:118
- 大小:8.88MB
飞利浦监护仪简易使用手册.ppt
《飞利浦监护仪简易使用手册.ppt》由会员分享,可在线阅读,更多相关《飞利浦监护仪简易使用手册.ppt(118页珍藏版)》请在冰豆网上搜索。
GuanWeiPCCI2012-12-13飞利浦监护仪简易使用手册飞利浦监护仪简易使用手册ConfidentialPCCI,GuanWei,2012-12-1323/23/2024ConfidentialPCCI,GuanWei,2012-12-133IntelliVuePatientMonitorFamilyMP20/30MP40/50MP60/70X2X2X2MP80/90FMSConfidentialPCCI,GuanWei,2012-12-13更多内容请详读随机配发的使用手册4ConfidentialPCCI,GuanWei,2012-12-13一般介绍一般介绍5ConfidentialPCCI,GuanWei,2012-12-13主屏幕信息联网状态床位号病人姓名病人种类是否起搏日期时间监护设置改变屏幕报警/信息波形显示数字显示数字显示灵巧键自由填空6ConfidentialPCCI,GuanWei,2012-12-13状态条测量选择状态信息有未工作的参数标名冲突状态正常7ConfidentialPCCI,GuanWei,2012-12-13报警状态区域三星红色重度报警一星蓝色轻度报警二星黄色中度报警8ConfidentialPCCI,GuanWei,2012-12-13屏幕上的按键永久键静音报警暂停主设定主屏幕9ConfidentialPCCI,GuanWei,2012-12-13屏幕上的按键灵巧键10ConfidentialPCCI,GuanWei,2012-12-13屏幕上的按键跳出键11ConfidentialPCCI,GuanWei,2012-12-13操作方式旋钮主屏幕静音总报警开关菜单逐级返回操纵杆/旋钮触屏12ConfidentialPCCI,GuanWei,2012-12-13填满空白处13ConfidentialPCCI,GuanWei,2012-12-13快捷键-测量选择14ConfidentialPCCI,GuanWei,2012-12-13病人类别选择15ConfidentialPCCI,GuanWei,2012-12-13病人是否佩戴起搏器选择16ConfidentialPCCI,GuanWei,2012-12-13监护仪主设定菜单17ConfidentialPCCI,GuanWei,2012-12-13待机19ConfidentialPCCI,GuanWei,2012-12-13ECG心电20ConfidentialPCCI,GuanWei,2012-12-13ECG菜单21ConfidentialPCCI,GuanWei,2012-12-13导联放置1234SSAAIIEE22ConfidentialPCCI,GuanWei,2012-12-13调整报警上下限23ConfidentialPCCI,GuanWei,2012-12-13关闭ECG报警24ConfidentialPCCI,GuanWei,2012-12-13心律失常报警链25ConfidentialPCCI,GuanWei,2012-12-13心律失常分析内容Asystole停搏VentricularFibrillation/Tachycardia室颤/室速ExtremeBradycardia极端心动过缓ExtremeTachycardia极端心动过速Highheartrate心率快Lowheartrate心率慢VentricularTachycardia室性心动过速PacerNotCapture起搏器未捕获PacerNotPacing起搏器未起搏PVCs/minHIGHPVClimit/min频发室早Afib房颤SupraventricularTach室上性心动过速MissedBeat漏搏Pause暂停IrregularHR心律不齐VENRICULARRHYTHM室性节律RUNPVCsHigh多个连发室早PairPVCs成对室早R-on-TPVCsR-on-TVentricularbigeminy室性二联律Ventriculartrigeminy室性三联律Non-sustainVT阵发室速MultiformPVCs多源室早26ConfidentialPCCI,GuanWei,2012-12-13心律失常心搏标名27ConfidentialPCCI,GuanWei,2012-12-13ECG菜单ST分析窗口28ConfidentialPCCI,GuanWei,2012-12-13ECG菜单ST报警范围调整29ConfidentialPCCI,GuanWei,2012-12-13ST测量点的确定30ConfidentialPCCI,GuanWei,2012-12-13ECG菜单ST环31ConfidentialPCCI,GuanWei,2012-12-13调整观察ST环的间隔时间32ConfidentialPCCI,GuanWei,2012-12-13如何选择优质信号导联33ConfidentialPCCI,GuanWei,2012-12-13可以监测的导联34ConfidentialPCCI,GuanWei,2012-12-13RESP呼吸35ConfidentialPCCI,GuanWei,2012-12-13呼吸菜单36ConfidentialPCCI,GuanWei,2012-12-13调整报警上下限37ConfidentialPCCI,GuanWei,2012-12-13呼吸检测模式38ConfidentialPCCI,GuanWei,2012-12-13NIBP无创血压39ConfidentialPCCI,GuanWei,2012-12-13测量原理40ConfidentialPCCI,GuanWei,2012-12-13注意事项41ConfidentialPCCI,GuanWei,2012-12-13测量限制42ConfidentialPCCI,GuanWei,2012-12-13测量模式43ConfidentialPCCI,GuanWei,2012-12-13测量的修正44ConfidentialPCCI,GuanWei,2012-12-13NBP菜单45ConfidentialPCCI,GuanWei,2012-12-13NBP报警源调整46ConfidentialPCCI,GuanWei,2012-12-13调整报警上下限47ConfidentialPCCI,GuanWei,2012-12-13NBP测压模式48ConfidentialPCCI,GuanWei,2012-12-13自动测压重复时间49ConfidentialPCCI,GuanWei,2012-12-13SpO2血氧饱和度50ConfidentialPCCI,GuanWei,2012-12-13SpO2菜单51ConfidentialPCCI,GuanWei,2012-12-13SpO2报警调整52ConfidentialPCCI,GuanWei,2012-12-13TEMP体温53ConfidentialPCCI,GuanWei,2012-12-13TEMP菜单54ConfidentialPCCI,GuanWei,2012-12-13更改标名55ConfidentialPCCI,GuanWei,2012-12-13调整报警56ConfidentialPCCI,GuanWei,2012-12-13IBP有创血压57ConfidentialPCCI,GuanWei,2012-12-13IBP菜单数字窗口58ConfidentialPCCI,GuanWei,2012-12-13IBP菜单脉搏设定59ConfidentialPCCI,GuanWei,2012-12-13IBP菜单波形窗口60ConfidentialPCCI,GuanWei,2012-12-13冻结波形61ConfidentialPCCI,GuanWei,2012-12-13IBP菜单按冻结波形调整光标观察压力62ConfidentialPCCI,GuanWei,2012-12-13ABParterialbloodpressure动脉血压ARTarterialbloodpressurealternative动脉血压(另一种表示方法)AOaorticpressure主动脉压CVPcentralvenouspressure中心静脉压ICPintracranialpressure颅内压LAPleftatrialpressure左房压RAPrightatrialpressure右房压Pnon-specificpressurelabel非特异的压力标名PAPpulmonaryarterypressure肺动脉UAPumbilicalarterialpressure脐动脉压UVPumbilicalvenouspressure脐静脉压有创血压标名63ConfidentialPCCI,GuanWei,2012-12-13归零64ConfidentialPCCI,GuanWei,2012-12-13IBP常见故障与排除65ConfidentialPCCI,GuanWei,2012-12-13二氧化碳监护主路Mainstream插管病人,传感器的重量,不适合新生儿和婴幼儿旁路sidestream非插管病人,最小取样容积100-150CC,不适合新生儿微流MicrostreamTM非插管病人,取样容积50CC,适合新生儿ConfidentialPCCI,GuanWei,2012-12-13主路CO2监测优势传感器在气道上,滞后时间短对潮气量没有严格要求ConfidentialPCCI,GuanWei,2012-12-13主路CO2M3014AA01ExtensionA02ExtensionwithMainstreamSensorConfidentialPCCI,GuanWei,2012-12-13旁路CO2A03ExtensionwithSidestreamSensorSuppliesM2741ASidestreamCO2SensorandAccessoriesConfidentialPCCI,GuanWei,2012-12-13旁路CO2监测优势没有传感器干扰患者气道一次性采样管可用于插管、非插管患者缺点需要经常校准需要150-250ml/min气体用于精确采样,影响潮气量延迟的反应时间:
没有实时图形分泌物阻塞采样管ConfidentialPCCI,GuanWei,2012-12-13MicrostreamCO2灵活多样-插管和非插管患者口和鼻呼吸输送氧气(低流量O2解决方案;解决高流量O2传输)成人、儿童和婴幼儿ConfidentialPCCI,GuanWei,2012-12-13测量原理72ConfidentialPCCI,GuanWei,2012-12-13管路连接方法-主路73ConfidentialPCCI,GuanWei,2012-12-13管路连接方法-主路74ConfidentialPCCI,GuanWei,2012-12-13主路管路连接的注意事项75ConfidentialPCCI,GuanWei,2012-12-13管路连接方法-旁路76ConfidentialPCCI,GuanWei,2012-12-13管路连接方法-旁路-插管病人77ConfidentialPCCI,GuanWei,2012-12-13管路连接方法-旁路-非插管病人78ConfidentialPCCI,GuanWei,2012-12-13旁路管路连接的注意事项79ConfidentialPCCI,GuanWei,2012-12-13CO2菜单80ConfidentialPCCI,GuanWei,2012-12-13报警调整81ConfidentialPCCI,GuanWei,2012-12-13刻度调整82ConfidentialPCCI,GuanWei,2012-12-13笑气开关83ConfidentialPCCI,GuanWei,2012-12-13氧气校正84ConfidentialPCCI,GuanWei,2012-12-13麻醉气体校正85ConfidentialPCCI,GuanWei,2012-12-13注意事项86ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块麻醉气体模块开关M1658AGasSampleTubing气体采样管M1657BWatertrap集水器02AElbowAirwayAdapter气道弯接头M1612AStraightAirwayAdapter气道平接头麻醉气体模块待机按键进入麻醉气体模块菜单87ConfidentialPCCI,GuanWei,2012-12-13麻醉气体附件的连接88ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块应用的注意事项89ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块-麻醉气体监测在主屏幕的显示90ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块-打开麻醉气体窗口91ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块-麻醉气体窗口显示92ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块-设定呼吸报警范围93ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块-CO2设定窗口94ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块-设定CO2报警范围95ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块-CO2波形刻度设定96ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块-设定吸入麻醉气体报警97ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块-设定O298ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块-设定某种麻醉气体的波形刻度99ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块-归零校准100ConfidentialPCCI,GuanWei,2012-12-13麻醉气体模块-麻醉气体报警范围调整101ConfidentialPCCI,GuanWei,2012-12-13是来自自然脑电图的衍生值是来自自然脑电图的衍生值利用能量和双频谱的特性集成的数据为单一数利用能量和双频谱的特性集成的数据为单一数仅仅需要仅仅需要5个电极个电极刻度范围从刻度范围从0到到100BISBIS模块模块(TheBispectralIndexTheBispectralIndex)ConfidentialPCCI,GuanWei,2012-12-13103BIS监测原理监测原理麻醉(Anesthesia):
麻醉是指借助于药物等方法而产生的全身或局部感觉特别是痛觉的消失及记忆遗忘状态全麻:
通过引起可逆的中枢神经系统的抑制和兴奋,从而达到意识消失和止痛的目的麻醉深度:
全身麻醉的深度镇静(睡眠,无意静(睡眠,无意识)肌松肌松镇痛痛ConfidentialPCCI,GuanWei,2012-12-13BIS监测原理监测原理BIS(TheBispectralIndex):
是来自自然脑电图的衍生值利用能量和双频谱集成的单一数据,刻度范围从0到100BIS的特征:
加入相位变化的信息,产生一个比功率谱更全面的来自Fourier变换的数字化脑电信息,能更好地表现各种临床情况发生的EEG变化全貌仅仅需要5个电极BIS技术的关键:
收集数千患者EEG资料建库,以统计学为基础,经验地运用描记波组合,而不是单个描记波.ConfidentialPCCI,GuanWei,2012-12-13BIS模块及电缆模块及电缆ConfidentialPCCI,GuanWei,2012-12-13BIS应用应用5cmConfidentialPCCI,GuanWei,2012-12-13BIS在在ICU镇静治疗中的作用镇静治疗中的作用BIS反应镇静程度100病人清醒100-80对平常声音有反应焦虑80-60对强声音有反应摇晃和温和刺激病人有反应中度镇静60-40对外界刺激反应低下唇刺激迟钝重度镇静40-20大脑去皮层状态重度镇静0脑电图直线死亡ConfidentialPCCI,GuanWei,2012-12-13BIS阻抗指示器阻抗指示器ConfidentialPCCI,GuanWei,2012-12-13BIS传感器接触检查窗口传感器接触检查窗口ConfidentialPCCI,GuanWei,2012-12-13BISBIS监测脑功能状态潜在的好处监测脑功能状态潜在的好处监测脑功能状态潜在的好处监测脑功能状态潜在的好处较快地苏醒和康复较快地苏醒和康复更合理、更有效地使用药物更合理、更有效地使用药物减少术中不必要的刺激反映减少术中不必要的刺激反映ConfidentialPCCI,GuanWei,2012-12-13基本保养和常见故障ConfidentialPCCI,GuanWei,2012-12-13基本保养和常见故障118
- 配套讲稿:
如PPT文件的首页显示word图标,表示该PPT已包含配套word讲稿。双击word图标可打开word文档。
- 特殊限制:
部分文档作品中含有的国旗、国徽等图片,仅作为作品整体效果示例展示,禁止商用。设计者仅对作品中独创性部分享有著作权。
- 关 键 词:
- 飞利浦 监护 简易 使用手册