Monitoring parameters

Monitor Each CCP. It is necessary to estabflsh a regular schedule for monitoring of each CCP. The schedule could be, for example, once per shift, hourly, or even continuous. Preferably, a pubflshed testing procedure for the monitored parameter should be available. 

Setting control and monitoring parameters at the factory to streamline installation and startup. 

Make a list of the important control variables, the dependent process variables, and the monitoring parameters important to the unit process that you have discussed in the previous series of questions. 

This chapter provides the basic knowledge and skills required to implement a computer-based vibrationmonitoring program. It discusses the following topics (1) typical machine-train monitoring parameters, (2) database development, (3) data-acquisition equipment and methods, and (4) data analysis. 

All machines require some form of motive power, which is referred to as a driver. This section includes the monitoring parameters for the two most common drivers electric motors and steam turbines. 

V-belts are common intermediate drives for fans, blowers, and other types of machinery. Unlike some other power-transmission mechanisms, V-belts generate unique forcing functions that must be understood and evaluated as part of a vibration analysis. The key monitoring parameters for V-belt-driven machinery are fault frequency and mn-ning speed. 

Analysis parameters should be established to monitor the key indices of the compressor s dynamics and failure modes. These indices should include bearings, gear mesh, rotor passing frequencies, and mnning speed. However, because of its sensitivity to process instability and the normal tendency to thmst, the most critical monitoring parameter is axial movement of the male and female rotors. 

The third (3x) harmonic of running speed is a critical monitoring parameter. Most, if not all, generators tend to move in the axial plane as part of their normal dynamics. Increases in axial movement, which appear in the third harmonic, are early indicators of problems. 

However, rolls are highly prone to loads induced by the process. In most cases, rolls carry some form of product or a mechanism that, in turn, carries a product. For example, a simple conveyor has rolls that carry a belt, which carries product from one location to another. The primary monitoring parameters for process rolls include bearings, load distribution, and misalignment. 

This is especially true in applications that use microprocessor/computer-based systems. These systems require a database that specifies the monitoring parameters, measurement routes, analysis parameters, and a variety of other information. This input is needed to acquire, trend, store, and report what is referred to as conditioned vibration data. 

Automated data acquisition The object of using microprocessor-based systems is to remove any potential for human error, reduce manpower and to automate as much as possible the acquisition of vibration, process and other data that will provide a viable predictive maintenance database. Therefore the system must be able to automatically select and set monitoring parameters without user input. The ideal system would limit user input to a single operation. However this is not totally possible with today s technology. 

Alert and alarm limits The microprocessor should include the ability to automatically alert the user to changes in machine, equipment or system condition. Most of the predictive maintenance techniques rely on a change in the operating condition of plant equipment to identify an incipient problem. Therefore, the system should be able to analyze data and report any change in the monitoring parameters that were established as part of the database development. 

The contents of this handbook should be utilized as a guide and in addition to sound clinical judgment. Consult full prescribing information and take into consideration each drug s pharmacokinetic profile, contraindications, warnings, precautions, adverse reactions, potential drug interactions, and monitoring parameters before use. 

Given KK s presentation and history, create an appropriate VTE prophylaxis plan including the pharmacologic agent, dose, route and frequency of administration, duration of therapy, monitoring parameters, and patient education. 

Design an appropriate treatment plan for KK. Your plan should include acute and chronic therapy—specify the drug(s), dose(s), route, frequency of administration, and duration of each therapy, as well monitoring parameters, patient education, and follow-up plan. 

Recommend appropriate monitoring parameters and patient education for selected drug regimens for treating symptoms of IBD. 

While there are no FDA-approved treatments for hepatitis D, interferon has been shown to be effective.46 48 Various doses have been evaluated, with the most effective treatment being 9 million units three times weekly.47 Seventy-one percent of patients who were treated with this regimen for 48 weeks had normalized ALT levels.47 Adverse effects and monitoring parameters for interferon therapy are similar to treatment for hepatitis C. In some situations, patients infected with hepatitis D who develop hepatic decompensation and ESLD may need to undergo liver transplantation. 

The clinical scenario and the severity of the volume abnormality dictate monitoring parameters during fluid replacement therapy. These may include a subjective sense of thirst, mental status, skin turgor, orthostatic vital signs, pulse rate, weight changes, blood chemistries, fluid input and output, central venous pressure, pulmonary capillary wedge pressure, and cardiac output. Fluid replacement requires particular caution in patient populations at risk of fluid overload, such as those with renal failure, cardiac failure, hepatic failure, or the elderly. Other complications of IV fluid therapy include infiltration, infection, phlebitis, thrombophlebitis, and extravasation. 

Select appropriate monitoring parameters for a pharmacotherapeutic regimen of epilepsy. 

Recommend monitoring parameters for a patient in status epilepticus. 

Recommend a therapeutic plan, including initial doses, dosage forms, and monitoring parameters, for a patient with attention-deficit hyperactivity disorder. 

The ADA standards of medical care address many of the common comorbid conditions, as well as complications that result from the progression of DM. Table 40-7 presents goals for blood pressure measurements, lipids values, and monitoring parameters for complications associated with diabetes. 

Recommend therapy monitoring parameters for patients with adrenal insufficiency. 

How should her chronic adrenal insufficiency be treated What monitoring parameters (therapeutic and toxic) should be implemented ... 

List the monitoring parameters necessary to assess therapeutic outcomes and adverse effects in patients receiving growth hormone therapy. 

Based on the information presented, create a care plan for BW s hot flashes and vaginal dryness. The plan should include (1) a statement identifying the patient problem and its severity, (2) goals of therapy, (3) a therapeutic plan based on individual patient-specific factors, (4) subjective and objective monitoring parameters, and (5) a follow-up evaluation to assess for adverse effects and adherence and to determine if the goals of therapy have been achieved. 

Adverse-events monitoring parameters (Table 52-3) Maintenance immunosuppressive agents ... 

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