Simple ABI Segmental Examinations with Cuff-Link Systems
លក្ខណៈបច្ចេកទេស
- ឈ្មោះផលិតផល៖ simpleABI Cuff-LinkTM Systems
- ម៉ូដែល៖ MAN-0009-D
- ក្រុមហ៊ុនផលិត: Newman Medical
- ទូរស័ព្ទ៖ ៨៦៦-៤៤៧-២១៩៤
ABI Stress-Treadmill Examinations with simple ABII Cuff-Link™ Systems
Please read the User Manual first: នេះគឺជាការណែនាំរហ័ស
ការទប់ស្កាត់៖ កុំធ្វើការពិនិត្យលើនរណាម្នាក់ដែលសង្ស័យថាមានដុំឈាមក្នុងសរសៃឈាមជ្រៅស្រួចស្រាវ ហើយកុំយកសំពាធដៃនៅក្នុងដៃដោយប្រើថ្នាំ sunt ឬ dialysis graft ។
ផ្ទៃខាងក្រោយ៖ The ABI Stress-Treadmill Exam is typically performed after an ABI has been done, especially if there are risk factors or symptoms, but the resting ABI was normal. This exam has a treadmill protocol and monitors the patient during recovery, noting (i) maximum walking time, (ii) onset of claudication and (iii) time of recovery.
នីតិវិធី ABI Stress-Treadmill
ការដំឡើង
Opening the exa:m On the computer desktopdouble-clickck the simpleABI icon. When the program opens, select File >New >New ABI Stress -Treadmill Report. The report will open, and you can enter patient information, risk factors, symptoms, ICD codes, etc.
Attaching cuff.fs Begin by wrapping the appropriate cuffs around each limb. Next, Blue connectors to the patient’s left arm and left ankle cuffs, white connectors to the patient’s right arm and right ankle cuffs. Green hoses to both arm cuffs, yellow hoses to both ankle cuffs. Follow the connection pattern in the diagram below.
សម្ពាធ Brachial
- ចាប់ផ្តើមជាមួយនឹង brachial ត្រឹមត្រូវ។ ដាក់ការស៊ើបអង្កេត Doppler នៅមុំ 45 ដឺក្រេទៅនឹងស្បែកនៅលើសរសៃឈាមរ៉ាឌីកាល់ឬ brachial ។ ប្រើជែលឱ្យបានច្រើន ហើយរំកិលយឺតៗទៅក្រោយ រហូតទាល់តែទទួលបានសញ្ញាល្អបំផុត។
- Press and hold Inflate on the Cuff-Link Remote (shown above) and inflate the cuff until you no longer hear the signal – continue for an additional 10- 20 mmHg.
- បញ្ចេញ Inflate ហើយ cuff នឹង deflate ដោយស្វ័យប្រវត្តិក្នុងអត្រាដែលបានស្នើ 2mmHg/វិនាទី។
- When you hear the Doppler signal return, pressing the Pressure button will store the pressure value in the exam.
សម្ពាធកជើង - 5. Press Next on the remote, and the system will move to the right ankle site. It is typical to use the dominant ankle artery, usually found during a standard resting ABI exam. Obtain the arterial pressure in the same manner you did on the arm. (Hold Inflate until occlusion, release Inflated, press Pressure on Doppler signal return)Left Side 6.
- Repeat the above pressures and waveform sequence for the left side of the patient. Waveform 7. Waveforms may be taken while in any ankle site – the waveform will appear below in the respective left or right waveform box. Press the button with the
- Waveform image on the top right of the remote. The cuff will inflate to roughly 85mmHg and deflate to the proper pressure(65mmHg) and hold that while the waveform is obtained. The waveform will start to appear when the cuff has reached 65mmHg. The patient should remain as still as possible during the measurement.
លំហាត់ប្រាណ - Have the patient walk on a treadmill at 1-2MPH, 10% grade, for 5 minutes or until pain precludes the patient from walking further.
- Repeat the resting ABI protocol described above immediately following exercise and monitor for up to 5 more periods. When finished, save or print the exam.
គន្លឹះមានប្រយោជន៍
- Cuff techniques: Wrap the cuff snugly. Cuffs may be placed over thin clothing or stockings.
- Don’t let the patient try to help by lifting their leg – as they relax their muscle, the cuff will become loose.
- Placing a pillow under the patient’s feet may aid the examination.
- ឱ្យអ្នកជំងឺនៅស្ងៀម និងស្ងាត់តាមដែលអាចធ្វើទៅបាន ខណៈពេលកំពុងទទួលទម្រង់រលក។
- ប្រសិនបើអ្នកជំងឺមានការញ័រដែលរំខានដល់ទម្រង់រលក ការឱ្យពួកគេធ្វើចលនា dorsiflexions មួយចំនួនជាមួយនឹងម្រាមជើងរបស់ពួកគេ មុនពេលទទួលយកទម្រង់រលកអាចជួយបាន។
បច្ចេកទេស Doppler
- កាន់ការស៊ើបអង្កេតដូចជាអ្នកចង់ខ្មៅដៃ ជិតដល់ទីបញ្ចប់។
- Move the probe back and forth laterally over the artery to obtain the best signal. Support the probe with your hand resting on the patient so that the probe does not move as the cuff is inflated and deflated.
- គន្លឹះមួយក្នុងការប្រឡងដោយជោគជ័យគឺអាចរក្សាការស៊ើបអង្កេតនៅនឹងកន្លែងនៅពេលអ្នកបំប៉ោង និងធ្វើឱ្យក្រវ៉ាត់ក។
- ប្រសិនបើការស៊ើបអង្កេតផ្លាស់ទី អ្នកប្រហែលជាមិនអាចឮសំឡេង Doppler ត្រឡប់មកវិញទេ ហើយប្រហែលជាត្រូវធ្វើឡើងវិញនូវអតិផរណា។
ការណែនាំអំពីការប្រឡង៖ Leave cuffs on for treadmill protocol, but disconnect .
ការភ្ជាប់ Cuffs
Wrap the cuffs around each limb following the tcolour-coding white connectors to the patient’s right side, blue connectors to the left side. Connect green hoses to arm (or thigh) cuffs, blue to above-knee cuffs, red to calf cuffs, and yellow to ankle cuffs. Refer to the provided diagram for proper placement.
ទម្រង់រលកកជើង
Press Next on the control unit to move to the ankle site. Press and release the button with the Waveform image to inflate the cuff to 85mmHg, deflate to 65mmHg, and hold. Ensure the patient remains still during the waveform measurement.
សម្ពាធកំភួនជើង & ទម្រង់រលក
Press Next to move to the calf site and obtain the arterial pressure and waveform similar to the ankle procedure.
សម្ពាធខាងលើជង្គង់ និងទម្រង់រលក
Proceed to the above-knee site, follow the same process as for ankle and calf measurements.
សម្ពាធភ្លៅ និងទម្រង់រលក (4-cuff)
If using a 4-cuff system, move to the thigh site and obtain pressure and waveform measurements as before.
ផ្នែកខាងឆ្វេង
Repeat the pressure and waveform sequence for the left side of the patient. Once completed, save or print the exam report.
គន្លឹះមានប្រយោជន៍
Efficient Protocol: Upper leg pressures may not be needed if ankle pressures and PVR waveforms are obtained. This approach can save time and increase patient comfort.
ឯកសារ/ធនធាន
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ការប្រឡងផ្នែកសាមញ្ញ ABI ជាមួយនឹងប្រព័ន្ធ Cuff-Link [pdf] សៀវភៅណែនាំ ការប្រឡងតាមផ្នែកជាមួយប្រព័ន្ធ Cuff-Link, ការប្រឡងជាមួយនឹងប្រព័ន្ធ Cuff-Link, ប្រព័ន្ធ Cuff-Link |