C
HAPTER
10 P
ULSE
CO-O
XIMETRY
(S
P
O2, SPCO,
AND
S
P
M
ET
)
10-2
www.zoll.com
9650-0806-01 Rev. D
Warnings -- SpO
2
, General
•
SpO
2
style pulse oximeter measurements may be affected by numerous factors such as
bright lights, improperly applied probes, use of non-ZOLL approved sensors, patient
conditions/movements. The clinician should use good clinical judgment when
interpreting SpO
2
measurements. Should the clinician question an SpO
2
measurement, an arterial blood gas oxygen saturation measurement should be
obtained.
•
Interfering substances: Carboxyhemoglobin and methemoglobin can erroneously alter
SpO
2
readings. The level of change is approximately equal to the amount of
carboxyhemoglobin or methemoglobin present. Dyes or any substance containing dyes
that alter arterial pigmentation might cause erroneous readings.
•
Do not use the Propaq MD pulse oximeter or oximeter sensors during magnetic
resonance imaging (MRI). Induced current could cause burns. The pulse oximeter
might affect the MRI image and the MRI unit might interfere with the accuracy of
oximetry measurements.
•
Carefully arrange patient cabling to reduce the possibility of patient entanglement or
strangulation.
•
Inaccurate measurements may be caused by venous pulsations.
•
The pulse oximeter can be used during defibrillation, but the readings may be
inaccurate for a short time.
•
Pulse rate measurement is based on the optical detection of a peripheral flow pulse and
therefore may not detect certain arrhythmias. The pulse oximeter should not be used
as a replacement or substitute for ECG based arrhythmia analysis.
•
Severe anemia may cause erroneous SpO
2
readings.
•
If using pulse CO-oximetry during full body irradiation, keep the sensor out of the
irradiation field. If the sensor is exposed to the irradiation, the reading might be
inaccurate or the unit might read zero for the duration of the active irradiation period.
•
Elevated levels of Total Bilirubin may lead to inaccurate SpO
2
, SpMet, SpCO
measurements.
•
Very low arterial Oxygen Saturation (SpO
2
) levels may cause inaccurate SpCO and
SpMet measurements.
•
Loss of pulse signal can occur when:
-
The sensor is too tight.
-
The patient has hypotension, severe vasoconstriction, severe anemia, or
hypothermia.
-
There is arterial occlusion proximal to the sensor.
-
The patient is in cardiac arrest or is in shock.
•
The pulsations from intra-aortic balloon support can be additive to the pulse rate on
the oximeter pulse rate display. Verify patient's pulse rate against the ECG heart rate.
Summary of Contents for Propaq MD
Page 1: ...Propaq MD Operator s Guide 9650 0806 01 Rev D...
Page 40: ...CHAPTER 1 GENERAL INFORMATION 1 28 www zoll com 9650 0806 01 Rev D...
Page 60: ...CHAPTER 2 PRODUCT OVERVIEW 2 20 www zoll com 9650 0806 01 Rev D...
Page 74: ...CHAPTER 4 TRENDS 4 4 www zoll com 9650 0806 01 Rev D...
Page 84: ...CHAPTER 5 ALARMS 5 10 www zoll com 9650 0806 01 Rev D...
Page 94: ...CHAPTER 6 MONITORING ECG 6 10 www zoll com 9650 0806 01 Rev D...
Page 104: ...Chapter 7 Monitoring Respiration Resp and Heart Rate HR 7 10 www zoll com 9650 0806 01 Rev D...
Page 120: ...CHAPTER 8 MONITORING NON INVASIVE BLOOD PRESSURE NIBP 8 16 www zoll com 9650 0806 01 Rev D...
Page 154: ...CHAPTER 11 MONITORING INVASIVE PRESSURES IBP 11 10 www zoll com 9650 0806 01 Rev D...
Page 160: ...CHAPTER 12 MONITORING TEMPERATURE 12 6 www zoll com 9650 0806 01 Rev D...
Page 186: ...CHAPTER 14 12 LEAD ECG INTERPRETIVE ANALYSIS 14 16 www zoll com 9650 0806 01 Rev D...
Page 212: ...CHAPTER 17 ADVISORY CPR PROTOCOL DEFIBRILLATION 17 6 www zoll com 9650 0806 01 Rev D...
Page 222: ...CHAPTER 18 EXTERNAL PACING 18 10 www zoll com 9650 0806 01 Rev D...
Page 240: ...CHAPTER 21 PATIENT DATA 21 6 www zoll com 9650 0806 01 Rev D...
Page 268: ...CHAPTER 22 COMMUNICATIONS 22 28 www zoll com 9650 0806 01 Rev D...
Page 284: ...CHAPTER 24 MAINTENANCE 24 12 www zoll com 9650 0806 01 Rev D...
Page 326: ...ACCESSORIES B 6 www zoll com 9650 0806 01 Rev D...
