Bolus Delivery - Abbott GEMSTAR Operating Manual

Pain Management
6
Program a bolus dose with lockout time and dose limit as required.
Regarding a 1-Hour or 4-Hour Dose Limit: The hour dose limit is the maximum
volume (continuous plus bolus or bolus only amount) that may be delivered over the
selected period. When the programmed dose limit is reached, the continuous
delivery stops and a new bolus is not allowed. As the oldest delivery amounts age
out of the Hour Dose Limit record, the pump accepts bolus requests or resumes
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continuous delivery (if programmed).
Note: If a 1-hour or 4-hour dose limit is programmed, a bolus in progress does not stop
until the individual bolus volume has been delivered. Therefore, a bolus delivery initiated
before the programmed dose limit is reached may exceed the dose limit at the completion
of the bolus.
Loading doses are not included in the hour dose limit volume and a dose limit in effect
does not prevent the delivery of a loading dose.
7
If programmed in units of mcg or mg, the line displaying the units flashes. Enter the
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container size in proper unit measure or see the note below.
Note: In order to enter the total in mL when programming a concentration, press
[ ] to move to the mL line. Enter the mL value when
8
Select the air sensitivity.
9
Review the program.
WARNING: I I f the cassette is removed from the pump, ALWAYS disconnect
the pump set from the patient and purge the line before
restarting therapy.

Bolus Delivery

Bolus doses and delivery limits are set during programming. The default bolus dose
delivery rate in a pain management protocol is 125 mL/hr.
A bolus cord is available for patient bolus requests; refer to Connecting the Bolus Cord in
the "Optional System Components" section for more information.
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flashes on the display.
mL
Abbott GemStar Manual 430-600095-002 (Rev. 8/02)