User's Manual
Ultraview Care Network
13-4
Setting Up NIBP Monitoring
Proper cuff selection and application is essential in ensuring the accuracy of NIBP
readings. To select the proper cuff, first measure the circumference of the limb at
its midpoint. Match the limb measurement to the range of appropriate
circumferences (in centimeters) specified on each cuff. When applied, the index
line on a correctly sized cuff will fall within the designated range markings on the
cuff. If the cuff is too wide for the patient, the reading will be falsely lowered. If too
narrow, the reading will be falsely elevated. The cuff results in the greatest chance
of error, so a variety of cuff sizes should be available to accommodate your full
patient population.
The cuff should be snugly applied. When the cuff is properly applied to an adult,
you should be able to insert one finger between the cuff and the limb. If you can
insert two fingers, the cuff is too loose which may result in falsely elevated
readings. Ensure that the inflation tube is not kinked or occluded when the cuff is
applied.
During blood pressure measurement, the inflated cuff reduces blood flow to the
limb to which it is applied. Do not apply a cuff to a limb that has restricted blood
flow. Check the patient periodically to ensure cuff application does not impair limb
circulation.
WARNING:
• Cuff tubing connectors may incorporate luer fittings.
Exercise caution when used in proximity with intravenous
fluid lines.
• Inadvertent connection of cuff tubing with luer fittings to
intravascular fluid systems could allow air to be pumped
into a blood vessel.
CAUTION:
• Do not use extensions or adapters with the neonatal
inflation tube, other than those specified.
• Do not apply the cuff to an extremity with restricted or
otherwise compromised blood flow.
• Do not apply the cuff to a limb being monitored with a
pulse oximetry sensor. SpO
2
readings will be affected
during NIBP monitoring.
• Do not apply the cuff to any extremity being used for
intravenous infusion or catheterization.
• Do not apply the cuff to any area of breached or injured
skin.
To set up NIBP monitoring:
1 Attach the cuff tube to the
appropriate module front panel
connector.
2 Attach the cuff to the patient.
3 Touch NIBP.
4 Touch additional screen keys as
needed.