Kunyangwe iwe uri mudzidzi wezvokurapa kana mudzidzisi ari kutsvaga kuwedzera ruzivo rwako pamasisitimu ekutarisa varwere kana muparidzi anofarira ari kutsvaga ruzivo nezvemitengo yevarwere veMeCan uye maitiro, tinovimba kuti chinyorwa ichi chinopa ruzivo rwakakosha.Chinangwa chedu ndechekubatsira vanhu kuti vanzwisise zviri nani kukosha kwekutarisa zviratidzo zvakakosha uye kusarudza michina yakavimbika.Kuti uwane mamwe kubvunza kana kudzidza zvakawanda nezve zvigadzirwa zvedu, inzwa wakasununguka kutibata nesu chero nguva.
Chii chinonzi Patient Monitors？
Mucherechedzo wemurwere mudziyo kana hurongwa hwakagadzirirwa kuyera nekudzora mamiriro emuviri wemurwere uye hunogona kufananidzwa neunozivikanwa seti kukosha, uye inogona kuridza alarm kana pane yadarika.
Zviratidzo uye chiyero chekushandiswa
1. Zviratidzo: Kana varwere vaine kusashanda zvakanaka kwenhengo, kunyanya kusashanda kwemwoyo nemapapu, uye vachida kuongororwa kana zviratidzo zvakakosha zvisina kugadzikana.
2. Kuwanda kwekushandiswa: panguva yekuvhiyiwa, mushure mekuvhiyiwa, kutarisirwa kwekutambudzika, chirwere chemwoyo, varwere vanorwara zvakanyanya, vacheche, vana vasati vasvika, Hyperbaric oxygen chamber, nzvimbo yekusununguka.
Basic Structure
Iyo yakakosha dhizaini yemurwere yekutarisa ine zvikamu zvina: iyo huru unit, iyo yekutarisa, akasiyana masensa uye yekubatanidza system.Chimiro chikuru chakaiswa mumushini wese uye zvishongedzo.
( MCS0022 ) 12 inch Patient Monitor Patient Monitor Accessories
Kurongwa Kwevarwere Vatariri？
Kune zvikamu zvina zvinoenderana nechimiro: anotakurika monitors, plug-in monitors, telemetry monitors, uye Holter (24-awa ambulatory ECG) ECG monitors.
Zvinoenderana nebasa racho rakakamurwa kuita zvikamu zvitatu: padivi pemubhedha, yepakati yekutarisa, uye yekuburitsa monitor (telemetry monitor).
Chii chinonzi Multiparameter Monitor?
Mabasa makuru eMultiparameter-Monitor anosanganisira electrocardiogram (ECG), Respiratory (RESP), non-invasive blood pressure (NIBP), Pulse Oxygen Saturation (SpO2), Pulse Rate (PR), uye Temperature (TEMP).
Panguva imwecheteyo, invasive blood pressure (IBP) uye End-tidal carbon dioxide (EtCO2) inogona kugadzirwa maererano nezvinodiwa nekliniki.
Pazasi tinotsanangura misimboti yezviyero zvekutanga zvakayerwa nemurwere anotarisisa uye nekudzivirira kwekushandisa kwavo.
Electrocardiogram (ECG) kuongorora
Mwoyo inhengo yakakosha muhurongwa hwekutenderera kwevanhu.Ropa rinogona kuyerera richienderera muhurongwa hwakavharika nekuda kweiyo rhythmic systolic uye diastolic chiitiko chemoyo.Iwo madiki emagetsi emagetsi anoitika kana tsandanyama yemoyo ichifara inogona kuitiswa kuburikidza nematishu emuviri kusvika pamusoro pemuviri, zvichiita kuti zvakasiyana siyana zvigadzirwe munzvimbo dzakasiyana dzemuviri.Iyo electrocardiogram (ECG) inoyera kuita kwemagetsi emoyo uye inoiratidza pane murwere monitor nemasaisai maitiro uye kukosha.Izvi zvinotevera tsanangudzo pfupi yematanho ekuwana ECG uye zvikamu zvemoyo zvinoratidzwa mumutungamiri wega wega ECG.
I. Ganda rekugadzirira kusungirirwa kwe electrode
Kubata kwakanaka kweganda-kune-electrode kwakakosha kuti uve nechokwadi chechiratidzo cheECG nekuti ganda harina kunaka conductor wemagetsi.
1. Sarudza saiti ine ganda rakasimba uye isina chero abnormalities.
2. Kana zvichidikanwa, veura bvudzi remuviri wenzvimbo inoenderana.
3. Geza nesipo nemvura, usasiye sipo yasara.Usashandisa ether kana ethanol yakachena, ivo vachaomesa ganda uye kuwedzera kushorwa.
4. Bvumira ganda kuti riome zvachose.
5. Geza ganda zvinyoro neECG ganda rekugadzirira bepa kuti ubvise ganda rakafa uye uvandudze conductivity ye electrode paste site.
II.Batanidza tambo yeECG
1. Usati waisa electrodes, isa zvimedu kana snap mabhatani pamagetsi.
2. Isa ma electrode pamurwere maererano nechirongwa chekutungamira chakasarudzwa (ona dhayagiramu inotevera kuti uwane tsanangudzo yehuwandu hwe3-lead uye 5-lead attachment method, uye ona kusiyana kwemavara emavara pakati peAmerican Standard AAMI neEuropean Standard IEC. tambo).
3. Batanidza tambo ye electrode kune tambo yemurwere.
Electrode label zita | Electrode color |
AAMI | EASI | IEC | AAMI | IEC |
Ruoko rworudyi | I | R | Chena | Tsvuku |
Ruoko rworuboshwe | S | L | Nhema | Yero |
Gumbo rekuruboshwe | A | F | Tsvuku | Girinhi |
RL | N | N | girinhi | Nhema |
V | E | C | Bhurawuni | Chena |
V1 |
| C1 | Brown/Red | Muchena/Mutsvuku |
V2 |
| C2 | Brown/Yero | Muchena/Yero |
V3 |
| C3 | Brown/Green | White/Green |
V4 |
| C4 | Bhuruu/Blue | Muchena/Brown |
V5 |
| C5 | Brown/Orenji | Muchena/Mutema |
V6 |
| C6 | Brown/Pepuru | Muchena/Pepuru |
III.Kusiyana pakati peboka re-3-lead neboka re5-lead uye nzvimbo dzemwoyo dzinoratidzwa nemutungamiri wega wega
1. Sezvo zvinogona kuonekwawo kubva pamufananidzo uri pamusoro, tinogona kuwana I, II, uye III inotungamirira ECGs muboka re3-lead , nepo 5-lead group inogona kuwana I, II, III, aVL, aVR, aVF, uye V inotungamira ECGs.
2. Ini neVL tinoratidza anterior lateral wall ye left ventricle yemoyo;II, III uye aVF inoratidzira rusvingo rwemashure emhepo;aVR inoratidza intraventricular chamber;uye V inoratidza kurudyi ventricle, septum uye kuruboshwe ventricle (zvichienderana nezvamunoda kutungamira kusarudzo).
Kufema (Resp) yekutarisa
Thoracic kufamba panguva yekufema kunokonzera shanduko mukudzivirira kwemuviri, uye girafu yekuchinja kweiyo impedance kukosha inotsanangura iyo ine simba waveform yekufema, iyo inogona kuratidza kufema mwero paramita.Kazhinji, mamonitor anoyera kuvharika kwemadziro echipfuva pakati pema electrode maviri eECG pachipfuva chemurwere kuti awane kufema kwekutarisa.Uye zvakare, shanduko yekabhoni dioksijeni yekuisa mukati menguva yekufema inogona kutariswa kuti iverenge zvakananga chiyero chekufema kana nekutarisa shanduko yekumanikidza uye kuyerera kweyekuyerera mudunhu remurwere panguva yekufemesa kwemagetsi kuverenga basa rekufema remurwere uye kuratidza chiyero chekufema. .
I. Nzvimbo yevatungamiri panguva yekucherechedza kufema
1. Zviyero zvekufema zvinoshandiswa uchishandisa chiyero cheECG cable-level lead scheme, sezvinoratidzwa mumufananidzo uri pamusoro.
II.Zvinyorwa pamusoro pekuongorora kufema
1. Kuongorora kwekufema hakukodzeri kuvarwere vane ruzivo rwakakura rwekuita, sezvo izvi zvinogona kutungamirira kune zviratidzo zvenhema.
2. Inofanira kudziviswa kuti nzvimbo yehepatic uye ventricle iri pamutsara wemagetsi ekufema, kuitira kuti zvigadzirwa kubva pakuvhara kwemwoyo kana pulsatile kubuda kweropa zvinogona kudziviswa, izvo zvinonyanya kukosha kune vacheche.
Ropa reoxygen (SpO2) monitoring
Ropa oxygen (SpO2) ireshiyo yeoxygen hemoglobin kusvika kuhuwandu hwehemoglobin ine oxygen pamwe neiyo isiri-oxygenated hemoglobin.Mhando mbiri dze hemoglobin muropa, oxygenated hemoglobin (HbO2) uye yakaderedzwa hemoglobin (Hb), ine akasiyana absorption masimba echiedza chitsvuku (660 nm) uye infrared light (910 nm).Yakaderedzwa hemoglobin (Hb) inotora mwenje mutsvuku uye shoma infrared light.Zvakapesana ndezvechokwadi kune oxygenated hemoglobin (HbO2), iyo inotora zvishoma dzvuku mwenje uye yakawanda infrared light.Nekuisa iyo dzvuku LED uye infrared LED mwenje panzvimbo imwechete yechipikiri oximeter, kana mwenje uchipinda kubva kune rumwe rutivi rwechigunwe kuenda kune rumwe rutivi uye unogamuchirwa nephotodiode, inoenderana yakaenzana voltage inogona kugadzirwa.Mushure mealgorithm yekushandurwa kwekugadzirisa, mhedzisiro inobuda inoratidzwa paLCD skrini, iyo inoonekwa segeji yekuyera hutano hwevanhu.Izvi zvinotevera tsananguro pfupi yematanho ekuti ungawana sei okisijeni yeropa (SpO2), uye zvinhu zvinokanganisa kutariswa kweokisijeni yeropa.
I. Pfeka sensor
1. Bvisa ruvara rwembambo kubva panzvimbo yekupfeka.
2. Isa iyo SpO2 sensor pane murwere.
3. Iva nechokwadi chokuti chubhu inopenya uye chinogamuchira chiedza chakabatana kuitira kuti chiedza chese chinobuda muchubhu inopenya chipfuure nepamatishu omurwere.
II.Zvinhu zvinokanganisa kuongororwa kweokisijeni yeropa
1. Sensor nzvimbo haisi panzvimbo kana kuti murwere ari kufamba kunotyisa.
2. ipsilateral ruoko rweropa ropa kana ipsilateral lateral kunyepa kudzvinyirira.
3. Dzivisa kukanganiswa kwechiratidzo nemamiriro echiedza akajeka.
4. Kushata kweperipheral circulation: sekuvhunduka, kuderera kwemunwe tembiricha.
5. Zvigunwe: mbambo yezvipikiri, makobvu matsvuku, zvigunwe zvakatyoka, uye zvipikiri zvakanyanyisa kureba zvinokanganisa kutapurirana kwechiedza.
6. Intravenous jekiseni remishonga ine mavara.
7. Haikwanise kutarisa saiti imwechete kwenguva yakareba.
Non-invasive blood pressure (NIBP) monitoring
Blood pressure is the lateral pressure per unit area mutsinga yeropa nekuda kwekuyerera kweropa.Inowanzo kuyerwa mumamirimita emercury (mmHg).Noninvasive blood pressure monitoring inoitwa neKoch sound method (manual) uye nzira yekuvhunduka, iyo inoshandisa mean arterial pressure (MP) kuverenga systolic (SP) uye diastolic (DP) pressure.
I. Chengetedzo
1. Sarudza mhando yemurwere chaiyo.
2. Chengetedza cuff pamwero nemoyo.
3. Shandisa saizi yakafanira cuff woisungirira kuti 'INDEX LINE' ive mukati me 'RANGE'.
4. Iyo cuff haifaniri kunge yakanyanya kusimba kana kuti yakasununguka, uye inofanira kusungwa kuitira kuti chigunwe chimwe chete chigone kuiswa.
5. Mucherechedzo we φ we cuff unofanirwa kutarisana nebrachial artery.
6. Nguva yenguva yekuyera otomatiki haifanirwe kunge ipfupi.
II.Kusagadzikana kweropa kunokonzera zvinhu
1. Kuwedzera kwehutano hwakanyanya: systolic blood pressure inopfuura 250 mmHg, kubuda kweropa hakugoni kuvharwa zvachose, cuff inogona kuramba ichiwedzerwa uye kuwedzera kweropa hakugoni kuyerwa.
2. Hypotension yakaoma: systolic blood pressure iri pasi pe50-60mmHg, ropa rakaderera zvikuru kuti rirambe richiratidza pakarepo kuchinja kweropa, uye inogona kuramba ichiwedzerwa.
Unoda kuziva nezvekutariswa kwevarwere?Bata nesu nhasi kuti udzidze zvakawanda uye kutenga!
