He tohu nui te toto toto mō ngā tohu ora o te tinana tangata. Mā te taumata o te toto toto ka āwhina i te whakatau mēnā kei te taurite te mahi a te ngākau o te tangata, te rere o te toto, te nui o te toto, me te mahi vasomotor. Mēnā he pikinga, he hekenga rānei o te toto toto, he tohu tērā pea he rerekētanga kei roto i ēnei āhuatanga.

He mea nui te ine i te toto toto hei aroturuki i ngā tohu ora o ngā tūroro. E rua ngā momo o te ine i te toto toto: te ine IBP me te ine NIBP.

Ko te IBP e pā ana ki te whakaurunga o tētahi catheter e rite ana ki roto i te tinana, me te pokanga o ngā uaua toto. He tika ake tēnei tikanga ine toto i te aroturuki NIBP, engari he tūponotanga anō kei reira. Kāore te ine IBP e whakamahia ana i runga i ngā kararehe taiwhanga anake. Kāore e whakamahia whānuitia ana i ēnei rā.

Ko te ine i te NIBP he tikanga ā-kore mō te ine i te toto toto o te tangata. Ka taea te ine i runga i te mata o te tinana mā te whakamahi i te sphygmomanometer. He ngāwari te aroturuki i tēnei tikanga. I tēnei wā, ko te ine NIBP te mea e whakamahia whānuitia ana i te mākete. Ka taea e te ine toto te whakaata pai i ngā tohu ora o te tangata. Nō reira, me tika te ine i te toto toto. Inaa, he maha ngā tāngata e whakamahi ana i ngā tikanga ine hē, ā, he maha ngā wā ka puta he hapa i waenga i ngā raraunga i inehia me te toto toto tūturu, ka puta he raraunga hē. Ko te mea e whai ake nei he tika. Hei tohutoro māu te tikanga ine.

Ko te tikanga tika mō te ine i te NIBP:

1. Kāore e whakaaetia te momi hikareti, te inu, te kawhe, te kai me te whakakori tinana 30 meneti i mua i te ine.

2. Kia tino marino te rūma ine, tukua te tangata kia okioki mārire mō te 3-5 meneti i mua i te tīmatanga o te ine, ā, kia kaua e kōrero i te wā e ine ana.

3. Me noho te tangata ki tētahi tūru, me ōna waewae papatahi, ā, me ine hoki i te toto toto o te ringa o runga. Me whakanoho te ringa o runga ki te taumata o te ngākau.

4. Kōwhiria he poroporo toto e rite ana ki te porowhita o te ringa o te tangata. Kāore he tahanga o te waewae matau o runga o te tangata, he tika, he hiki ake mō te 45° pea. Ko te taha o raro o te ringa o runga e 2 ki te 3 cm i runga ake i te tihi o te tuke; kaua te poroporo toto e tino piri, e tino wetekina rānei, he pai ake te toro atu i te maihao.

5. I te ine i te toto toto, me mahi anō te ine i ia meneti ki te rua, ā, me tango te uara toharite o ngā pānui e rua, ka tuhia. Mena he nui ake i te 5mmHg te rerekētanga i waenga i ngā pānui e rua o te toto toto systolic, te toto toto diastolic rānei, me ine anō, ā, me tuhi te uara toharite o ngā pānui e toru.

6. Kia oti te ine, whakawetohia te mita toto, tangohia te poroporo toto, ka whakamākū katoatia. Kia tukuna katoatia te hau i roto i te poroporo, ka whakanohoia te mita toto me te poroporo ki tōna tūranga.

I te ine i te NIBP, he maha ngā wā ka whakamahia ngā here NIBP. He maha ngā momo here NIBP kei te mākete, ā, he maha ngā wā ka tūtaki tātou ki te kore e mōhio me pēhea te whiriwhiri. Kua hangaia e ngā here NIBP MedLinket he momo here NIBP rerekē mō ngā āhuatanga tono me ngā tāngata rerekē, e tika ana mō ngā tari rerekē.

Kei roto i ngā here NIBP Reusabke ngā here NIBP whakamarie (e tika ana mō te ICU) me ngā here pēhanga toto nairona (e tika ana mō te whakamahi i ngā tari whawhati tata).

Ngā painga o te hua:

1. He rauemi TPU me te nairona, he ngawari, he whakamarie hoki;

2. Kei roto ngā pēke hau TPU hei whakarite kia pai te piri o te hau me te roa o te ora;

3. Ka taea te tango i te pēke hau, he ngāwari ki te horoi me te patu huakita, ā, ka taea te whakamahi anō.

Ko ngā here NIBP whakakorekore ko ngā here NIBP kore-whatu (mō ngā rūma pokanga) me ngā here TPU NIBP (mō ngā tari pēpi hou).

Ngā painga o te hua:

1. Ka taea te whakamahi i te poroporo NIBP kotahi-wāhanga mō te tūroro kotahi, ka taea ai te ārai i te mate whakawhiti;

2. He papanga kore-whatu me te rauemi TPU, he ngawari, he whakamarie hoki;

3. He watea te kāpeti NIBP pēpi hou me te hoahoa mārama hei tirotiro i te āhua o te kiri o ngā tūroro.