Arcos Burn Navigator RX User manual

June 2019 For Burn Navigator RX Manual-1143
Version V.6.1h Revision G
Burn Navigator® RX
User’s Manual

Burn Navigator® User’s Manual Page 2
Contents
Description............................................................................................... 4
Intended Use ........................................................................................... 4
Safety Information................................................................................... 4
Use Warnings ....................................................................................... 4
Incoming Device Setup, Cleaning & Maintenance, Handling ................. 6
Tablet Description.................................................................................... 8
First-time Operation ................................................................................ 9
Using the Burn Navigator ........................................................................11
Main Menu ...........................................................................................11
Training Mode ......................................................................................11
New Patient Setup .............................................................................. 12
Checklist .............................................................................................. 16
Hourly Fluid Updates........................................................................... 17
Patient Resuscitation Screens ............................................................ 21
Top Bar & Battery Indicator............................................................. 21
Screen Tabs...................................................................................... 21
Functional Buttons .......................................................................... 21
Hourly Update..................................................................................22
End Decision Support ......................................................................22
Enter Notes......................................................................................23
Enter Checklist .................................................................................23
System Menu ...................................................................................23
Next Update ....................................................................................24
Home................................................................................................24
Updating Pump Rate .......................................................................24
Notes................................................................................................26
I/O Table...........................................................................................27
Volume .............................................................................................28
24 hour fluid projection ...................................................................29
I/O Graph..........................................................................................30
Urimeter Connectivity......................................................................... 31
Continuous UO Graph......................................................................32
Safety Features.......................................................................................32
System Functions....................................................................................34
Transfer Active Patient ...........................................................................36
FAQ –Frequently Asked Questions........................................................37
Troubleshooting .....................................................................................39
Software Warnings, Alerts, and Messages ........................................... 40
Service & Technical Support...................................................................57

Burn Navigator® User’s Manual Page 3
Trademarks .............................................................................................57
Index .......................................................................................................58
Notes.......................................................................................................59

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Description
Burn Navigator® is a Clinical Decision Support tool to help health care providers manage IV
fluid therapy for adult and pediatric severe burn patients. Each Burn Navigator device allows
resuscitation of only one patient at a time.
Intended Use
The Burn Navigator is indicated for use in the care of adult patients with 20% or more Total
Body Surface Area (TBSA) burned, or pediatric patients, 24 months old or older, weighing at
least 10 kg with 15% or more TBSA burned, as a fluid resuscitation monitor and calculator
for hourly fluid recommendations.
The Burn Navigator is intended to be used for burn patients of all ages, co-morbidities and
weights from 1 to 400 kg as a fluid resuscitation monitor.
The Burn Navigator is intended to be initiated within 24 hours of the burn incident and to be
used no longer than 72 hours post burn. The Burn Navigator is not intended for use in the
care of patients weighing over 400kg.
Users are expected to have clinical training in emergency or critical care at a physician or
nurse level.
The Burn Navigator can be used after Foley catheter insertion until the fluid resuscitation
phase is complete.
The Burn Navigator is intended to be used in Burn Intensive Care Units, during patient
transport and in other critical care environments where fluid resuscitation is performed.
Caution: Federal (U.S.) law restricts this device to sale by or on the order of a physician.
Safety Information
Use Warnings
The Burn Navigator® provides fluid recommendations for critically burned
patients. Users should always rely on their clinical judgment when making decision
regarding patient care. The Burn Navigator recommendations are not a substitute
for clinical judgment.
WARNING! Gross myoglobinuria may require a high target urine output range.
Consult attending physician regarding appropriate UO range.

Burn Navigator® User’s Manual Page 5
WARNING! The Burn Navigator uses Urine Output as a surrogate for general organ
perfusion. If Urine Output is not or no longer a good surrogate for organ perfusion
in a particular patient, such as can happen with acute renal failure or use of
diuretics, consult with attending physician for appropriate fluid therapy.
WARNING! The Weight-based protocol is not intended for patients weighing less
than 10 kg, because immature kidneys may not regulate output during
hypovolemia.
WARNING! Patients with inhalation injuries may need a higher rate of fluid
resuscitation than the Burn Navigator algorithm recommends. Consult physician
regarding appropriate fluid rates for a patient with an inhalation injury.
WARNING! Giving fluids in addition to the primary resuscitation fluid may require
an adjustment to the fluid infusion rate by the user, different from the rate
recommended by Burn Navigator. The attending physician should be contacted to
determine the appropriate fluid infusion rate.
MR Unsafe. The Burn Navigator should not be used during a magnetic resonance
imaging (MRI) procedure. Do not use the Burn Navigator in the same room or an
adjacent room to the room where an MRI procedure is being performed. Consult
the MRI device manual to determine the appropriate safe distance of use.
Essential Performance: The Burn Navigator provides fluid therapy
recommendations for serious burn patients. If the Burn Navigator fails to
generate a recommendation, clinicians will use an alternative guide to fluid
resuscitation (e.g. Parkland or Modified Brooke formulas). The generation of a
recommendation is not considered essential performance for patient safety. The
other Burn Navigator features provide additional views to aid clinical judgment
and also are not considered essential performance for patient safety.
The Burn Navigator needs special precautions regarding electromagnetic
compatibility (EMC) and needs to be installed and put into service according to
the EMC information provided in this manual.
The Burn Navigator should not be used adjacent to or stacked with other
equipment. If adjacent or stacked use is necessary, observe the device to verify
normal operation in the configuration in which it will be used.
Portable and mobile radio-frequency (RF) communications equipment can affect
medical electrical equipment.

Burn Navigator® User’s Manual Page 6
Incoming Device Setup, Cleaning & Maintenance, Handling
Incoming device setup
•Make sure the system date, time and time zone are correct. Turn on Burn Navigator,
press the System button, then press the Change Date/Time button.
•Check battery status and recharge the batteries if they are not full. The
battery indicator in the top right of the screen shows four bars when full.
Cleaning & Maintenance
Cleaning and maintenance items are categorized by frequency.
During patient care:
•Disinfect the device and screen with a disinfectant wipe, such as an alcohol swab,
CaviCide® wipe, Clorox Bleach® wipe or other germicidal wipe as needed.
After each patient:
•Disinfect the device and screen with a disinfectant wipe, such as an alcohol swab or
CaviCide® wipe.
•If the tablet has crossed time zones during patient care, make sure the system date and time
and the time zone are correct.
•Properly shut down the device.
•Recharge the Burn Navigator batteries.
•Before putting the device away, be sure to wipe off any moisture.
•Store between -10 and 50 degrees Celsius.
Quarterly:
•Make sure the system date and time and time zone are correct.
•Delete unneeded patient files.
Twice a Year:
•Adjust the time based on any daylight savings time changes.
CAUTION
•Do not use ester contained agent, strong alkaline agent, benzene or thinner since it may
adversely affect the surface causing discoloration, etc. Do not use commercially-available
household cleaners and cosmetics, as they may contain components harmful to the surface.
•Do not apply water or detergent directly to the computer since liquid may enter inside of the
computer and cause malfunction or damage.

Burn Navigator® User’s Manual Page 7
Operational environment
Place the computer on a flat stable surface. Do not place the computer upright or turn it over. If the
computer is exposed to an extremely strong impact, it may become damaged.
Temperature: Operation: –10 °C to 50 °C {14 °F to 122 °F} (IEC60068-2-1, 2) *1
Storage: –20 °C to 60 °C {–4 °F to 140 °F}
Humidity: Operation: 30% to 80% RH (No condensation)
Storage: 30% to 90% RH (No condensation)
Even within the above temperature/humidity ranges, using for a long time in an extreme environment will
result in the product deterioration and will shorten the product life.
*1 Do not expose the skin to this product when using the product in a hot or cold environment. If the
computer is wet in temperatures of 0 °C {32 °F} or below, freeze damage may occur. Make sure to dry off the
computer in such temperatures.
•Do not place the computer in the following areas, otherwise the computer may be damaged.
oNear electronic equipment. Image distortion or noise may occur.
oIn extremely high or low temperature.
•As the computer can become hot during operation, keep it away from items that are sensitive to heat.
Handling cautions
This computer is designed to minimize shock to parts such as the LCD and the hard disk drive and equipped
with a drip-proof keyboard, but no warranty is provided against any trouble caused by shock. Be extremely
careful when handling the computer.
•When carrying the computer:
oTurn off the computer.
oRemove all external devices, cables, and other protruding objects.
oDo not drop or hit the computer against solid objects.
oDo not grip the display part.
•When you board an airplane, take the computer with you and never put it in your checked luggage.
When using the device on airplane, follow the airline’s instructions.
•When carrying a spare battery, put it in a plastic bag to protect its terminals.
•Be careful not to get injured by dropping or getting hit when carrying the computer.
•Be careful of computer drop resulting from the hand strap damage.
•Use only the included stylus/digitizer pen to touch the touchscreen. Do not place any object on its
surface and do not press down strongly with sharp-pointed or hard objects that may leave marks (e.g.,
nails, pencils and ball point pens).
•Do not use the touchscreen when dust or dirt (e.g., oil) is on the screen. Otherwise foreign particles on
the screen/stylus/digitizer pen can scratch the screen surface or obstruct the stylus/digitizer pen
operation.
•Use the stylus/digitizer pen only for touching the screen. Using it for any other purpose may damage the
stylus/digitizer pen and result in scratches on the screen.
•The cursor cannot follow the digitizer pen movement if you move the digitizer pen too quickly.

Burn Navigator® User’s Manual Page 8
Tablet Description
The Burn Navigator RX device uses a Getac RX10h tablet computer.
Getac RX Model
Front Components
1 : Front Camera
2 : Fingerprint Scanner
3 : Microphone
4 : Light Sensor
5 : Power Status LED
•Off: Power off/Hibernation
•Blue: Power on
•Blinking Blue: Sleep mode
•Amber: Charging
•Green: Fully charged
•Slow Red blink: battery low
•Fast Red blink: Thermal protection
problem
6: Programmable button one
7 : Programmable button two (disabled)
8 : Windows button (disabled)
9 : Volume up button (disabled)
10 : Volume down button (disabled)
11 : Power button
12 : LCD
Rear Components
1 : Tether hole
2 : Digitizer Pen
3 : Bridge Battery Indicator
4 : Battery Pack
5 : Expansion Connector
6 : Speaker
7 : Back Camera
8 : Camera Flash
Left Components
1 : USB 3.0 port
2 : USB 2.0 port
3 : AC input port

Burn Navigator® User’s Manual Page 9
First-time Operation
AC Adapter (1)
CMP-1621
AC Power Cord (1)
CMP-1622
Battery Pack (2)
CMP-1623
Digitizer Pen and Tether (1)
CMP-1632
USB Data Drive (1)
CMP-1640
Inserting the Battery Pack
1 Hold the battery pack with the Getac serial number label facing the device.
2 Ensure that the keyed black connector is facing to the right (east).
3 Slide the battery pack into the back of the device at an angle so that the keyed black connector makes
contact first.
4 Once the battery pack is in place, press on the left (west) side of the battery until it clicks into place
CAUTION
•Make sure the battery pack is securely locked in place. Otherwise the battery pack may fall when you
carry the computer.
•Do not touch the terminals of the battery pack and the computer. Doing so can make the terminals dirty
or damaged and may cause malfunction of the battery pack and the computer.
About the battery for this computer
The battery pack can be swapped without shutting down the device
•When the battery pack is removed, the device will remain powered on for a short amount of time.
•Ensure that the charged spare battery is nearby so that the battery can be swapped before the device
shuts down
•Charge or swap the battery once the battery indicator begins to blink red.
•Full charge: Approximately 6.5 hours with 1 battery or 12 hours with 2 batteries
WARNING!
The use of accessories other than those specified above may result in increased electromagnetic emissions
or decreased electromagnetic immunity of the Burn Navigator.

Burn Navigator® User’s Manual Page 10
Using the digitizer pen
You can use Burn Navigator RX by touching screen in the same way as the mouse. Touch the screen surface
with the digitizer pen (included).
Attaching the digitizer pen to the computer
•Pass one end of the tether (loop 1in
diagram) through the top of the
stylus
•Pass loop 2through loop 1and pull
it tight
•Pass loop 2through the tether hole
on the device
•Pass the pen through loop 2and pull it tight
CAUTION
•Do not pull the tether with excessive force. The digitizer pen may hit the computer, person’s body or
other objects when released.
Handling the AC adaptor
•Problems such as sudden voltage drops may arise during periods of thunder and lightning. Since this
could adversely affect your computer, an uninterruptible power source (UPS) is highly recommended
unless running from the battery pack alone.
Turn on the computer
Press the power switch (component 11 as seen on page 8 of this manual).
The power indicator will turn on.
CAUTION
•Do not press the power switch repeatedly.
•The computer will forcibly be turned off if you press and hold the power switch for 4 seconds or longer.
•Once you turn off the computer, wait for 10 seconds or more before you turn on the computer again.
•Do not perform the following operation until the hard disk drive indicator turns off.
•Connecting or disconnecting the AC adaptor
•Pressing the power switch
•Touching the screen, external keyboard or external mouse
•When the CPU temperature is high, the computer may not start up to prevent overheating of the CPU.
Wait until the computer cools down, and then turn the power on again. If the computer does not power
on even after cooling down, contact Technical Support.
Precaution when Starting Up/Shutting Down
Do not do the following:
•Connecting or disconnecting the AC adaptor
•Pressing the power switch
•Touching the screen or external mouse

Burn Navigator® User’s Manual Page 11
Using the Burn Navigator
CAUTION
Before using the Burn Navigator, assess the patient and perform any lifesaving
interventions needed. The Burn Navigator is a fluid calculator and does not provide
direct therapy to the patient.
Touchscreen
The Burn Navigator has a touchscreen. The touchscreen is a resistive-type screen, so it will
work even if you are wearing gloves, but you may have to apply more pressure to the Burn
Navigator screen than with other touchscreens you have used before.
Text Background Color
The Text Background Color indicates whether that
field of text is editable by the user.
White background means you can edit the text field.
You may be taken to a screen with a number pad or a
keyboard.
Gray background means you cannot edit the text
field.
Main Menu
The Main Menu lets you start a new patient, review
an inactive patient file, or change system settings.
Your hospital administrator may set a password for
reviewing patient files. See the “Burn Navigator
Administrator’s Manual” to change settings.
Training Mode
If you haven’t used the Burn Navigator before, you
can use the Training Mode to familiarize yourself
with the software and features.
To enter Training Mode, press the “Training Mode” button on the main menu, or start a new
patient and enter “training” as the first letters of the Patient ID, e.g., training or training7Nov.
You can use all the features of Burn Navigator while in Training Mode. You will also be able
to advance time to go through several hourly fluid updates in minutes.

Burn Navigator® User’s Manual Page 12
New Patient Setup
From the Main Menu, press “Start New Patient” or “Training
Mode”.
1. Press the first white text field to enter the Patient ID.
2. You will then see a touch keyboard appear on the screen.
a. The “arrow” key is Caps Lock.
b. “Clear” deletes the last letter.
c. “Cancel” quits the keyboard without entering any data
d. “Enter” will enter the data as shown.
e. “Return”: If it is a multi-line text field, “Return”
advances the text placement to the next line.
Otherwise, it acts as the “Enter” key.
3. Next enter the patient weight.
a. You can enter weight in kilograms (kg) or pounds
(lbs).
b. A number pad will appear for you to enter the weight.
c. The Burn Navigator will display the weight in kg for
the rest of the resuscitation.
After you enter the weight, press “Next” to go to the next screen.
4. You will be asked if the patient has any confounders.
Special consideration regarding resuscitation is required
with the presence of any of these confounders:
myoglobinuria, high blood alcohol content,
hyperglycemia or end stage renal disease or congestive
heart failure.
ALERT: If you answer yes to any of these questions,
consult with the Attending Physician to determine
appropriate fluid therapy.

Burn Navigator® User’s Manual Page 13
5. Choose the protocol.
a. Adult predictive algorithm: Targets 30-50 mL/hr
Urine Output (UO). This protocol uses the Salinas
algorithm developed by the US Army Burn Center
(Salinas, J et al, Computerized decision support system
improves fluid resuscitation following severe burns:
An original study, Crit Care Med 2011, 39(9), 2031-8).
The Salinas algorithm uses the trend of the last three
hours of UO to recommend the next hour’s IV infusion rate. The Salinas algorithm will
go up to the hourly cap chosen by your medical director (e.g., 15% or 20% each hour).
See the Burn Navigator Administrator’s Manual for changing the hourly cap.
The Adult predictive protocol is recommended for most adult patients without
resuscitation confounders. Consult with the attending physician before using this
protocol on a patient with a confounder.
b. Custom protocol:
The custom protocol allows clinicians to set a target
Urine Output range in mL or mL/kg each hour. The
other unit (either mL or mL) is calculated in gray on
the right.
If the patient’s UO is not in target, then the Custom
Protocol will recommend increasing or decreasing the
IV fluid rate by 10%. The custom protocol is limited to
10% changes each hour.
c. Monitor only: This mode does not provide hourly recommendations, but does provide
resuscitation graphs, alerts and the 24 hour fluid projection. This mode is
recommended when urine output is not a good surrogate of general organ perfusion
(such as acute renal failure or with diuretics), or when the physician does not want to
use another protocol.
6. Enter the TBSA.
CAUTION: Only include 2nd and 3rd degree burns when
calculating the TBSA!

Burn Navigator® User’s Manual Page 14
7. Patient height is an optional field for the Adult predictive
protocol.
Note: Body surface area is calculated using the Haycock
algorithm.
8. Enter elapsed time since burn occurred. How long ago
did the burn happen?
Note: There are two separate number fields: one for
hours and one for minutes.
The software will calculate the time of burn using your
local time and the number of hours and minutes elapsed
since the burn occurred.
If you need to edit the time, press the “Change current Date/Time” button. See “Change
Date/Time” in the “System Functions” section for a description of the Change Date/Time
screen.
Note: If your Burn Navigator is configured to time sync with your network, then you
cannot edit the clock time. Dock the Burn Navigator and wait a few seconds for the time
sync. If you can’t dock now, just make sure the elapsed time since burn occurred (in
hours and minutes) is correct, and the Burn Navigator will adjust the actual time of burn
after you dock the Burn Navigator later. If you don’t see the time sync after docking the
Burn Navigator, then contact your hospital IT department for help.
9. Next enter how much fluid the patient has received
from the time of burn until now.
a. Then enter the urine output from time of burn until
now.
b. If you don’t know either answer, you may skip the
questions by pressing “Next”. You can add this data
later on the Patient tab.

Burn Navigator® User’s Manual Page 15
10. On the Recommendation screen, you may choose the
primary resuscitation fluid type. Lactated Ringer’s is
selected by default.
a. Options include albumin protocols, where the
primary fluid to be titrated is composed of, e.g., 2/3
LR and 1/3 Albumin 5%. If you choose one of these
protocols, you will see the calculated rate for each
fluid under the “Recommended rate” and “Enter new
rate” fields.
11. Based on a doctor’s order and patient condition, you
may select the formula for the initial rate. The
recommended rate will be the value calculated by the
initial formula, but only as high as 2,000 mL/hr or as
low as 100 mL/hr or 20 mL/hr (based on Adult
predictive or Weight-based protocols). The
recommendation is shown with a gray background.
a. Note: the minimum rate can be changed on the
Patient screen after you’ve started the resuscitation.
12. You may choose a different rate by pressing the white field at the bottom right. If you do
change the initial rate, the software will ask you for the rationale and to provide the
attending physician’s name.
You have now completed the New Patient setup!
After starting a new patient, you will be taken to the Home
Screen.

Burn Navigator® User’s Manual Page 16
Checklist
After you start a new patient, a pop-up message will
ask you to complete a patient assessment checklist.
Press “Yes”.
On the checklist screen you can enter vitals and labs,
as well as completing extremities steps and
observations.
The Checklist allows you to track other indicators of
resuscitation status other than urine output.
Currently, the Checklist data is not used in the
recommendation protocols and is optional.
The software will prompt you to do a checklist when you start resuscitation and every 6
hours later. You can enter checklist data when you want by pressing the “Enter Checklist”
button on the Home screen.
If you don’t know some data for the checklist, you can leave that field blank.
Note: If a pulse is detectable by Doppler only, select “weak”.
Training Mode
If you are in Training Mode, you can advance time to the next hourly update by
pressing the “Next Update” button in the bottom right of the Home screen.
If you are not in Training Mode, you will see “Screen Saver” instead of “Next Update”.
Alternatively, you can press the “System Menu” button on the bottom right of the Home
screen, then advance the time as needed with the Advance Time control in the bottom left
part of the System Menu.
When in Training Mode the screen saver will not automatically turn on.
You can save the training patient file as other files. The file name will include the Patient ID,
which starts with “training”, so you can easily distinguish the training patient files from the
real patient files.

Burn Navigator® User’s Manual Page 17
Hourly Fluid Updates
The Fluid Update Wizard (series of screens) will appear
automatically when it is time to do an hourly fluid update.
The Urine Data screen shows the “From” and “To” times for
this update.
a. The “From:” time is the last time you entered data
(new patient setup or last hourly update).
b. The “To:” time is the current time.
c. The Burn Navigator will calculate and display the
number of minutes between the From and To times. The “From:” and “To:” times are
not editable.
1. Enter the urine output volume for this time period.
a. If a urimeter was connected for nearly all (approximately 90%) of the last update
period, the Burn Navigator will auto-fill the measured UO value.
b. If the urine output is unknown for some reason, then check the box on the bottom left.
c. Burn Navigator will calculate and display the urine output in mL/kg/hr.
d. Once you enter urine output, the “To:” time will stop incrementing with the clock time.
2. On the Fluids Given screen, verify the primary fluid and the infusion volume for this time
period.
a. The gray boxes on top show the From and To times
from the last screen, as well as the time duration.
b. The second row shows the primary resuscitation
fluid type.
c. On the third row, the gray field shows the primary
fluid infusion rate based on the last setting given to
Burn Navigator. The white field shows the primary
fluid infusion volume based on the rate and time duration.
PLEASE NOTE!
•If you’ve changed the rate during the hour from the Home screen, then Burn
Navigator will calculate the volume based on how long the Home screen pump was
at Rate 1, Rate 2, etc., then calculate the average rate for the whole update.
•You can change the volume by pressing the white field. If you change the volume,
Burn Navigator will change the average rate for the update accordingly.
•The Burn Navigator does not communicate with your fluid infusion pump(s), so it
does not know when or by how much you may have changed pump flow rates during

Burn Navigator® User’s Manual Page 18
the time period, unless you update the pump setting changes timely on the Home
screen or provide the total volume during the fluid update.
•If a bolus of the primary resuscitation fluid was given, then you can add the bolus to
the total volume given. The algorithm will include the bolus when determining the
next recommendation. If you don’t want the algorithm to include the bolus volume
for the next recommendation, then add the bolus volume to the next screen,
Additional Fluids, instead.
3. On the Additional Fluids screen, add any fluids
given to the patient in addition to the primary
resuscitation fluid.
a. Press “Select fluid type…” to see a list of
Additional Fluid options.
b. Additional Fluids are divided into two
categories: Adjunct Fluids and Other Fluids.
c. Adjunct fluids are included in the volume
graph.
d. Other Fluids are not represented in the
volume graph.
e. Check the “Repeat” box to have that fluid type and volume show up for the next
update. When repeated, Adjunct fluids are
included in the and the 24-hour fluid
projection, but Other fluids are not.
f. You can press the red “X” to delete the fluid
type.
g. If you don’t see the fluid you gave on this
screen, then choose the bottom option, “Any
Other Fluids,” and write a note to identify the
fluid type.
Note: Provide all additional fluids as a volume
for the time period.

Burn Navigator® User’s Manual Page 19
4. You may or may not see the Safety Questions
screen. This screen asks if the patient is
hypotensive, hyperglycemic, on pressors or on
diuretics. These questions are asked when the
algorithm recommends decreasing fluids.
ALERT: If you answer yes to any of these
questions, consult with the Attending Physician
to determine appropriate fluid therapy.
CAUTION: Use clinical judgment to determine if
your patient is hypotensive.
CAUTION: If the patient is on pressors, ask the attending physician if the pressors can be
reduced rather than decreasing the primary fluid rate.
5. Next, you’ll see the New Rate screen. This screen
shows you the previous rate and the
recommended rate with a percent change
indicator. You may enter a different fluid rate
by pressing the white box indicating “New
rate.”
a. In Monitor Only mode, you won’t see a
recommendation. You will see a red message
reminding you that you are in Monitor Only
mode. Press the white box to enter the new
rate.
6. If you enter a rate different from the recommendation, the Burn Navigator will ask you to
enter the rationale, the attending physician’s name and your own name. The Burn
Navigator will create a note (on the Status screen) with the rationale you select. The
rationale screen does not show up in Monitor Only mode.
Adult Predictive Algorithm mode

Burn Navigator® User’s Manual Page 20
a. Note: In Monitor Only mode there is no UO-
based recommendation.
You have now completed the Hourly Fluid Update! You will be taken to the Home screen.
Monitor Only mode
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