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Available at: lung radiotherapy or wedge resection for stage I non-small-cell lung hair loss 12 months postpartum purchase 1mg finpecia overnight delivery. Available at: Non-Small-Cell Lung Cancer: expert panel on radiation oncology-lung hair loss cure tips buy finpecia 1mg otc. J Natl therapy on morbidity and operative mortality after resection of primary Cancer Inst 2007;99:442-450 hair loss cure-7 order finpecia australia. Induction effectiveness of neoadjuvant chemoradiotherapy versus chemotherapy chemotherapy does not increase the operative risk of pneumonectomy! Which patients should be operated on after induction chemotherapy for N2 non-small cell lung 315 bio herbal anti-hair loss order finpecia 1mg without a prescription. Ann Thorac Surg segmentectomy by thoracotomy or thoracoscopy: reduced hospital 2008;85:S729-732. Video-assisted thoracic surgery in lung cancer resection: a meta-analysis and systematic review 326. Available at: by video-assisted thoracic surgery an adequate procedure in clinical. Video-assisted thoracoscopic surgery is more favorable than thoracotomy for resection 328. Is video-assisted thoracic surgery of clinical stage I non-small cell lung cancer. Use of video-assisted non-small cell lung cancer: a systematic review of the video-assisted thoracic surgery for lobectomy in the elderly results in fewer thoracoscopic surgery versus thoracotomy approaches to lobectomy. Video-assisted thoracic surgery versus open thoracotomy for non-small cell lung cancer: a surgery versus open lobectomy for lung cancer: a secondary analysis of meta-analysis of propensity score-matched patients. Interact data from the American College of Surgeons Oncology Group Z0030 Version 2. Long-term results of lung resection for non-small cell lung cancer in stage I is associated video-assisted thoracic surgery lobectomy for stage I non-small cell lung with less morbidity and shorter hospitalization than thoracotomy. Discharge independence lobectomy is associated with lower morbidity compared with with minimally invasive lobectomy. Available at: associated with lower morbidity than open lobectomy: a meeting. Available at: lobectomy facilitates the delivery of chemotherapy after resection for. Long-term survival after lobectomy for non-small cell lung cancer by video-assisted thoracic surgery versus 343. Nodal video-assisted thoracic surgical lobectomy and wedge resection: results downstaging predicts survival following induction chemotherapy for from a multihospital database (Premier). Available at: technologic advances on outcomes in patients with unresectable, locally. Criteria(R) nonsurgical treatment for locally advanced non-small-cell lung cancer: good performance status/definitive intent. Available at: radiation therapy technique for locally advanced non-small-cell lung. Available at: for medically inoperable lung cancer: prospective, single-center study of. Available at: therapy: a review of current literature and clinical use in practice. Available at: outcomes after stereotactic body radiation therapy for medically. Available at: of 5 treatment strategies for early-stage non-small cell lung cancer in. Consensus statement on palliative lung radiotherapy: third international consensus 374. Clin Lung Appropriateness Criteria: nonsurgical treatment for non-small-cell lung Cancer 2012;13:1-5. Palliative radiation therapy practice in patients with metastatic non-small-cell lung cancer: a Cancer 375. A randomized study of involved-field aggressive thoracic radiation therapy and concurrent chemoradiation irradiation versus elective nodal irradiation in combination with therapy in metastatic lung cancer. Available at: cisplatin/etoposide plus chest radiotherapy followed by surgery for. Available at: resection after concurrent chemotherapy and high dose (60Gy). Available at: improved local tumor control and overall survival in patients with. Available at: radiotherapy in trimodality treatment of Pancoast tumors results in high. Available at: resection after curative intent radiotherapy (>59 Gy) and concurrent. Available at: and surgical resection for superior sulcus non-small-cell lung. Available at: Radiotherapy in Locally Advanced Non-Small-Cell Lung Cancer: American Society of Clinical Oncology Clinical Practice Guideline Endorsement of the American Society for Radiation Oncology 395. J Clin Oncol trial of concurrent chemotherapy and escalating doses of radiation for unresectable non-small-cell lung cancer. Available three-dimensional conformal radiation therapy and concurrent at: Prescribing, Recording and Reporting an analysis of the Radiation Therapy Oncology Group. Available at: Oncology recommendations for documenting intensity-modulated. Int J Radiat Oncol Biol Phys histogram analysis for pneumonitis after 3D treatment for non-small cell 2008;72:1362-1367. Int J Radiat Oncol Biol radiation-dose escalation study in patients with non-small-cell lung Phys 2010;76:S10-19. Dose-volumetric parameters for predicting severe radiation pneumonitis after three-dimensional 419. Available at: dose-volume parameters in the prediction of esophagitis in thoracic. Hypofractionated proton beam stereotactic body radiotherapy: principles and practice for the treatment radiotherapy for stage I lung cancer. Survival and quality of life International Journal of Radiation Oncology*Biology*Physics after stereotactic or 3D-conformal radiotherapy for inoperable 2010;78:S27-S28. Outcomes of stereotactic ablative radiotherapy in patients with potentially operable 437. Int J Radiat Oncol Biol Phys radiation therapy for early-stage non-small-cell lung cancer: the pattern 2012;83:348-353. Patterns of disease resection, and stereotactic ablative radiotherapy for early-stage recurrence after stereotactic ablative radiotherapy for early stage non-small cell lung cancers in the elderly. Preliminary report of late recurrences, at 5 years or more, after stereotactic body radiation 440. Available at: Stereotactic Body Radiation Therapy for Operable T1N0M0 Non-small. Int J Radiat Oncol practice and priorities for research in radiation oncology for elderly Biol Phys 2009;74:47-54. Available at: patients with cancer: the International Society of Geriatric Oncology. Positron emission tomography for assessing local failure after stereotactic body radiotherapy for 450. Int J Radiat Oncol Biol Phys radiotherapy for pulmonary oligometastases and oligometastatic lung 2012;83:1558-1565. Stereotactic radiosurgery non-small cell lung cancer after stereotactic body radiotherapy in initially for metastatic spine tumors. Surgical treatment of local four or more brain metastases in patients without prior intracranial recurrence after stereotactic body radiotherapy for primary and radiation or surgery. Stereotactic ablative radiotherapy stereotactic body radiotherapy for lung cancer: 6-year analysis of 60 for reirradiation of locally recurrent lung tumors. Int J Radiat Oncol Biol Phys predictors of radiation pneumonitis in a large series of patients treated 2009;73:442-448.
Group 2 drivers who use these devices must continue to hair loss cure yet purchase 1 mg finpecia with amex monitor fnger prick capillary blood glucose levels with the regularity defned below hair loss 80-10-10 buy finpecia amex. More frequent self-monitoring may be required with any greater risk of hypoglycaemia (physical activity hair loss 8 year old boy order finpecia 1 mg mastercard, altered meal routine) hair loss in women over 50 order finpecia 1mg online. Group 2 bus and lorry regular blood glucose testing at least twice daily including on days when not driving and no more than 2 hours before the start of the frst journey and every 2 hours after driving has started. Refer to insulin-treated diabetes (page 71) and Chapter 6, visual disorders (page 96). Refer to Chapter 7, renal and Refer to Chapter 7, renal and respiratory disorders (page 104). The ability to safely control a vehicle at all times is safely control a vehicle at all times is the essential requirement. A short-term licence may be issued if diabetes complications have developed but the required medical standards have been met. Hypoglycaemia due to other causes Group 1 Group 2 car and motorcycle bus and lorry If there are episodes of severe hypoglycaemia from any cause other than diabetes treatment driving must stop while the liability to episodes remains. Examples include hypoglycaemia post-bariatric surgery or in association with eating disorders, and the restriction applies for both car and motorcycle, and bus and lorry drivers. Licensing is on the provision that the Licensing will require individual patient has no disqualifying condition. If the patient is on insulin, refer to If the patient is on insulin, refer to page 71 for the section on insulin-treated page 71 for the section on insulin-treated diabetes. Licensing is on the provision that the Licensing will require individual patient has no disqualifying condition, assessment. Seizures provoked by hypoglycaemia Seizures provoked by hypoglycaemia now require a period off driving due to the prospective risk of a further seizure. See Appendix E, page 126 for problems, agitation, medication considerations relevant to For other cases, refer to ?severe below. See Appendix E, page 126 for disturbance or medication considerations relevant suicidal thoughts to driving. Severe anxiety or depression Note: effects of severe illness are of greater importance for their relevance to driving than medication but see Appendix E, page 126 for additional considerations, on medication. Licensing may be granted after 6 months if: the person has been well and stable and is not taking medication with side effects that would affect alertness or concentration. Driving is usually permitted after 6 months if the anxiety or depression has been long-standing but symptoms are under control and if maintenance on a dosage of psychotropic medication does not cause impairment. Acute psychotic disorder Persistent alcohol and/or drug misuse or dependence See Chapter 5, page 88. Licensing may be considered if all Licensing may be considered if all of of these conditions are met: these conditions are met: remained well and stable for at remained well and stable for least 3 months at least 12 months adheres to any agreed treatment plan adheres to any agreed treatment plan free from any medication effects free from any medication effects that that would impair driving would impair driving subject to a suitable specialist report subject to a favourable report from being favourable. A lack of insight which impacts upon A lack of insight which impacts upon the ability to drive safely would be a the ability to drive safely would be a bar to licensing. Drivers with a history of instability the minimum effective antipsychotic and/or poor engagement with treatment dosage should be sought, in line with will be required not to drive for a longer good practice. Established illness with a history suggesting a likelihood of relapse: the risk of this needs to be considered low. For Group 2 bus and lorry driving, in both stable and unstable conditions: the minimum effective dosage of any antipsychotic medication should be sought, in line with good practice. Drug tolerability should be optimal and not associated with any defcits that might impair driving, such as to alertness, concentration or motor performance established illness with a history to suggest a likelihood of relapse: the risk of this must be considered low. Licensing may be considered if all Licensing may be considered if all of these conditions are met: of these conditions are met: remained well and stable for at remained well and stable for at least 3 months least 12 months adheres to any agreed treatment plan adheres to any agreed treatment plan free from any medication effects that free from any medication effects that would impair driving would impair driving subject of a favourable report from subject of a favourable report from a specialist in psychiatry. Licensing may be considered if all Licensing may be considered if all of these conditions are met: of these conditions are met: Particular danger would remained well and stable for remained well and stable for at be posed by driving if there is hypomania or at least 6 months least 12 months mania with repeated adheres to any agreed treatment plan adheres to any agreed treatment plan change of mood. Schizophrenia and other chronic relapsing/remitting disorders Persistent alcohol and/or drug misuse or dependence See Chapter 5, page 88. A longer period of symptoms relate adheres adequately to any agreed stability may be required if there is a to other road users treatment plan history of relapses free from any medication effects that adheres strictly to any agreed would impair driving treatment plan subject to a suitable specialist report free from any medication effects that being favourable. Further: However a lack of insight which the minimum effective dosage of any impacts upon the ability to drive safely antipsychotic medication should be would be a bar to licensing. Symptoms should be unlikely to cause Drug tolerability should be optimal signifcant concentration problems, and not associated with any defcits memory impairment or distraction that might impair driving, such as while driving. A lack of insight which impacts upon the ability to drive safely would be a bar to licensing. These are: attention and concentration attention and concentration memory memory behaviour and awareness of how behaviour and awareness of how this impacts on others this impacts on others ability to regulate emotions ability to regulate emotions ability to make considered decisions ability to make considered decisions without being impulsive without being impulsive insight and understanding insight and understanding ability to anticipate the actions ability to anticipate the actions of others of others cognitive fexibility cognitive fexibility sensory processing (increased sensory processing (increased sensitivity to sensory stimuli eg light, sensitivity to sensory stimuli eg light, sound, etc) sound, etc) motor coordination and control motor coordination and control If your patient is diagnosed with a If your patient is diagnosed with a neurological developmental condition neurological developmental condition but has passed a driving test, the but has passed a driving test, the attributes for safe driving will already attributes for safe driving will already have been demonstrated at that time. Considerations include: Considerations include: poor short-term memory, poor short-term memory, disorientation, and lack of insight disorientation, and lack of insight and judgement almost certainly and judgement almost certainly not ft to drive not ft to drive disorders of attention causing disorders of attention causing impairment. A formal driving assessment may be A licence may be issued subject necessary (see Appendix G, page 129). Learning diffculty is Licensing will be granted provided Licensing will be granted provided not included. Licensing may be granted after Licensing may be granted if a medical reports confrm satisfactory specialist confrms stability. Licensing will be refused or revoked if Licensing will be refused or revoked there is likely to be danger at the wheel. Defnition of controlled drinking Drinking within government recommended health guidelines (currently 14 units per week). Abstinence is required, with normalised Abstinence is required, with normalised blood parameters if relevant. Alcohol-related seizure Seizure(s) associated with alcohol use may be considered provoked in terms of licensing (for details see neurological disorders and Appendix B, page 116). In addition, the relevant standards for any associated alcohol misuse or dependence should be applied. If a licence is awarded, the ?til 70 licence is restored for Group 1 car and motorcycle driving. If a high risk offender has a previous history of alcohol dependence or persistent misuse but has satisfactory examination and blood tests, a short period licence is issued for ordinary and vocational entitlement but is dependent on their ability to meet the standards as specifed. A high risk offender found to have a current history of alcohol misuse or dependence and/or unexplained abnormal blood test results will have the application refused. Defnition the high risk offender scheme applies to drivers convicted of the following: one disqualifcation for driving or being in charge of a vehicle when the level of alcohol in the body equalled or exceeded either one of these measures: 87. The below requirements apply to cases of single-substance misuse or dependence, whereas multiple problems including with alcohol misuse or dependence are not compatible with ftness to drive or licensing consideration, in both groups of driver. Note on therapy versus Relicensing may require an Relicensing will usually require an persistent misuse below. Group 1 Applicants or drivers complying fully with a consultant or appropriate healthcare practitioner supervised oral methadone maintenance programme may be licensed subject to favourable assessment and normally annual medical review. Applicants or drivers on an oral buprenorphine programme may be considered applying the same criteria. There should be no evidence of continuing use of other substances including cannabis. Group 2 and C1/D1 Applicants or drivers complying fully with a consultant or appropriate healthcare practitioner supervised oral methadone maintenance programme may be considered for an annual medical review licence, once a minimum 3 year period of stability on the maintenance programme has been established with favourable random urine tests and assessment. In addition the relevant standards for any associated drug misuse or dependence should be applied. The law also requires all drivers to have a minimum feld of vision, as set out below. Higher standard of visual acuity bus and lorry drivers Group 2 bus and lorry drivers require a higher standard of visual acuity in addition: a visual acuity (using corrective contact lenses where needed) of at least: Snellen 6/7. In addition, there should be no signifcant defect in the binocular feld that encroaches within 20 of the fxation above or below the horizontal meridian. When assessing monocular charts and Goldmann perimetry, fxation accuracy will also be considered. Defect affecting central area only (Esterman within 20 degree radius of fxation) Only for the purposes of licensing Group 1 car and motorcycle driving: the following are generally regarded as acceptable central loss scattered single missed points a single cluster of up to 3 adjoining points. Defect affecting the peripheral areas width assessment Only for the purposes of licensing Group 1 car and motorcycle driving: the following will be disregarded when assessing the width of feld a cluster of up to 3 adjoining missed points, unattached to any other area of defect, lying on or across the horizontal meridian a vertical defect of only single-point width but of any length, unattached to any other area of defect, which touches or cuts through the horizontal meridian.
Your treatment options will depend on your situation and the treatments you?ve already had hair loss cure shampoo cheap finpecia line. I?m more aware of my own body and the need to hair loss with chemotherapy cheap finpecia 1mg online get any changes checked out straightaway hair loss in men michael 1 mg finpecia free shipping. Mark 60 Cancer Council Caring for someone with a tumour You may be reading this booklet because you are caring for someone with cancer hair loss cure purchase finpecia 1 mg with visa. Try to look afer yourself give yourself some time out and share your worries and concerns with somebody neutral, such as a counsellor or your doctor. Many cancer support groups and cancer education programs are open to carers, as well as people with cancer. Support groups and programs can ofer valuable opportunities to share experiences and ways of coping. Support services such as Meals on Wheels, home help or visiting nurses can help you in your caring role. You can fnd local support services, as well as practical information and resources, through the Carer Gateway. Tere are also many groups and organisations that can provide you with information and support, such as Carers Australia, the national body representing carers in Australia. Carers Australia works with the Carers Associations in each of the states and territories. You can call Cancer Council 13 11 20 to fnd out more about carers services and get a copy of the Caring for Someone with Cancer booklet. BrainLink may also have helpful services for carers of people with brain diseases visit brainlink. Caring for someone with a tumour 61 Useful websites The internet has many useful resources, although not all websites are reliable. Question checklist 63 Glossary acoustic neuroma central nervous system See schwannoma. A drug that stops a person feeling pain the cerebrum is divided into right and during a medical procedure. However, pathologist, neuropsychologist or it can still be life-threatening and may occupational therapist. Increased pressure in the skull caused by a brain tumour taking up too glial cell much space or blocking the flow of A type of nervous system cell that cerebrospinal fluid, or by swelling surrounds and holds neurons in place, after surgery. May be called include astrocytoma, glioblastoma, benign, but can still be life-threatening oligodendroglioma and ependymoma. May be called a is a high-grade tumour that tends malignant tumour or brain cancer. Chemicals in the body that send medical oncologist information between cells to bring A doctor who treats cancer with drug about changes in the body. Glossary 65 medulloblastoma occipital lobe A high-grade brain tumour that starts Part of the brain responsible for in the cerebellum. It aims to maintain quality of Cancer that has spread from a life by addressing physical, practical, primary cancer in another part of the emotional, spiritual and social needs. It Medical treatment for people with uses magnetism and radio waves to advanced cancer to help them manage take detailed cross-sectional pictures pain and other physical and emotional of the body. A tumour that starts in the Schwann cells that surround nerves in the vertebrae brain. Glossary 67 How you can help At Cancer Council, we?re dedicated to improving cancer control. As well as funding millions of dollars in cancer research every year, we advocate for the highest quality care for cancer patients and their families. We create cancer-smart communities by educating people about cancer, its prevention and early detection. We offer a range of practical and support services for people and families affected by cancer. All these programs would not be possible without community support, great and small. Make a donation: Any gift, large or small, makes a meaningful contribution to our work in supporting people with cancer and their families now and in the future. Buy Cancer Council sun protection products: Every purchase helps you prevent cancer and contribute fnancially to our goals. Help us speak out for a cancer-smart community: We are a leading advocate for cancer prevention and improved patient services. You can help us speak out on important cancer issues and help us improve cancer awareness by living and promoting a cancer-smart lifestyle. Join a research study: Cancer Council funds and carries out research investigating the causes, management, outcomes and impacts of different cancers. To fnd out more about how you, your family and friends can help, please call your local Cancer Council. When disruption and change happen in our lives, talking to someone who understands can make a big difference. Cancer Council has been providing information and support to people affected by cancer for over 50 years. Calling 13 11 20 gives you access to trustworthy information that is relevant to you. Our cancer nurses are available to answer your questions and link you to services in your area, such as transport, accommodation and home help. If you are finding it hard to navigate through the health care system, or just need someone to listen to your immediate concerns, call 13 11 20 and find out how we can support you, your family and friends. If you need information If you are deaf, or have a in a language other hearing or speech impairment, than English, an you can contact us through interpreting service is the National Relay Service. To support Cancer Council, call your local Cancer Council or visit your local website. Family caregivers quickly become experts at this demanding job but often feel like they have to ?re-invent the wheel in fguring out and prioritizing the many tasks involved. This handbook has been developed to provide easily accessible and accurate information to family caregivers helping to care for loved ones with brain tumors. Much of the content has been communication advice when speaking with adapted from resources currently available on the your medical team. It is normal to feel are serving as a source of important emotional both positive and negative emotions when support for the person facing cancer. Under these circumstances it is social workers important to seek help both for the actual l Provide transportation hands-on care and for emotional support. For most family caregivers, responsibilities at work and home do not stop when a loved one You are an instrumental part gets ill. Our deepest respect goes juggling multiple responsibilities, some of which to you for the assistance you may confict. However, the anxiety that comes with dealing 1 Gauthier a, vignola a, calvo a, cavallo e, Moglia c, Sellitti l, Mutani R, chio a: a longitudinal study on quality of life and depression in alS patient-caregiver couples. Finally, it offers some guidance about how to prioritize your caregiving responsibilities, and offers tools to organize supportive family members and friends who may be able to help. Find options by looking online or contacting Do Consider local social service agencies that provide assistance to people with brain tumors, cancer or other disabilities. Creating a care page is easy and offers you the ability to share photos, receive emotional support, and have a virtual meeting place. Service providers range from certifed nurses, l Have petty cash available for helpers in case of emergencies to informal companions, to house cleaners. Sometimes people offer an employer and must adhere to all employment laws including unwanted advice. If you use an agency, you will pay more per hour, but they assume the employment responsibilities, bond and certify the attendants, and provide substitutes for sick days. Many caregivers say l notes and questions section this is where you that these simple books kept them can write notes while at appointments, or keep a fle of focused, organized, and feeling questions you need answered by the doctors. Many patients take herbal therapies, vitamins, and supplements as part of l their medical regimen. Mistakes in the type of medication taken, the wrong dosage, or an4 interaction between drugs can lead to severe health consequences or worse yet, death. Maintain an up-to-date medication log with all prescription and non-prescription items 4 (including over-the-counter medications like antacids, supplements like vitamins, protein powders, herbs, or other ?holistic treatments). Some of these issues may be resolved O by speaking on the phone with a nurse, and some may require follow up visits with the doctor. If your loved one is experiencing pain at any point, you may want to use the common pain scale included in the Appendix to rate the severity and make note of when it happened so that the doctor can identify the cause and possibly change treatments or follow up with a different procedure.
The Product simulates that step for a full 15 seconds before it does the subsequent step hair loss cure quiet finpecia 1mg on line. When you push the Previous softkey while paused hair loss in men 50 discount finpecia 1mg without a prescription, the Product goes back a step hair loss wellbutrin xl order 1 mg finpecia with mastercard, but stays paused and sets the time to hair loss treatment uae purchase finpecia 1mg free shipping 15 seconds. When you push the Stop softkey, the procedure simulation is stopped and the initial test screen shown in Figure 19 shows on the display. Simulate a Cardiac Catheterization Procedure the Product simulates blood pressure measurements on both sides of a heart valve. The pressure difference, or gradient across the valve, is used to determine heart valve condition. You simulate an increase and decrease of simulated pressure when you push the Increase Pressure or Decrease Pressure softkeys. Push the Pullback softkey to simulate the pressures when the catheter is pulled back. Each push of the increase softkey sets the left ventricle pressure to 126 mmHg (+5 %), 132 mmHg (+10 %), 138 mmHg (+15 %), 144 mmHg (+20 %), and 180 mmHg (+50 %). Each push of the decrease softkey sets the pressure down from 180 mmHg to 120 mmHg with the same pressure steps. Push the Increase Pressure or Decrease Pressure to simulate a bad pulmonary valve. Each push of the increase softkey sets the left ventricle pressure to 26 mmHg (+5 %), 28 mmHg (+10 %), 29 mmHg (+15 %), 30 mmHg (+20 %), and 38 mmHg (+50 %). Each push of the decrease softkey sets the pressure down from 38 mmHg to 25 mmHg with the same pressure steps. Each push of the increase softkey sets the left ventricle pressure to 26/18, 29/19 mmHg, 31/21 mmHg, 34/22 mmHg, and 36/24 mmHg. Each push of the decrease softkey sets the pressure down from 36/24 mmHg to 10/2 mmHg with the same pressure steps. The type of cable connected to the temperature jack sets the type of temperature probe simulated. Respiration Screen You can choose between a normal or ventilated respiration waveform and change the respiration rate. The baseline impedance between the leads and the amplitude of impedance variation (respiration amplitude) are set though the front panel as well. Set Apnea Simulation You can simulate an apnea period manually or for a specified time period. To control an apnea period manually, push the Continuous Apnea softkey from the Respiration screen. When the timer counts down to zero, the apnea period ends and the display shows the Respiration screen. Thermal dilution cardiac output measurements are given by the heat interchange between the blood of the patient and a known volume of chilled saline put into the heart. Cardiac output is expressed in liters per minute (L/min) and ranges between 3 L/min and 7 L/min in normal adults. Current cardiac output measurement devices can make sure you get the most accurate measurements. This includes an average of a series of measurements to prevent variations because of artifacts. This rejects measurements because of clinician technique or the underlying cardiovascular disease in a patient. Note Cardiac output measurement devices that use different techniques (such as Fick dye injection, Doppler ultrasonography and bioimpedance) are not addressed or intended for this Product. Cardiac Output Injectate Cable Modification Note Fluke Biomedical offers optional adapter cables to connect the Product to specified brands of cardiac output measurement devices. Cardiac Output Screen Push the Back softkey to go back to the Special Functions screen, 44 Vital Signs Simulator Simulate Cardiac Output Set the Cardiac Output Waveform To set the cardiac output waveform: 1. As you change the injectate temperature, the calibration coefficient necessary for the monitor shows on the display. Start a Cardiac Output Simulation After you set the parameters for a cardiac output simulation, push the Start softkey. The manometer function sets the Product to measure static pressure and shows the pressure on the display. ProSim 8 Mandrel Patient Monitor Blood Pressure Cuff Must be connected closer Wraps around mandrel. Non-Invasive Blood Pressure Test Connections 46 Vital Signs Simulator Non-Invasive Blood Pressure Simulation and Tests Figure 30 shows the blood pressure cuff mandrel sizes. Non-Invasive Blood Pressure Screen 47 ProSim 8 Users Manual Pressure, heart rate, pulse volume, brand, and wave are set through the front panel controls to simulate different patient conditions. In Figure 33, the top graph shows a blood pressure envelope with a negative shift, and the bottom graph shows a blood pressure envelope with a positive shift. Heart beat simulation starts when the pressure equals the diastolic pressure set into the Product. Push the Summary softkey to show the blood pressure measurements in Figure 34 on the display. Note Before you do a pressure leak test on a monitor, do the pressure leak test without the monitor to identify the leak rate of the Product. Use this leak rate to offset the rate of the full system with the monitor connected. While the Product pumps air into the pneumatic system, the pressure and a graph of the pressure shows on the display. Leak Test Pumping Screen 53 ProSim 8 Users Manual the pump stops when the measured pressure is the same as the target pressure. Do a Pressure Relief Test the pressure relief test pressurizes a pneumatic system until the Product senses a drop in pressure, as occurs when the relief valve opens. Or the test stops if the pressure gets to the target pressure and no relief is sensed. When the Product senses the pressure valve has opened, the test stops and the results show on the display. It is recommended you do three pressure relief tests in case the relief valve is intermittent. If there is no drop in pressure and the pressure climbs to the target pressure, the pump stops and Not Tripped shows in the display. If you cannot close the vent valve, the system cannot be pressurized by an external pump. It is possible to start a blood pressure measurement with the monitor (this closes the valve), then start the Pressure Relief tests, so that two pumps inflate the system. The results can change, but the monitor usually opens a relief valve at some high pressure. Pressure Relief Valve Test Results Screen See Save Test Results to learn more on how to save your test results data. You can use the pressure source test for static calibration of non-invasive blood pressure measurement systems, sphygmomanometer checks, and other devices that measure pressure. Note When you hold down the direction key, the step size changes to 10 mmHg until the key is released. While the Product pumps air into the pneumatic system, the pressure measurement and a graph of the pressure shows on the display. Either push the Vent softkey to vent the pressure system or change the pressure and push the Start softkey to do another test. Check a Manometer the manometer function sets the Product up as a pressure gauge to measure pressure supplied by an external source. Manometer Screen As the external generator increases the pressure, the digital and analog pressure values on the display show the current pressure. Oximeter SpO2 Optical Emitter and Detector the subject device provides Oximeter SpO2 optical emitter and detector capability, which is solely intended to generate an optical signal to verify that the electronics within the pulse oximeter probe are functional. The subject device presents pulse oximeter equipment with a signal having a predictable value of ratio so that the operator can observe the resulting displayed value of SpO2, and compare it to the expected value derived from the calibration curve for that particular pulse oximeter equipment.
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