Ogni antibiotico è efficace in relazione a un determinato gruppo di microrganismi comprare amoxil senza ricettain caso di infezioni oculari vengono scelte gocce ed unguenti.

Heartstartmrxtds_hospital_rev5.fm


No compromises. That's how we created the It is our mission to produce the finest quality HeartStart MRx, a combination transport medical equipment, enabling you to deliver monitor, cardiograph, manual defibrillator, and effective care and ultimately save lives. We AED. HeartStart MRx unites our industry- strive to meet the evolving needs of the leading patient monitoring capabilities with healthcare community with outstanding our patented biphasic defibrillation therapy in technology and innovation, while always one comprehensive, easy-to-use, rugged, and focusing on what's most important - positive lightweight device, optimized to meet a patient outcomes. So, whether it's the long- variety of user needs.
life batteries, automated operational checks, or a data management solution, HeartStart With carefully arranged controls, connections, MRx has the capabilities you need and the and menus, HeartStart MRx efficiently performance you demand - no compromises.
provides comprehensive diagnostic measurements without compromising critical, lifesaving therapy. Monitoring and resuscitation functions are clearly delineated, with monitoring located on one side of the device and defibrillation, pacing, and cardioversion on the other. Patient status and care data --- including numeric vital signs and up to four waves, as well as text prompts, alarms, an event timer, event markers, and battery status indicators --- are logically organized on the device's large, backlit, color  Instructions for use (User's guide)  Quick reference cards  User training workbook  ST/AR Basic algorithm for arrhythmia detection  Application notes  ECG monitoring through monitoring electrodes and defibrillation pads  AC power module  Synchronized cardioversion  Adjustable ECG size and autogain  Manual and AED operation HeartStart MRx Monitor/Defibrillator  SMART Biphasic waveform for defibrillation therapy Ordering Option Information
 Large 4-wave color display  Strip chart printer  Individual, adjustable volume of QRS beeper, voice prompts, and alerts SpO2, NBP, and EtCO2  Configuration mode 12-Lead ECG Acquisition Standard External Paddles  Operational checks Water Resistant External Paddles  Automated self-tests with "ready-for-use" indicator  Lithium ion battery with capacity gauge Additional Battery  ECG out capability Barrel style Pad Cable (Replacement for Standard Pad Accessory Pouch and Strap  SpO2 with Fourier Artifact Suppression Technology (FAST)  Noninvasive Blood Pressure Instructions for Use  Microstream™ EtCO User Training Video (English only) Alternate Label Set, AED/Energy Select  Noninvasive Pacing Service Manual (English only)  12-Lead ECG with Philips interpretation algorithm Service Training Video (English only)  Lithium ion battery with capacity gauge  Hands-free multifunction electrode cable  3-Lead ECG cable  Disposable monitoring electrodes  Strip chart recorder paper  Defibrillator test load Multifunction Electrode Pads
Adult Radiotransparent/Reduced Skin Pediatric Radiotransparent/Reduced Skin Pads Cable
Defib Hands-free, plug style ECG Monitoring Electrodes
High-Tack Foam; 5 electrodes/pack (60 packs/case) Option B02 - Acquisition Option B03 - Transmission ECG Cables
Option B04 - Wider Printer 12-Lead Cable Set
External Paddles with Paddle Tray 10-lead ECG Trunk Cable, 12-pin Connector (for 3-Lead Option C01 - Standard Paddles Option C02 - Water Resistant Paddles 3-lead ECG Set and Plug with Snap (AAMI) Add 7-lead ECG Set for 12-Lead use (AAMI) 3-lead ECG Set and Plug with Snap (IEC) Standard External Paddles Add 7-lead ECG Set for 12-Lead use (IEC) Water Resistant External Paddles 10-lead ECG Patient Trunk Cable, 12-pin ECG Input Sterilizable External Paddles Connector (for 5-Lead and 12-Lead use) 10-electrode Cable Set, Extremities, Grabber (use with 7.5 cm Switchless 10-electrode Cable Set, Chest, Grabber (use with 6.0 cm Switchless 4.5 cm Switchless 10-electrode Cable Set, Extremities, Grabber (use with 2.8 cm Switchless 10-electrode Cable Set, Chest, Grabber (use with 3-Lead Cable Set
3-lead ECG Trunk Cable (AAMI) Large Disposable Switched 3-lead ECG Lead Set with Snaps (AAMI) Medium Disposable Switched 3-lead ECG Trunk Cable (IEC) Small Disposable Switched 3-lead ECG Lead Set with Snaps (IEC) Large Disposable Switchless 5-Lead Cable Set
Medium Disposable Switchless 5-lead ECG Trunk Cable (AAMI) Small Disposable Switchless 5-lead ECG Lead Set with Snaps (AAMI) Internal Paddles Adapter Cable 5-lead ECG Trunk Cable (IEC) 5-lead ECG Lead Set with Snaps (IEC) Multifunction Electrode Pads
Adult Radiolucent Sync Cables
Multi-Patient Comfort Cuffs - Pediatric Sync Cable (8 ft.) Multi-Patient Comfort Cuffs - Small Adult Sync Cable (25 ft.) Multi-Patient Comfort Cuffs - Adult Multi-Patient Comfort Cuffs - Large Adult Reusable SpO2 Sensor - Adult Finger Disposable Blood Pressure Cuffs
Reusable SpO2 Sensor - Pediatric/Small Adult Finger Soft Single-Patient Disposable Cuff - Infant Reusable SpO2 Sensor - Adult Thumb Soft Single-Patient Disposable Cuff - Pediatric Soft Single-Patient Disposable Cuff - Small Adult 2 Sensor - Adult Ear Clip Soft Single-Patient Disposable Cuff - Adult 2 Sensor - Infant Soft Single-Patient Disposable Cuff - Adult X-Long Soft Single-Patient Disposable Cuff - Large Adult SpO2 Extension Cable, 2 m Soft Single-Patient Disposable Cuff - Large Adult X- Nellcor SpO2 Sensor Adapter Cable, 1 m (use with Soft Single-Patient Disposable Cuff - Thigh Adult Pressure (5 ft.) Filter Line Set - Adult/Pediatric (25 sets/case) Adult Pressure (10 ft.) Filter H Set - Adult/Pediatric (25 sets/case) Filter H Set - Infant/Neonatal (yellow, 25 sets/case) Reusable Blood Pressure Cuffs
Reusable NBP Cuff Kit, 3 sizes (pediatric, adult, large Non-Intubated Dual Purpose Circuits (CO2 + O2)
Reusable NBP Cuff Kit, 5 sizes Smart CapnoLine - Pediatric (infant, pediatric, adult, large adult, thigh) Smart CapnoLine - Intermediate Traditional Reusable NBP Cuff - Infant Smart CapnoLine - Adult Traditional Reusable NBP Cuff - Pediatric Traditional Reusable NBP Cuff - Adult Non-Intubated Single Purpose Circuits (CO2)
Traditional Reusable NBP Cuff - Large Adult Smart CapnoLine - Pediatric Traditional Reusable NBP Cuff - Thigh Smart CapnoLine - Intermediate Smart CapnoLine - Adult Antimicrobial Reusable NBP Cuff - Infant Antimicrobial Reusable NBP Cuff - Pediatric Antimicrobial Reusable NBP Cuff - Small Adult Lithium Ion Battery with Capacity Gauge Antimicrobial Reusable NBP Cuff - Adult Antimicrobial Reusable NBP Cuff - Large Adult Antimicrobial Reusable NBP Cuff - Thigh 50 mm Chemical Thermal, Gray Grid (10 rolls) 50 mm Chemical Thermal, Gray Grid (80 rolls) Color Handle
Green and color label set Blue and color label set Yellow and color label set Rose and color label set Gray and color label set Test Load for use with M3508A Pad Cable Carrying Case (includes 3 accessory pouches and Data Card and Tray Charge Time: Less than 5 seconds to 200 Joules with a new, fully charged
Lithium Ion battery pack at 25ºC. Less than 15 seconds when operating without a battery, using the M3539A AC power module alone at 90% rated Dimensions with pads: 12.4 in. (W) x 8.3 in. (D) x 11.7 in. (H)
Patient Impedance Range:
(31.5 cm x 21.0 cm x 29.5 cm) Minimum: 15 Ohm (internal defibrillation); 25 Ohm (external defibrillation) Dimensions with paddles: 13.4 in. (W) x 8.3 in. (D) x 13.6 in. (H)
(34.0 cm x 21.0 cm x 34.5 cm) Weight: 13.2 lbs. including pads, pads cable, full roll of paper, and battery.
Note: Actual functional range may exceed the above values.
Incremental weight of external standard paddles and paddle tray is 2.5 lbs. Additional battery weighs 1.6 lbs.
Manual Mode
Manual Output Energy (Selected): 1-10, 15, 20, 30, 50, 70, 100, 120,
150, 170, 200J; maximum energy limited to 50J for internal defibrillation Waveform: Biphasic Truncated Exponential. Waveform parameters adjusted
as a function of patient impedance Controls: On/Off Therapy Knob, Charge, Shock, Sync, Print, Mark Event, ECG
Lead Select, Alarm Pause, Event Review Shock Delivery: Via multifunction defib electrode pads, or paddles
Energy Selection Control: Front panel therapy knob
Delivered Energy Accuracy:
Charge Control: Front panel button; button on external paddles
Nominal Delivered Energy vs. Patient Impedance Shock Control: Front panel button; buttons on external or switched internal
Load Impedance
Synchronized Control: Front panel SYNC button
100 125 150 175
Indicators: Text prompts, audio alerts, QRS beeper, battery status, Ready For
Use, external power/battery charging, Sync mode Armed Indicators: Charging tone, charged tone, flashing shock button, and
energy level indicated on display AED Energy Profile: 150 Joules nominal into a 50 Ohm test load
Text and Voice Prompts: Extensive text/audible messages guide user
through configured protocol AED Controls: On/Off, Shock
Indicators:
Monitor display messages and prompts, voice prompts, battery status, Ready For Use, external power/battery charging Armed Indicators: Flashing shock button, charged tone, and voice prompts
ECG Analysis: Evaluates patient ECG and signal quality to determine if a
shock is appropriate and evaluates connection impedance for proper defibrillation pad contact Shockable Rhythms: Ventricular fibrillation and certain ventricular
tachycardias, including ventricular flutter and polymorphic ventricular Shock Advisory Algorithm Sensitivity and Specificity: Meets AAMI DF-
ECG and Arrhythmia Monitoring
Inputs: Up to four (4) ECG waves may be viewed on display and up to 2
Size: 8.4 in. diagonal (128 mm x 171 mm)
waves printed simultaneously. Lead I, II, or III is obtained through the 3-lead Type: TFT Color LCD
ECG cable. With a 5-lead cable, leads aVR, aVL, aVF, and V can also be obtained. Pads ECG is obtained through 2 multifunction defibrillation electrode Resolution: 480 x 640 pixels (VGA)
Sweep Speed: 25 mm/s nominal (stationary trace; sweeping
Lead Fault: Leads Off message and dashed line appear on the display if an
erase bar) for ECG and SpO2; 6.25 mm/s for CO2 electrode or lead wire becomes disconnected. Lead Off indicator in wave Wave Viewing Time: 5 seconds (ECG)
Pad Fault: Dashed line appears on the display if a pad becomes
Type: 6.3 Ah, 14.8 V, rechargeable, Lithium Ion
Heart Rate Display: Digital readout on display from 15 to 300 bpm, with an
accuracy of ±10% Dimensions: 6.5 in. (H) x 3.8 in. (W) x 1.6 in. (D) (165 mm x 95 mm x 42
Heart Rate/Arrhythmia Alarms: HR, Asystole, VFIB/VTACH, VTACH,
Extreme Tachy, Extreme Brady, PVC rate, Pacer not capture, Pacer not pacing Weight: 1.6 lb. (0.73 kg)
Hands Free Defibrillation Cable Length:
Charge Time: Approximately 3 hours to 100%. Approximately
2 hours to 80%, indicated by battery gauge indicator. Charging the battery at M3508A = 5 ft. (1.6 m) temperatures above 45ºC may degrade battery life. M3507A = 7 ft. (2.2 m) Capacity: At least 5 hours of monitoring with ECG, SpO2, and CO2 monitored
ECG Cable Length: 9 ft. (2.7 m)
continuously and NBP measured every 15 minutes, or at least 50 200-joule Common Mode Rejection: Greater than 90 dB measured per AAMI
shocks (on a new, fully charged battery at room temperature, 25º C). At least standard for cardiac monitors (EC 13) 3.5 hours while pacing at 180 ppm at 160 mA and monitoring as described ECG Size: 2.5, 5, 10, 20, 40 mm/mV, autogain
Battery Indicators: Battery gauge on battery, capacity indicator on display;
Frequency Response:
flashing RFU indicator, chirp, and LOW BATTERY message appears on display AC Line Filter: 60 Hz or 50 Hz for low battery condition* Pads ECG for Display: Monitor (0.15-40 Hz) or EMS (1-30 Hz) *Low battery condition triggered when 10 minutes of monitoring time and 6 Pads ECG for Printer: Monitor (0.15-40 Hz) or EMS (1-30 Hz) maximum energy discharges remain (with a new battery at room temperature, Leads ECG for Display: Monitor (0.15-40 Hz) or EMS (1-30 Hz) Leads ECG for Printer: Diagnostic (0.05-150 Hz) or Monitor (0.15-40 Hz) or Storage: Storing the battery for extended periods at temperatures above
40ºC will reduce battery capacity and degrade battery life.
Patient Isolation (defibrillation proof):
External Defib: Type BF Internal Defib: Type CF Thermal Array Printer
Noninvasive Blood Pressure
Continuous ECG Strip: The Print key starts and stops the strip. The printer
can be configured to run real time or with a 10-second delay. The strip prints Pressure Range:
the primary ECG lead with event annotations and measurements.
Systolic: 40-260 mmHg Auto Printing: The printer can be configured to automatically print on
Diastolic: 20-200 mmHg Marked Events, Charge, Shock, and Alarm. When an alarm condition occurs, Initial Pressure: 160 mmHg (Adult); 120 mmHg (Pediatric)
the unit prints the primary ECG wave and the alarming wave, if configured. Maximum Pressure: 280 mmHg
Overpressure Safety Limits: Maximum of 300 mmHg
Reports: The following can be printed: Event Summary, 12-Lead, Operational
Cuff Inflation Time: 50 second maximum (pediatric or adult)
Check, Configuration, Status Log, and Device Information Accuracy: ±3 mmHg
Speed: 25 or 50 mm/s with an accuracy of ± 5%
Alarm Range:
Systolic high limit: 35 - 270 (Adult), 35 - 180 (Pediatric) Amplitude Accuracy: ± 5% or ± 40 uV, whichever is greater
Systolic low limit: 30 - 265 (Adult), 30 - 175 (Pediatric) Paper Size: 50 mm (W) by 30 m (100 ft.) (L)
Diastolic high limit: 15 - 245 (Adult), 15 - 150 (Pediatric) Diastolic low limit: 10 - 240 (Adult), 10 - 145 (Pediatric) Mean high limit: 25 - 255 (Adult), 25 - 160 (Pediatric) Mean low limit: 20 - 250 (Adult), 20 - 155 (Pediatric) Waveform: Monophasic Truncated Exponential
Rated Life: 50,000 measurement cycles (36/day for 2.3 years)
Current Pulse Amplitude: 10 mA to 160 mA (5 mA resolution);
Auto Mode Repetition Time: 1, 2.5, 5, 10, 15, 30, 60, or 120 minutes
accuracy 10% or 5 mA, whichever is greater Measurement Time: Auto/manual mode: 30 seconds (average) @ HR > 60
bpm, 170 seconds (maximum) Pulse Width: 40 ms with ± 10% accuracy
Interconnect Tube Length:
Rate: 30 ppm to 180 ppm (10 ppm increments); accuracy ± 1.5%
M1598B Connect tubing (1.5 m) Modes: Demand or Fixed Rate
M1599B Connect tubing (3 m) Refractory Period: 340 msec (30 to 80 ppm); 240 msec (90 to 180 ppm)
End-Tidal Carbon Dioxide
SpO2 Pulse Oximetry
Range: 0 to 99 mmHg
Resolution: 1mmHg (0.1kPa)
Range: SpO2: 0-100%; pulse rate: 30 to 300 bpm
Accuracy: For values between 0 and 38 mmHg: ±2 mmHg. For values
between 39 and 99 mmHg: ±5% of reading + 0.08% for every 1 mmHg Display Update Period: 1 sec. typical numeric update rate
(above 40 mmHg). Values read at sea level after > 20 min. warm up Alarm Range:
Accuracy with:
Low Limit: 10 to 94 mmHg (Adult/Pediatric) M1191A sensor - 1 standard deviation 70% to 100%, ± 2.5% High Limit: 20 to 95 mmHg (Adult/Pediatric) M1192A sensor - 1 standard deviation 70% to 100%, ± 2.5% Sample Size: 50 ml per min.
M1193A sensor - 1 standard deviation 70% to 100%, ± 2.5% M1194A sensor - 1 standard deviation 70% to 100%, ± 4.0% M1195A sensor - 1 standard deviation 70% to 100%, ± 4.0% NELLCOR sensors - 1 standard deviation 80% to 100%, ± 3.0% Pulse Rate Accuracy: 2% or 1 bpm (whichever is greater)
Alarm Range:
Low Limit: 50 to 99% (Adult/Pediatric) High Limit: 51 to 100% (Adult/Pediatric) Alarm Delay: 10 seconds
Airway Respiration Rate
Range: 0 to 150 rpm
Temperature: 0º C to 45ºC operating, -20º to 70ºC storage
Resolution: 1 rpm
Humidity: Up to 95% relative humidity
Accuracy:
0 to 40 rpm ±1 rpm Altitude:
41 to 70 rpm ±2 rpm Operating: 0 to 15,000 ft. (0 to 4,500 m) 71 to 100rpm ± 3% Storage: 0 to 15,000 ft. (0 to 4,500 m) 101 to 150rpm ± 5% Shock:
Operating: Half-sine waveform, duration < 3 ms, velocity change > 111 in/s
Alarm Range:
±5% 3 times on all six faces Low Limit: 0 to 99 rpm (Adult/Pediatric) Storage: Trapezoidal waveform, acceleration > 30 g, velocity change=742 cm/ High Limit: 10 to 100 rpm (Adult/Pediatric) s ±10% on all six faces Apnea Alarm Time: 10-40 seconds, in increments of 5
Vibration:
Operating: Random vibration, 0.30 grms, 5-500 Hz for >10 minutes/axis
Calibration Gas for CO2 Measurement System
PSD=0.0002 g2/Hz from 5 to 350 Hz, -6 dB/octave slope from 350 to 500 Hz Ingredients: 5% Carbon Dioxide, 21% Oxygen, 74% Nitrogen
Storage: Random vibration, 2.41 grms, 5-500 Hz for >10 minutes/axis Cylinder Size: BD
PSD=0.02 g2/Hz from 5 to 100 Hz, -6 dB/octave slope from 100 to 137 Hz, Method of Preparation: Gravimetric
0 dB/octave slope from 137 to 350 Hz, -6 dB/octave slope from 350 to 500 Blend Tolerance: 0.03%
Accuracy: 0.03% absolute
Moisture: 10 PPM Maximum
Solids Resistance: IP2x
Expiration Period: 2 years
Water Resistance: Meets EN 60601-2-4. Water testing performed with
Pressure: 144 PSIG, Volume: 1L
patient cables connected to the device EMC: Meets EN 60601-1-2:2001
12-Lead ECG
Safety: Meets EN 60601-1, UL 2601-1, CAN/CSA C22.2 No. 601-1
Inputs: With a 10-Lead cable, leads I, II, III, aVR, aVL, aVF, V/C1-V/C6 can be
obtained. All 12-Lead ECG waves can be viewed on the display simultaneously.
Other Considerations: Device not suitable for use in the presence of
All 12 leads can be printed on the strip chart printer in 3x4 format.
concentrated oxygen or a flammable anesthetic mixture with air, oxygen, or 12-Lead ECG Transmission: Data card to a PC
Receiver Type: HeartStart Event Review Pro
Mode of Operation: Continuous
Patient Data Storage
AC Line Powered:
Input: 100-240 VAC, 50-60 Hz, 1-0.46 A Internal Event Summary: 8 hours of continuous ECG waveforms and
Output: 18V, 5A, 90W events AND 50 12-Lead ECG reports Battery Powered: 14.8 V Rechargeable, Lithium Ion
Data Card Event Summary: 8 hours of continuous ECG waveforms and
events AND 50 12-Lead ECG reports Philips Medical Systems is part
Philips Medical Systems of Royal Philips Electronics
Cardiac and Monitoring Systems3000 Minuteman RoadAndover, MA 01810Tel: (800) 934-7372 Philips Medical Systems2660 Matheson Blvd. E.
Mississauga, Ontario L4W 5M2Tel: (800) 291-6743 EUROPE, MIDDLE EAST AND AFRICA:
Philips Medizinsysteme Böblingen GmbHCardiac and Monitoring SystemsHewlett-Packard Str. 271034 BöblingenGermanyFax: (+49) 7031 463 1552 LATIN AMERICA HEADQUARTERS:
Philips Medical Systems5200 Blue Lagoon Drive9th FloorMiami, FL 33126Tel: (305) 267-4220 ASIA PACIFIC HEADQUARTERS:
Philips Medical Systems26/F Hopewell Centre17 Kennedy RoadWanchaiHong KongTel: (+852) 2821 5888Fax: (+852) 2527 7136 2003 Koninklijke Philips Electronics North America. All rights are reserved. Reproduction in whole or in part is prohibited without the prior written consent of the copyright holder. Koninklijke Philips Electronics N.V. reserves the right to make changes in specifications or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication.
Published December 20034522 981 84631

Source: http://www.laerdal.fi/binaries/AASOOKBT.pdf

Introducción:

UP .Universidad de Palermo Facultad de Ciencias Sociales Trabajo final integrador Percepción de riesgo y prevalencia de consumo de drogas en alumnos universitarios Tutor: Dr. Eduardo Leiderman Autor: Andrés Otero 3-2-1-Consumo de sustancias en subregión de América del sur………….…………… 9 3-2-2-El consumo de sustancias de los universitarios argentinos……….…………. 10

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