2013年9月20日 星期五

呼吸器設定與警告

*PB840請勿將TEST LUNG
或病人先接上,需設定完成後           DRAGER Evita2
才可接上病人
                        A/C

 打開電源(位於VENT前面中間)               打開電源(位於VENT後面)               

▼                                                                                                                                                                   ▼

NEW
PATIENT
 
          (請touch此按鍵)                adult   (選擇adult後請將右
                                                          邊旋鈕往下壓)

              ▼                                        ▼                             

  IBW   (如不改kg請跳過,但需touch          IPPV     (一開機進入時,機器
50kg    一下,右下角才會出現continue)                 自動選擇此MODE)

             ▼                                  ▼

CONTINUE
               (位於螢幕右下角)            TV      依理想體重×10 -15kg

 
            ▼                                  ▼

INVASIVE
              

MODE
A/C
Mandatory Type
      VC
 

                                                Tinsp      setting 0.9-1.5sec
                                                sec
                            
 ▼                                  ▼


CONTINUE
               (位於螢幕右下角)            Rate     setting10-14次/min


             ▼                                  ▼

F      setting10-14次/min                    PEEP      生理性PEEP 3-5㎝H2O

             ▼                                  ▼

Vt      setting依理想體重                     O2          可先steeing100%,30
365       ×  10 -15kg                          100%       分鐘後請醫師F/U ABG
                                                       再調整
             ▼                                  ▼

Vmax       setting40 -60L /min                                                         
     22       維持I:E=1:2-3                         請按下右邊的飛梭旋鈕確定
             ▼                                  ▼
                                               請記得將潮濕加溫器及細菌過濾器
                                               電源打開
 
             ▼
O2       可先steeing100%,30分鐘後
100%      請醫師f/u ABG再調整

             ▼
PEEP    生理性PEEP 3-5㎝H2O
3.0
             ▼

ACCEPT   (位於黑色旋鈕右上方)

               ▼

Waiting for patient connet
(位於螢幕最上方會顯示出來即可接上病人)
           
             ▼

請記得將潮濕加溫器及細菌過濾器電源打開             

                              
PPcv
VENT
SETUP

                                         other    此時功能鍵左上角      
                 (請TOUCH此按鍵               mode       燈會閃爍
                   位於螢幕左下角)
▼                              ▼
INVASIVE

                                      Pcv(BiPAP) 位於螢幕中第三個
             (請touch此按鍵,              ASSIST          選項
Mandatory type
VC→ PC  
MODE
A/C

                            選擇PC)
 
               ▼                                   ▼
CONTINUE

(位於螢幕右下角)             請按下右邊的飛梭旋鈕確定
                                               此時PCV左上角燈號會亮起來
               ▼                                         ▼                                      
F          setting10-14次/min                Tinsp         setting 0.9-1.2 sec
                                                sec
               ▼                                   ▼
PI ABOVE PEEP      setting可從20左右                       RATE     setting10-14次/分
15 ㎝H2O     (TV維持理想體重)                bpm
▼                                   ▼
TI               setting 0.9-1.2 sec               PINSP        setting可從20左右
1.0 SEC                                                                       (TV維持理想體重10 -15kg )
▼                                   ▼
O2       可先steeing100%,30分鐘後          PEEP    生理性PEEP 3-5㎝H2O
100%      請醫師f/u ABG再調整
▼                                   ▼

PEEP    生理性PEEP 3-5㎝H2O                 O2       可先steeing100%,30分鐘
3.0                                                  後請醫師f/u ABG再調整
 ▼                                   ▼
ACCEPT   (位於黑色旋鈕右上方)
                       SIMV
VENT
SETUP

 

                (請TOUCH此按鍵            SIMV    此時功能鍵左上角
                  位於螢幕左下角)                     燈會閃爍

MODE
A/C→SIMV

             ▼                                   ▼
            (請touch此按鍵,            請按下右邊的飛梭旋鈕確定
             選擇SIMV)                  此時SIMV左上角燈號會亮起來      
            
          
▼                                   ▼
CONTINUE

             
                (位於螢幕右下角)      TV 

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