Professional Documents
Culture Documents
APPLICATIONS
KAREN DONAIRE
M A RY G E R A L I
MICROPROCESSORS
embedded in physiologic monitoring systems which permits
gathering, processing, and storage of large volumes of clinical and
financial data; facilitate downloading of data that resides in the
device to an information management system
Advantages:
Better control of patient observations
HEMODYNAMIC MONITORS
calculate hemodynamic indices & limited data storage;
examine cardiovascular function; evaluate cardiac output&
volume status; recognize patterns (arrhythmia analysis);
assess vascular system integrity; evaluate blood gases and
electrolytes; estimate cellular oxygenation; transmit
selected data to a computerized pt database
INVASIVE
involves use of pulmonary artery catheter (measures pulmonary
artery & wedge pressures), thermistor (facilitates measurement of
CO), and fiber-optic technology (measures mixed venous oxygen
saturation). Complications: infection, hemorrhage, and embolism
NON-INVASIVE
uses oscillometric techniques (pressure measurement),
pulse oximeter (oxygentation measurement), and Doppler
(CO measurement)
TELEMETRY
allows for continuous monitoring of patients usually outside of the
ICU; data are sent by a transmitter to an antenna system thats
distributed around the nursing unit and displayed on the monitor
screen at the telemetry station; susceptible to signal loss due to
interrupted radio frequency signal reception by walls, furniture,
patients own body, and extraneous RF signals of the same
frequency.
COMPUTER-BASED
offers a wealth of info; nurse must learn to recognize the limitations
of manual estimation of physiologic parameters & not use that
estimation to diagnose a monitor malfunction.
Example: Manual calculation of mean arterial blood pressure is based
on discrete systolic and diastolic pressures. The hemodynamic
monitor calculates mean arterial pressure using a much larger
sample of discrete pressures. Therefore, the manually calculated mean
pressure is an estimate and the value calculated by the monitor is a
derived measurement.
Goal of CCIS:
Have as much information integrated into the system as
possible to obtain a comprehensive picture of patient