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What maintenance should be performed on an ECG machine

The medical equipment maintenance departments check the performance ECG machine. Heat records ECG machine should be based on the heat-sensitive recording paper and paper speed, adjust the heat pen pressure and temperature. ECG artifacts often disturb faults in use, even affect the normal ECG tracings should be timely investigation The ECG machine should be regularly maintained and maintained to prolong the life of the ECG machine and its components. Specific requirements are as follows: Keep the electrode clean after each day of ECG recording Preventive maintenance Clean the exterior (including front panel controls), all rollers, paper guides, and knife edges, if needed. Lubricate the recorder mechanism and paper drive per the manufacturer's specifications. Calibrate damping and stylus, if required What maintenance should be performed on an ECG machine Casing of from MED 1110 at Terra Community Colleg

How to maintain ECG Machine - medicalequipment-msl

What maintenance should be performed on an ECG machine? cleaned frequently with a soft cloth, slightly dampened with a mild detergent, to remove dust and dirt 22 Maintaining an ECG machine It is common sense to apply all preventive maintenance procedures that are recommended by the manufacturer. Also, if your machines are not under a contract of service by the supplier. It is highly recommended that you have a service manual that will help you pinpoint machine defects and solutions of such defects What maintenance should be performed on an ECG machine? The casing of the electrocardiograph should be cleaned frequently with a soft cloth, slightly dampened with a mild detergent, to remove dust and dirt what maintenance should be performed on an EKG machine? make sure the EKG machine works properly before performing a reading on a patient. at what speed does the paper move while recording a normal electrocardiogram? 25 mm/sec if increased needs to be documented Medical Equipment Maintenance Manual First line maintenance for end users . Chapter 1. Introduction . 1. The purpose of this manual . This manual is intended to be a guide for the medical equipment user to carry out basic maintenance

All of the above (Familiar with ECG machine, knowledge of basic principles of safety and infection control and good communication ) What components are essential to perform an ECG? All of the above ( practice 1 or 2 ECG how, read the directions provided by thev manufacturer and become familiar with the particular machine At the beginning of each stand, the following procedures are performed to prepare the ECG equipment for use. 1. Plug the power cord into the wall power outlet. Turn the machine on by pressing the power switch located on the back of the MAC unit. 2. Attach the ten-wire patient cable to the main body of the machine. Be careful that th • Preventive Maintenance (Time-based Maintenance) - a maintenance strategy where maintenance activities are performed at scheduled time intervals to minimize equipment degradation and reduce instances where there is a loss of performance. Most preventive maintenance is performed at time intervals (e.g. This would be in addition to your weekly maintenance of water changes and cleaning cycles etc. (See below for weekly recommended maintenance). When you should call a technician for Autoclave Maintenance: For a larger surgery center or medical group, a bi-annual preventative maintenance performed by a certified technician would be recommended

ECG Machine Routine maintenance - Knowledge - Nanjing

Cabling - Broken cables or leadwires can prevent the ECG signal from reaching the monitor. Interference - Unwanted artifact on the ECG trace from nearby interfering sources such as power cords, infusion pumps, ventilators, etc. can easily be reduced by abrading the patient's skin When a patient cardiac activity needs to be monitored for a longer period of time; ECG variants with fewer number of electrodes are used to help aid mobility - such as with 3-electrodes or 5-electrodes (These may be confusingly called 3-lead / 5-lead ECGs - but the numbers 3 & 5 here refer not to the number of leads obtainable but the number of electrodes used) Updated on June 25, 2021. The electrocardiogram, also referred to as ECG, 12-lead ECG, or EKG, is a non-invasive diagnostic test that evaluates your heart's electrical system to assess for heart disease. It uses flat metal electrodes placed on your chest to detect the electrical activity of your heart as it beats, which is then graphed An EKG is quick, painless, and harmless. After you change into a gown, a technician attaches 12 to 15 soft electrodes with a gel to your chest, arms, and legs

For reusable ECG electrodes, you should follow Labeling Reusable Medical Devices for Reprocessing in Health Care Facilities: Food & Drug Administration Reviewer Guidance, April 1996 and AAMI/ANSI. Update price in July 2021. An ECG machine price start from INT 15,000 to INR 200,000 depending on the number of channels and features required. 12 channel machine price is higher than compare to 3 channels and 6 channel ecg machine. BPL ECG Machine Price is ranges betwen INR 19000 - INR 99000 ECG recorded whilst patient in wheelchair. Patient details (name and a second unique identifier such as hospital number or date of birth) should be entered into the ECG machine, after it has been checked with the patient directly (or someone speaking on their behalf). Before recording the ECG, check that the patient's limbs are still an Which of the following is not commonly performed as part of a routine maintenance of the ECG machine. Sterilize electrodes. If a patient has Breast implants what modifications may be necessary when you place the lead electrodes. Place the V2 lead a little higher on chest Prepare yourself for the equipment that will be attached to you. In order to obtain an ECG, the technician will place a variety of small patches called electrodes over areas of your chest, your arms, and your legs. There will be about 10-15 electrodes in total, depending upon the complexity of information desired by your physician

Maintaining Your Electrocardiograph Machine MedWrenc

At some point, you should look at the manual and the device history to be sure that you have covered what needs to be done and to determine if the problem has occurred in the past. If it is a repeat problem, it may require changes in the PM or in-service training of the user The labeling should include a warning that preventive maintenance must be performed and should describe the consequences if maintenance is not performed (e.g., contamination leading to pyrogen. It is important to recognize that preventive maintenance, when done right, not only helps identify unusual machine wear, but also operator misuse which could then result in premature equipment failure or safety concerns. A routine preventive maintenance of an industrial X-ray system includes, but is not limited to the following cleaning.

What maintenance should be performed on an ECG machine

  1. 8. Any additional maintenance/service should be performed by authorized personnel. VI. CALIBRATION 1. Calibration ensures that the ETCO2 and inspired CO2 measurements are accurate and is performed once a month. 2. LOW CAL procedure resets the baseline measurement for CO to zero. This procedure can be performed while a patient is attached to the.
  2. Appendix A.4 Work order system for corrective maintenance 52 Appendix A.5 Corrective actions identifi ed during preventive maintenance 54 Appendix A.6 Infection control 56 Appendix B Examples of inspection and preventive maintenance procedures 58 Appendix B.1 Procedure template 59 Appendix B.2 Anaesthesia/analgesia unit (gas machine) 6
  3. Have preventative maintenance performed Having preventative maintenance performed on your machine is not only wise but also necessary for the life of your machine. Preventative maintenance ensures that your machine is in correct working condition and that it doesn't have any foreseeable problems present

Chapter 27 Cardiopulmonary Procedures Flashcards Quizle

  1. Medical Equipment Maintenance Manual First line maintenance for end users 4 Chapter 1. Introduction 1. The purpose of this manual This manual is intended to be a guide for the medical equipment user to carry out basic maintenance
  2. Although a VAD can be placed in the left, right or both ventricles of your heart, it is most frequently used in the left ventricle. When placed in the left ventricle it is called a left ventricular assist device (LVAD). You may have a VAD implanted while you wait for a heart transplant or for your heart to become strong enough to effectively pump blood on its own
  3. g scheduled equipment maintenance in the manufacturing facility. This machine maintenance checklist template has been designed to make it easier for manufacturing technicians to adjust, fix, or clean equipment and select cases when equipment diagnosis.
  4. to how maintenance can be performed to ensure equipment reaches or exceeds its design life have been developed in the United States. In addition to waiting for a piece of equipment to fail (reactive maintenance), we can utilize preventive maintenance, predictive maintenance, or reliability centered . maintenance. 5.2 Reactive Maintenance
  5. 33. (p. 102) Why should you know how to maintain the ECG equipment? A. So the ECG is available to record a tracing B. So the equipment is in good condition at all times C. So no diseases will be transmitted to patients from the equipment D. All of the above Care and maintenance of the ECG machine must be done and is your responsibility. General day-to-day care should include cleaning the.
  6. 1. Prepare electrocardiography machine for use . 1.1 Check ECG machine is in good working order. 1.2 Store ECG leads in accordance with the manufacturer's specifications. 2. Prepare client for ECG procedure . 2.1 Receive and process the request for an ECG in accordance with organisation policy and procedure
  7. AEDs will self-test themselves, but many state programs require a visual inspection to be performed on the AED every 30 days. When visually inspecting an AED, it is important to note that there is no visible damage to the AED and the readiness indicator shows the appropriate signal. These signals vary from manufacturer to manufacturer, but most.

Biomedical Engineering: Maintaining an ECG Machin

ECG 4a. To prevent overlapping of the ECG deflections, some ECG machines automatically adjust the calibration of the ECG. The ECG above is from a 74 years-old man with mitral stenosis, atrial fibrillation and hypertension. The ECG machine printed the limb leads at 10 mm/mV, but the chest leads at 5 mm/mV The time-sampling mode of operation of ambulatory EKG cardiac event monitoring/recording. Separate physician services other than those rendered by an IDTF unless rendered by the patient's attending or consulting physician. Home EKG services without documentation of medical necessity ECG monitors and writers should meet safety requirements in regards to electrical safety. Maintenance must be performed to ensure functionality and safety for the different modules and possible wearing. Additionally, electrical safety tests, including earth leakage and connectivity, are also needed to ensure patient safety

Study Chapter 27: Cardiopulmonary Procedures Flashcards

The answer is that you should perform monthly maintenance. Maintenance is easy and doesn't take long for WSUS servers that have been well maintained from the start. However, if it has been some time since WSUS maintenance was done, the cleanup may be more difficult or time consuming the first time A machine's duty cycle is based on the number of minutes out of a 10-minute time period an arc welding machine can be operated at its rated output. An example would be 60% duty cycle at 300 amps. This would mean that at 300 amps, the welding machine can be used for six minutes and then must be allowed to cool with the fan motor running for four. Going beyond just monitoring your heart rate and pulse, these units capture data and display it as an ECG (EKG) in real time (Note: not a replacement for an ECG performed by your doctor). Apple Watch To monitor for A-Fib yourself, the Apple Watch (Series 6, the gold standard of wearable monitors) can generate an ECG similar to a single-lead. Preventive maintenance can be defined as an equipment maintenance strategy based on replacing, or restoring, an asset at a fixed interval regardless of its condition. Scheduled restoration tasks and replacement tasks are examples of preventive maintenance tasks. 1 Preventive maintenance (or preventative maintenance) is basically a type of maintenance that is done at a regular interval.

chapter 27 cardiopulmonary procedures Flashcards Quizle

Diagnostic ECG. (866) 281-7545. Contact Us. GE Healthcare has brought continued innovation to diagnostic cardiology solutions over the years. Today, our commitment to improving ECG analysis and developing new solutions is stronger than ever. Whether you are performing a resting, stress or Holter cardiac examination, our extensive cardiology. 6. Indicators/ECG Display. a. Turn the unit on, and verify that it passes the self-test. * b. Verify that the monitor display is functional. c. Check that the Service message display is off. * 7. ECG Recorder. a. Check that the unit has sufficient ECG paper. b. Verify that the recorder prints. c. Verify that the time/date agrees with the.

PURPOSE: To Outline the Proper Procedures for Use and Maintenance of a Veterinary ECG/SPO2 Monitor/Recorder I. PURPOSE 1. This procedure outlines the use and maintenance of a veterinary ECG/SPO2 Monitor/Recorder to continuously monitor and record the electrical activity of the heart and oxygen saturation of blood in a variety of species. II The AT-1 / AT-1 smartprint is a 3-channel ECG recorder with all (12) ECG signals simultaneously processed to provide instant ECG recordings. Three automatic recording modes - two for the internal printer and one for the external printer - can be individually preset to enable one button ECG recording of preferred print formats 1. A single interface for all maintenance. Pick a program that can handle both unplanned (breakdown) as well as planned preventive maintenance. This is really important! It makes it much easier to track and manage all the maintenance done on an equipment. 2. You get maintenance due warnings or alerts During preventive maintenance, • ECG trunk cables, leads, and electrodes • Touch screens and monitor screens Cleaning Solutions and methyl, and so on; concentration at use should be less than 0.8% total for all QUATs listed) • Accelerated hydrogen peroxide based (0.5% hydrogen peroxide maximum).

ECG signal quality is important and discuss how to improve the stability and quality of the signal as part of cardiac monitoring with electrodes, whether the patient is in an EMS or hospital environment. Importance of ECG Quality Acquisition of quality ECG data is critical in providing accurate and timely diagnosis and patient treatment Careful electrocardiographic (ECG) evaluation is required to avoid inappropriate shock therapies in patients with sinus or automatic tachycardia. Shock therapy should not be performed if only one derivation is being monitored in hemodynamically stable patients. Recurrent inappropriate and ineffective shock therapies can have dangerous consequences Yearly calibrations of equipment such as therapy ultrasounds, electric muscle stimulation machines, and hot pack units are required for the safety of your patients. Steris Autoclaves Preventive maintenance, adjustments, and replacement of worn parts are done on a scheduled basis on your Century Series and Eagle 3000 Series

EKG machines are complex devices that monitor the heart's performance through wires and electrodes attached to a patient's chest, arms and legs. Trained specifically to operate these sophisticated devices, EKG technicians monitor the readings, make sure the machine is attached properly and in working order, and record the results of the EKG. Equipment maintenance schedules can help a lot in implementing maintenance processes as it can dictate the items subjected for maintenance and the specific dates and times that maintenance work should be done. Other than our equipment maintenance templates, which you may use for many other time outlining and recording activities Unexpected equipment maintenance. Just imagine a heart patient walks into a hospital and requires an immediate ECG. At the very moment, the ECG machine goes down abruptly. It not only puts the life of the patient at risk but also leads to patient dissatisfaction along with maligning the name of the hospital

Ch one EKG 1 Flashcards Quizle

An electrocardiogram also termed an ECG or EKG (K means kardia for heart in Greek) or a 12 lead ECG. is a simple non-invasive test that records the heart's electrical activity.. The ECG machine is designed to recognise and record any electrical activity within the heart.; It provides information about the function of the intracardiac conducting tissue of the heart and reflects the presence of. Electroconvulsive therapy (ECT) is a procedure, done under general anesthesia, in which small electric currents are passed through the brain, intentionally triggering a brief seizure. ECT seems to cause changes in brain chemistry that can quickly reverse symptoms of certain mental illnesses

The purpose of the 2008K Hemodialysis Machine Operator's Manual is to instruct qualified patient-care staff in the function, operation, and maintenance of the 2008K hemodialysis machine. It is not intended as a guide for performing hemodialysis, a medical treatment that should only be performed under the supervision of a licensed physician oneECG for CI flexo presses is an open-partnership system to multiple suppliers, developed for Extended Color Gamut printing using solvent-based, water-based, and Ebeam inks. Leading suppliers in the flexo industry are collaborating to achieve the highest color stability and repeatability. oneECG partners are certified to ensure quality of. An electrocardiogram (ECG) is a medical test that detects cardiac (heart) abnormalities by measuring the electrical activity generated by the heart as it contracts. The machine that records the patient's ECG is called an electrocardiograph. The electrocardiograph records the electrical activity of the heart muscle and displays this data as a.

Defibrillator

ECG machines should be capable of producing a paper printout. Vital signs including blood pressure and heart rate should be measured and documented before anesthesia and at intervals throughout the procedure, continuing until any ECT related changes have stabilized A designated emergency area should be centrally located and fully stocked for performing CPR. The staff should be familiar with an organized crash cart containing necessary supplies, drugs, equipment, and documents, and the cart should be routinely checked (either on a schedule or a per-use basis) to ensure it is properly stocked and that everything is in-date and functional (FIGURE 1) A maintenance program generated through the consideration of characteristics and failures of medical equipment is an important component of technology management. However, older technology devices and newer high-tech devices cannot be efficiently managed using the same strategies because of their different characteristics. This study aimed to generate a maintenance program comprising two.

Software Maintenance is the process of modifying a software product after it has been delivered to the customer. The main purpose of software maintenance is to modify and update software application after delivery to correct faults and to improve performance. Need for Maintenance -. Software Maintenance must be performed in order to ECG Tester: In the developing world, engineers do not have adequate resources to properly repair medical equipment. The development of a low cost electrocardiogram (ECG) tester would greatly enhance an engineer's ability to debug problems in current ECG machine Cardiac CT for calcium scoring is a convenient and noninvasive way of evaluating whether you may be at increased risk for a heart attack. The exam takes little time, causes no pain and does not require injection of contrast material. No radiation remains in a patient's body after a CT examination Once an employee is comfortable operating the anesthesia machine, training should shift to include anesthetic monitoring. Most patient complications will first be detected through use of an anesthetic monitor. For that reason, the anesthetist should be comfortable interpreting patient parameters such as ECG, ETCO 2, BP, SpO 2, and body temperature

Usually, this takes place after approx. 10-15 treatments. Thereafter, maintenance treatments should be performed regularly (at least once a week) in order to maintain the successful therapy results. The current that flows through the electrode plates can, depending on application (hands, feet, underarms), be adjusted up to a maximum of 25 mA Refurbished or reconditioned equipment has been thoroughly tested and comprehensive preventive maintenance has been performed. We perform a safety test, an electrical safety test, an electrical leakage test, a voltage test, and calibration. We replace worn parts (i.e. ultrasound transducers often need their membranes replaced), and always.

How to Clean an Autoclave & When Should Maintenance Be Don

Why should you choose a portable blood analyzer machine? Following are two reasons: 1.Portability- Out blood analyzer machines are portable and are easy to carry. They come with a built-in battery, printer, and bar code scanner. They require zero maintenance and provide comprehension results within 1 minute of providing the auto sample 2012 Jim Dunlop Solar Commissioning, Maintenance and Troubleshooting: 14 - 6 . Final Checkout A final checklist should be used to confirm that the installation is complete before beginning operations. Verifying that all components are installed in a neat and workmanlike manner, including wire management practices

Troubleshooting ECG Trace

What are the features to look for before buying an ECG

the machines take over this job. To do this a special large tube is put into one of the big veins in the leg or neck. Monitors Patients in intensive care are constantly monitored to track their condition and alert staff to changes. This monitoring routinely includes measurement of: l Heart rate and heart electrical tracing (ECG Cardiology personnel for the maintenance and repair of all Burdick equipment. Quinton Cardiology, Inc. cannot warrant the operation of the equipment if other than Burdick genuine replacement or exchange parts are used in the service or repair of this equipment, and if such service or repair is performed by non-authorized personnel Proper Maintenance Pays Dividends. Proper care of the undercarriage can significantly minimize maintenance costs, increase uptime and impact the longevity of the dozer. Owners and operators should: Ensure proper track tension: Monitor track tension when the machine is in actual working conditions and adjust it accordingly

Electrocardiogram (ECG or EKG): Procedure and Result

Electrocardiogram: Procedure, Risks & Result

Electrocardiograph Electrodes - Class II Special Controls

The machine should ideally be plugged in 20 minutes prior to use and set to (Should be done at a convenient time before the monitoring phase. Should not delay cardiac cath unless there is a high suspicion of intracranial Monitoring/Maintenance Phase: - Document core temperature every hour during maintenance The ECG is used to investigate suspected problems with the electrical conduction system of the heart as well as some other abnormalities such as metabolic disturbances (e.g. excess potassium). The ECG is an essential tool for health professionals in making a diagnosis of abnormal heart rhythms when one is suspected Electrocardiogram (ECG). In this noninvasive test, sensor pads with wires attached, called electrodes, are placed on your chest and sometimes your limbs to measure your heart's electrical impulses. Holter monitoring. This is a portable version of an ECG. It's especially useful in diagnosing rhythm disturbances that occur at unpredictable times MAINTENANCE Use this document to have a better understanding of what needs to be done during a preventive maintenance, standards for pass/fail and submission for accreditation. You can also use the attached Ultrasound Certification Report to document and develop your own maintenance program that supersedes the OEM recommendation Technological advancements are the main drivers of the healthcare industry as it has a high impact on delivering the best patient care. Recent years witnessed unprecedented growth in the number of medical equipment manufactured to aid high-quality patient care at a fast pace. With this growth of medical equipment, hospitals need to adopt optimal maintenance strategies that enhance the.

Quite like ECG and blood pressure monitoring, there are tests that are specific for respiratory system functioning. Some are better done in diagnostic labs, while other can be performed at home. In fact, many of the instrument or devices to check respiratory function are quite affordable these days, and yet they provide information and accuracy. What is an AED machine? An Automated External Defibrillator (AED) is a machine that is used to treat cardiac arrest, a life-threatening condition where the heart suddenly stops beating properly. By sending an electric shock to the heart of a person in cardiac arrest, the AED restores a normal heart rhythm The basic importance of electrocardiogram are diagnosing irregularities in the heart, record changes in the heart, and establish baseline for other EKG by using the electrocardiogram machine. An electrocardiogram (ECG or EKG) is a quick, painless test that records the electrical activity of the heart Evaluation of heart rate should be done by actual palpation of the pulse or auscultation of the heart, as the monitors that use a beat-to-beat interval to calculate heart rate can sometimes double count it if the ECG trace is somewhat isoelectric or other errors create an inaccurate reflection of heart rate Using the D-ECG methodology, historical shock events have been acquired and analyzed using machine-learning algorithms to estimate abnormal downhole situations such as whirl, bit bounce, and formation changes, with the potential to apply them in real time to improve trajectory control and prevent catastrophic drilling failures

Even if you feel fine, you should still see your provider for regular checkups. These visits can help you avoid problems in the future. For example, the only way to find out if you have high blood pressure is to have it checked regularly. High blood sugar and high cholesterol levels also may not have any symptoms in the early stages. A simple blood test can check for these conditions A physiological parameter analysis system ( 10 ) detects ECG electrode wire misplacement. The system ( 10 ) includes a transformation component ( 32 ) that transforms original ECG information and combinations thereof from a first ECG lead system to a second ECG lead system and an inverse transformation component ( 34 ) that derives ECG information in the first ECG lead system from the. Virtually all operating room fires ignite on or in the patient, and about 10 surgical patient fires a year come to ECRI's attention. these fires typically result in little damage to equipment, cause considerable injury to patients, and are a complete surprise to the staff. The basic elements of a fire are always present during surgery. A misstep in procedure or a momentary lapse of caution can. Anesthesia in the Perioperative Setting. The number of inpatient surgical procedures performed annually stands at 51.4 million, according to the Centers for Disease Control and Prevention.1 About 60,000 people undergo surgery daily under general anesthesia.2 Although anesthesia has been used since the 1840s,3 many anesthesiologists believe that. MyoVision is the only system with control group research published in indexed journals. The study below establishes the MyoVision as the first Static sEMG proven valid. Its previous wired system lacked the reproducibility. However, this is not the case with the patented wireless ScanVision Static sEMG

Near-zero-downtime is the goal for a maintenance crew to maintain a company's throughput and high productivity. Reactive maintenance, performed only when equipment fails, results in both high production costs and significant service downtime caused by equipment and process breakdowns The inlet strainer should be removed for inspection and should always be cleaned before re-installation. Wire mesh strainers can be cleaned with an air hose, blowing from the inside out. They can also be washed in a solvent, scrubbing them with a bristle brush. The solvent should be compatible with the hydraulic fluid in the tank electrodes should be held in the right hand. ⑥ Metal electrode III: When measuring, it should be held in the other hand or on the chest or on the left leg. ⑦ LCD screen: Display ECG waveform and different parameters. ⑧ Data interface port: Transmit data memories to the computer by this port (optional) Electrical equipments can be isolated using optocouplers , isolating transformers or any other device which isolates two electrical circuits from one another. Electrical isolation is required to prevent damage to either electrical circuit when o..

Preventive Maintenance Tips for Ultrasound Systems Thu Feb 14 2013. In order to keep your Ultrasound System equipment at peak performance and increase uptime of your machine, regular Preventive Maintenance is crucial. ALL ultrasound systems need regular Preventive Maintenance performed by trained technicians ECG may indicate conduction involvement or chamber enlargement, but studies have been mixed on ECG's prognostic value of mortality prediction (see studies below). Risk versus benefit analysis should be performed prior to surgery if cardiac status of a patient with a muscular dystrophy known to have cardiac involvement is unknown and.

1. Prepare electrocardiography (ECG) machine for use. 1.1 Check ECG machine against a checklist before each use for good electrical working order, for cleanliness, calibration, and for correct settings. 1.2 Check ECG machine to ensure that it is maintained according to the AS 3551 Technical Management Program for Medical Devices Abstract. Wearable technologies can be innovative solutions for healthcare problems. In this study, we conducted a literature review of wearable technology applications in healthcare. Some wearable technology applications are designed for prevention of diseases and maintenance of health, such as weight control and physical activity monitoring The MiniOmni is a compact handheld device that fits anywhere; Plug and play with USB connection that use your own PC/Laptop and screen a Patient in just minutes. It is designed for maximum patient convenience - Shoes can stay on. Instant results, one-page summary.Includes State of the Art Software (compatible with Windows 7 and above When prescribing routine maintenance fluids for obese patients you should adjust the prescription to their ideal body weight. You should use the lower range for volume per kg (e.g. 25 ml/kg rather than 30 ml/kg) as patients rarely need more than 3 litres of fluid per day. Other patient groups where you should consider prescribing less flui

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