Introduction to Trends & Calculations | Philips V26CT, V24CT

Introduction to Trends & Calculations

Trends and Calculations

Introduction to Trends & Calculations

The patient monitors provide you with several tools to manage and present patient data. These tools are available in the Trends or Trends/ Calcs displays. You can:

•View patient vital signs in graphs or tables.

•Mark and review clinical events in Graph Trends.

•Perform hemodynamic, ventilation, and oxygenation calculations.

•Print reports of patient information, calculations, and patient data graphs and tables through Task Windows and at scheduled times.

•Calculate drug infusion values.

To enter the displays for trends and calculations, press the Trends or Trends/Calcs key. The Selection Window for Trends/Calcs will

appear. You can choose the task you want to perform from this window.

Note—It depends on the monitor option purchased, whether all of the tasks described are available on your monitor.

8-2 Trends and Calculations

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Philips V26CT, V24CT manual Introduction to Trends & Calculations

Contents

PHI Part Number M1046-9220L Printed 02/2003 Warranty Iii Electromagnetic Interference Avoiding Electromagnetic InterferenceElectromagnetic Compatibility M1205A Only Intended Use DescriptionPurpose Environment Indications for Use ConditionFrequency of Use Physiological Purpose Prescription Versus Over-the-Counter Viii Indications for Use Monitor Setup Monitor Revision → Show SW Rev Responsibility of the Manufacturer Manufacturer´s Address Responsibility of the Manufacturer Xii Contents CMS and V24 and V26 Patient Monitors Getting Started Contents-4 Other Patients Contents-6 Admit/Discharge/End Case Neonatal Event Review Battery Information V24CT and V26CT only 12-1 Contents-10 CMS and V24 and V26 Patient Monitors Introduction CMS PatientMonitoring System M1167/77A System M1167/77A System with External Alarm Device M1165/75A and M1166/76A System Full Title Abbreviation CMS and V24 and V26 Patient Monitors V24 Patient Monitor Control PanelSoftkeys Hardkeys CMS Control Panel V24 and V26 Patient Monitor Control PanelKey instead Handheld Keypad CMS onlyKeys External Alarm Device UntilNormal Hardkey Functions Confirm Key V26CT/V24CT Power Supply BatteryPower Supply Battery SpecificationsVolt Parameter Modules Symbols to Indicate Key Functions Symbol Name Function Which Modules? Rack Type Mounting Comments CMS Patient Monitoring SystemV24 and V26 Patient Monitor Rack can be used Message Is displayed if an unknown module is plugged into the rack Operating Levels CMS and V24 and V26 Patient Monitors 135/72 For information on how to change the selection see SelectionWindow Function By pressing the Setup key on the parameter module TaskThere are two ways to get into the second operating level Via the Selection Window Getting into the Operating Levels Below to get into the Selection and Task WindowsSelection Window Task Window CMS and V24 and V26 Patient Monitors Touch or Mouse/Trackball Operation Control Panel Task Window General TouchMouse Trackball Touch Responsive Objects Items Task Window the Touchboard was accessed from Press From Disabling CMS Computer Modules M1046AComputer Module M1046B ECG Output and Defibrillator Marker Input V24 and V26 Parameter Module Rack Operating Rules to Remember Performance Specifications of the Philips Displays Using an ITE Display SafetySafety Performance Requirements Specification Requirement or Value Units PerforMance Require Using an ITE Display CMS and V24 and V26 Patient Monitors Getting Started Setting up the Monitor V24 and V26 only Inserted. StartedGetting Getting Started Setting up the Parameter Modules Attaching the Patient Adjusting ScreenContrast V24 Starting Monitoring Messages Below the alarm and Inop messages Reserving a ChannelPrompt messages appear for 3 seconds Task Window the prompt and status messages remain until Failure InformationCenter Standby Getting Started Getting Started Setting up your Monitor Changing Display Screens Procedure Selecting a ScreenPress the hardkey CMS or Freezing Waves CMS only You can freeze any wave movement on the screen viaKeys. Press Other key except To restart the waves What you Can Configure Changes to the Configuration Hardkeys are indicated in the text like this Making Changes to the Main Display Assigning Waves to Screen Channels Press Repeatedly to select a channel on ScreenPress To move the selection to the wave you want To place in your selected channel Depending on the configuration of the different screens Press To select a screen A-E. The selectedScreen choice and its screen label will appear at the top Task Window. The other items on the screen will change Selecting Screen Labels for Realtime Display Screens Press Confirm Selecting the Number of Waves Screen Press To choose 4, 6, or 8 waves to be displayedDepending on your model Changing the Wave Overlap Press To choose one of the available numbersDependent on model. The boxes in the middle of the screen Indicate which waves are overlapping Selecting Realtime Wave Speeds To return to the Realtime To return toSelection window or Numerics On/Off Aligned Numerics Numeric Positions Additional Numeric Sizes Selecting an Application Window They are described in more detail in the following sectionsPress Until ApplicWindow is selected on Application window to be displayed Special Implications for Touch or Mouse Operation Displaying Split Screen Trends Viewing Trend Data forInvasive Blood Systolic pressure With a thicker line than the other trends Data for NonBelow OxyCRG Display Main Screen Display with oxyCRG OxyCRG Main ScreenStandard Display OxyCRG Display Monitor CSA Display CMS only Main Screen Standard Display CSA Display Realtime waves Wave Replace Press Until Wave Replace is selected onWill be filled with another wave Trace Mode Press To choose fixed or moving traces Configuring a Second Independent Display CMS only Other Functions You Can Configure Switch this setup off again using On/Off Setup orParameters On/Off → On/Off Setup Adjusting the Volume Control 135/72 Adjusting the Date and Time Message will appear with the date and time settingsCorresponding softkeys Monitor Selecting Waves for Central Recorders Configuring Module, Bedside and Central Recordings Other Patients Controls Status Log Function Monitor Revision Function Changing Default Settings and Patient Category Changing the Patient Category Parameter Patient Category Adult Pedi Neo Adult Pedi NeoAdult Neo Adult Neo Inv. Pressure Examples AdultPediatric Neonate Setting up your Monitor NBP Recommendations MorphologyECG Recommendation Recommendations Heart Rate HR / Pulse PressureSpO2 Adult bpm Pedi/Neo bpm CO2 Adult/Pedi Neo Changing the Configuration Set Type, as this is automatically set to or Set you require. The universal settings for the selected Configuration Set are displayedTo switch to the selected set Changing Operating Modes Returning to Mode Enter the password by pressing the appropriate combination Instrument goes through the boot-up sequence and revertsPassword by pressing Again Press the softkey Move the highlighting to Test Signals Function Procedure Analog Output CMS only Press softkey Instrument ConfigurationPress hardkey Then 25 rpm Temperature 40C 104F Numeric only ECG and ECGMmHg 6.0 kPa MmHg 0.0 kPa Parameter Settings Transfer Monitor Parameter Settings Transfer Messages Message Condition Action required Setting up your Monitor Using Philips Patient Care System with an Arrhythmia Other Patients Overview Including alarms and INOPs Philips Patient Care SystemOther Patients Automatic Alarm Other Patients Incoming Alarm Multiple Incoming Alarms Other Patients Configuring Other Patients Controls Other Patients Beat Label Meaning Absence of V fib or chaotic signal Tachy run limit is adjustable from 3 toUsing the Change Limits display. Tachy Bpm using the Change Limits display Alarm Minimum Condition Required for AlarmOn-T VPBs HR XXX UUU HR XXX LLL Arrhythmia Alarms on the 78720 Arrhythmia Computer Alarm Minimum Condition Requiring an Alarm Fibrillatory wave for 4 consecutive seconds TachHR V-Tach HR limit Run limit Message Minimum Condition Requiring an Alarm Extended Overview CMS only Select the bed, using To View an Extended Other Patients BedExtended Overview Task Window will be displayed To view an Alarming Bed from Alert Notification When done, select To return to the Main Screen or toAlert Notification Pressed on the source bedside monitor or On the central Alarm Functions Alarm Display Alarm FunctionsControl Panel Suspending Alarms Alarm LampsWhat the Symbol Means Silencing and Resetting Alarms Suspended Alarms during Arrhythmia Monitoring Alarm Reminder Reminder Time Alarm Reminder Alarm Behavior Full alarm tone New Alarm Recording Alarm is given Audible alarm Priorities Viewing Alarm Messages Audible AlarmsHardkey Alarm Functions When an Occurs Alarm Setup Alarms Selection Window Changing Alarm Limits Adjust the limitsIf there are more than 10 alarm bars to review, press Setting Volume Control QRS and the alarm tone volume can be set independently Press Alarm Reminder Nurse Call Relay Signal Behavior Call Relay Alarm Functions Recording Functions General Recorder Information Model NumberRecorder Plug-In M1116A/B a Channel Bedside Controls and Indicators on the Plug- In Recorder Continue lightRUN/CONT key Stop key Controls and Indicators on the 4- Channel Recorder CMS only Recorder Capabilities KeyMakes currently printing recording Plug-In Recorder M1116A/B Makes delayed recordings of waveforms broadcast over Central station and other monitors in overview modeCentral Recorder 1 Types of Recordings Delayed Recording Configuring Delayed Recordings For Plug-In and 4-Channel Bedside RecordersSelect wave for each channel Press Press To select waveform For Central Recorders Press Change Second to select secondary waveTo store the selected wave Display To return to the standard monitoring Making Delayed Recordings Alarm Recording Configuring Alarm Recordings Recording Starting at the bottom channel, in the following priorityChannel Yellow CO2 alarm would produce a recording ordered as Channel P3 alarmAll AlarmRec AlRecType Procedure Recordings ConfiguringProcedure Recordings Recordings can be made during cardiac output measurements Making Procedure Recordings ST Recordings Procedure Recordings Recording Functions Preset Recordings Non-Preset RecordingsRealtime Wave Recordings Configuring Preset Recording Modes Channel Press To give a name to the mode beingConfigured Modes B and C are configured in the same way Select wave for each channel Making Preset Recordings Making Non If availableTo stop realtime recordings Making Calibrated Recordings If the Recorder is Busy Recording Functions Realtime Vital Signs / Blood Recordings Definitions Recording Functions Recording Functions Recording Functions Monitor Setup selection window Trended Vital Signs RecordingsHeader On the control panel Recording Functions Systolic Value has been entered Manually Making Trended Vital Signs Recordings To stop trended vital signs recordings Neonatal Event Review Recordings TabularNeonatal Event OxyCRG Episode Recordings for Neonatal Events Making a Tabular Neonatal Event Recording OxyCRG Episode Data Making an oxyCRG Episode Recording OxyCRG Recordings Patient Name Current Numerics & Alarms Alarm Recording Additional Information Code Meaning Recording Functions Where @@@ is the signal value as follows Cal Pulse@@@ Delayed and realtime recordings can be extended or ChangingLength Recording as many times as needed Changing the Recorder Speed Continuing Timed Recording On the recorder. The recording runs until you stop it byPressing On the recorder or Softkey on Display Signal Inserting aCalibration Layouts Layout Choices on Recorder M1117A Sector #11 25 mm Wave1 75 mm 50 mm Wave 3,4 Recording Status Messages Message Meaning Recorder door is open load new paper Recorder Or shut the doorAn actively running recording has been Stopped Stopped by pressing On the recorder Accessories and Ordering Information Philips’ approval Use only Philips-approved accessoriesFor details Damaged Loading Paper To Replace Paper Plug-In Recorder Backwards Recorder stripes Loading Paper into the Four Channel M1117A Recorder CMS only Recording Functions Cleaning the Roller on the Four Channel M1117A Recorder StepEquipment Required Loading Paper Recording Functions Admit/Discharge/End Case Admitting a Patient Admit/Discharge/End Case Admit/Discharge/End Case Changing Patient Information To clear data V24 and V26 only ICU Mode Adult/Pediatric ICU Mode Neonatal Case Or Mode Discharging Ending aCase Endcase.tif Trends and Calculations Introduction to Trends & Calculations Standard Database No. of Parameters Resolution Size Viewing Patient DataMinute Hours Seconds Extended Database CMS only No. of Parameters Resolution Size Trending PriorityViewing Blood Mea Calculations Trends Trends and Calculations Status Monochrome Display Color Display Printout Yellow Viewing Vital Signs Vital Signs Interval Direction Graph Trends SpanMinute Hour Hours Calculations Trends Trends and Calculations Selecting ParametersFor Graph Trends Data management configuration and the options purchased Graph Up to five pre-configured screens can be displayed using Calculations Trends Trends and Calculations Mark Procedure to Insert a Calibration Pulse Examination of the waveforms and calibration signals Calibration pulse varies according to the wave type MV square waveOhm M-shaped wave All Pressures Performing and Reviewing Calculations There are two calculation functions availableHemodynamicsVentilation Left Cardiac Work LCW Trends and Calculations Calculation Task Window Calculation Task Window for Touch Screen Trends and Calculations Pressing Stores the resampled values at the current time Keys or Printing Reports PrintingWindow Reports Scheduled To turn the scheduled report capability on or off, press Graph Trends Report Vital Signs Report Blood Review Report David Schultz What to Do If YourReport Does Not Print Calculations Drug Calculator Calculations Trends Aution Trends and Calculations Calculations Trends Neonatal Event Review Introduction to Neonatal Event Review Viewing Neonatal Events Manual StorageFollowed by Graphical DetailsEvent Bar Indicated by two or three event bars Neonatal Event Review Neonatal Event Review Neonatal Event Review This value represents the most severe value during an event Specifically by the user AD = BD =ABD = Event Review Example of an Event Summary Line Selecting an EventViewing an OxyCRG Recording SummaryPrinting Summary Changing Viewing oxyCRG Episodes Neonatal Event Review Episode Jumps from one oxyCRG episode to the next in both directions Recording an Selecting Softkey documents the selected oxyCRGAssociated oxyCRG episodes Printing an Adjusting Neonatal Event Review Settings Settings CriteriaApnea Event Bradycardia Operating In the Event Setup task window you can Select items Change the item contentSelecting Listed under each event group Contents Contents of an itemChanging Item Data Transfer Data Transfer Module CMS Data What is Transferred Symbol Name Function Which Modules? Data Transfer Types of Transfer To ModuleTransfer All Data to Module Data Transfer Data Transfer When a To MonitorAre automatically erased Transfer Data to the Monitor Transferring BloodAnalysis Data Blood Analysis Data TransferScenarios CTS Combining Data TimeConversion Database Transfers to the Monitor Data Transfer Vital Signs, Blood Review and Graphs To the MonitorTo the Module Indicator of time change When the transfer is finishedAt calculation time Troubleshooting Event Results Performance Specifications TransferTransfer Time Back up Memory Time Monitor Installation and Patient Safety CMS Acms Ncms Philips M1026A Anesthetic Gas Module V24 Monitor Installation Patient Safety Aution Installation Information Source Do not use a 3-wire to 2-wire adapter with these instruments Earth interconnected with either monitor Monitor Installation Patient Safety Environ Ment Care Operating Storage Acms with Anesthetic Gas ModuleOperating Storage Philips M1205A V24, V26, V24C and V26C Condensa- tion Philips M1205A V24CT and V26CTTo 35C 41 to 95F 15 to 40ºC 5 to 104ºF Up to 95% RH at 35C 95F Up to 90% RH at 40ºC 104ºF Explanation of Symbols used Monitor Installation Patient Safety Maintenance Checks Maintenance Frequency Source of Information Maintenance Checks Cables LeadsFailure and possible health hazards Controls and Connectors Following diagramFront M1046A Computer Module is a component of the M1165A/66A/75A Connectors M1046A Computer Module Rack Connector ECG Output P-p Module Connectors Front Panel M1046B Computer Module Connectors M1046B Computer Module For 100 Rear Panel M1046A/B Computer Modules Monitor Installation Patient Safety Rear Panel Display Modules M1092A/M1094A Display Module M1094B Display Module ControlsM1092A M1094A Connectors Monitor Installation Patient Safety M1095A Display Module Controls M1095ADisplay Rear Panel M1109A External Alarm Device Controls Connectors M1109A External Alarm Device Shown in the following diagram RearM1026A Anesthetic Gas Module ITE display Line protection fuses, T1.6 H Anesthetic Gas Exhaust Monitor Installation Patient Safety Connecting the Anesthetic Gas Module Lifting the Display Module V26 Connectors Monitor Installation Patient Safety Assembling V24 V26 78599AI-#J06 78599AI-#J1078599AI-#J20 Monitor Installation Patient Safety Battery Information V24CT and V26CT AC and DC Battery Operation Line power for an initial charging cycle AC power is indicated by Green LED indicatorOperating Instructions Amber LED Up to 30-40% Flashing Off Information V26CT Battery V24CT Battery Indicator and Messages 100 Information V26CT Battery V24CT External Battery Charger Battery Care and Maintenance Care Handling 40488A 12 Volt Lead-Acid Batteries M1278A Battery Charger Information V26CT Battery V24CT Maintenance General cleaning of the System SoapsAmmonias Alcohol Maintenance General Disinfecting of the System Based AldehydeBased Bleach Phenol based Maintenance Monitor Maintenance Procedure Frequency Source of Information Inspect InspectExterior Monitor Maintenance Perform a System Self Test Performance Assurance Checks Maintenance Check Overview System Self-test Values Module Test Numeric Test Waveform Performing ECG Module Self-TestModule Test Numeric Test Waveform Auto Check None Performing Invasive Pressure Module Self Performing NBP Module Self Test SpO2 Pleth Cardiac Output Self-Test None Auto Check None Malfunction is given refer to the Troubleshooting Chapter To the normal monitoring modePerforming TcpO2 Press ET CO2 40 mmHg 6.0kPaMmHg 0.0kPa 25 rpm Manage Ment DataBase Self Test Tests for VueLink Module and Anesthetic Gas Module Maintenance Index of Volume Page With Data Transfer, 10-6 monitoring network V24 and V24C Patient Monitor getting started, 2-1,3-1