2013年9月20日 星期五

呼吸器設定與警告

*PB840TEST 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/min


                                               

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

                                               

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:E1:2-3                         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 3-5H2O
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/min                Tinsp         setting 0.9-1.2 sec
                                                sec
                                                  
PI ABOVE PEEP      setting可從20左右                       RATE     setting10-14/
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 3-5H2O
100%      請醫師f/u ABG再調整
                                   

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

 

                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/CSIMV

                                                
            (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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