User`s manual
56
3 ADMIN Rt (Administration Route): Allows a selection from three routes of administration:
the default setting of IV (intravenous), EPI (epidural), and SQ (subcutaneous). If Epidural is
selected, the Therapy Identifier bar in the Prescription Menu will display EPI instead of PCA.
Each of the routes has defined settings as illustrated in the following table:
Administration Routes
Administration
Route
Occlusion Setting
mmHg (psi)
Maximum
Basal Rate
(ml/hr)
Rate During
Bolus
(ml/hr)
Maximum
Bolus Dose
(ml)
Maximum
Load Dose
(ml)
Intravenous 900 or 400 (18 or 8) 50 125 50 50
Epidural 900 or 400 (18 or 8) 25 90 25 25
Subcutaneous 900 or 400 (18 or 8) 5 60 5 5
Figure 5.1 PCA Administration Route Default Settings
4 Load Dose (Loading Dose): Allows the clinician to program in a pre-infusion loading dose if
it is prescribed. If a loading dose is not ordered, select the default setting of “0” by pressing
“YES/ENTER”. If it is ordered, enter the dose in this field, and press the “YES/ENTER”
key to accept and move to the next field. The maximum load dose is determined by the
administration route (refer to Figure 5.1 above).
Note: The “units” will correspond to the choice previously selected.
The loading dose will be delivered at the fixed bolus delivery rate when the “RUN” key is
pressed to start the PCA infusion. The amount of the loading dose is included in the
displayed “amount infused” and is logged into the history file. The bolus lockout time is set
from the end of the loading dose. Because the loading dose is only used on initial start up of
an infusion, it will revert to a value of “0” whenever the “REPEAT Rx” function is selected.
To terminate a loading dose in progress but save the rest of the
prescription, pause the pump and select “REPEAT Rx.” When the
“RUN” key is pressed, the prescription will restart without the
loading dose.
5 Titrate: Allows the clinician to program titration limits into the prescription settings of the
pump. If there is no titration prescription, select “OFF,” and press “YES/ENTER” to
accept, and move the cursor to the next field. If a titration prescription has been written,
select “ON”, press the “YES/ENTER” key to accept, and the following screen will appear to
program the titration parameters:
PCA Titrate Limits Screen
IMPORTANT
INFORMATION