Taking A Measurement - Riester ri-medic Instructions D'utilisation

5.1 TAKING A MEASUREMENT

The Riester ri-medic allows you to take BP measurements automatically like a monitor or manually like a sphygmomano-
meter using manual Manual mode.
In automatic mode, the cuff inflates and deflates automatically. Initial inflation reaches a cuff pressure of 160 mmHg; the cuff
then re-inflates as necessary to obtain a reading. Deflation is optimized to reduce measurement time and obtain an accurate
result.
In manual Manual mode, you inflate the cuff manually using the Manual mode MAN button in place of an inflation bulb of a
sphygmomanometer. When you release the Manual mode MAN button, the cuff automatically deflates at the AHA
recommended rate of 3mmHg/sec. Simply use your stethoscope to determine your patient's blood pressure.
5.2 TAKING AN AUTOMATED MEASUREMENT
With the patient prepped as described earlier, and the device powered on, depress the automatic button that is located in
front of the BP module and denoted by the Start/Stop icon. The cuff inflates to approximately 160 mmHg, as indicated in the
systolic area of the display.
Once the cuff pressure reaches its target, the device controls the deflation and, in some instances, re-inflation of the cuff in
order to accurately measure BP. The cuff pressure displays in the systolic area and is also indicated by the vertical LED bar to
the left. When you hear a single short beep, indicating the end of the measurement cycle, read the systolic and diastolic pres-
sures, displayed under the SYS and DIA symbols, and the pulse rate, displayed under the
By default, your Riester ri-medic measures systolic and diastolic BP, and HR. To obtain a Mean Arterial Pres-
Want a MAP
sure (MAP) reading, hold down the Manual mode manual button as you toggle power to on. On power up, the
Want a MAP
reading?
MAP icon lights up on the LED display. Now, once measurements are complete, the display will alternate bet-
reading?
NOTE: Not
ween HR and MAP. To exit MAP mode, power the device off and again hold down the Manual mode manual
NOTE: Not
available in
button as you toggle power to on. On power up, the MAP icon will flash and disappear. MAP will no longer be
available in
the US
displayed.
the US
If there is an error in obtaining a measurement, indicated by three beeps, please refer to the troubleshooting tips and take the
appropriate remedial measure.
Taking a measurement on each arm helps rule out dissecting aneurysms, coarctation of the aorta, vascular
obstruction and possible errors in measurement.
You can find more tips like this in the American Heart Association's current scientific statement on recommen-
dations for blood pressure measurement.
5.3 TAKING A MANUAL MODE MEASUREMENT
a.) With the patient prepped as described earlier, and the device powered on, palpate the brachial artery at the antecubital fossa.
Place your stethoscope over this space.
Press and hold the Manual mode manual button until you inflate the cuff to a level at least 30 mmHg higher than the patient's
systolic pressure.
Once the cuff has been inflated to the desired level, release the Manual mode manual button. The cuff begins to deflate at
approximately 3mmHg/sec and the device displays the cuff pressure.
While listening to your stethoscope, note the systolic and diastolic pressures corresponding to the first and last Korotkoff
sounds (K-sounds) heard.
1 Circulation. AHA Scientific Statement: Recommendations for Blood Pressure Measurement in Humans and Experimental Animals, Part 1: Blood Pressure Measu-
rement in Humans: A Statement for Professionals From the Subcommittee of Professional and Public Education of the American Heart Associations Council on High
Blood Pressure Research. Thomas G. Pickering, MD, DPhil; John E. Hall, PhD; Lawrence J. Appel, MD; Bonita E. Falkner, MD; John Graves, MD; Martha N. Hill, RN,
PhD; Daniel W. Jones, MD; Theodore Kurtz, MD; Sheldon G. Sheps, MD; Edward J. Roccella, PhD, MPH, 2005;111:697-716.
1
symbol.
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