Product Info Part 4

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6. Using the PPC, program and deliver a 4 unit bolus.
7. Observe syringe 7. If the level of INSULIN approaches 2 ml, close
the stopcock to prevent air from entering the Pump. Observe syringe
6. At least 1 ml of INSULIN must pass into syringe 6 to assure
removal of all the RINSE BUFFER from the side port. If less than 1
ml enters, repeat the bolus from Step 6, some Pumps may require 3
successive boluses to obtain 1 ml.
8. Close both stopcocks. Remove syringe 7 from the Pump. Set aside
the syringe to be weighed.
9. With the stopcock closed, remove syringe 6 from the side port.
Syringe 6 will have a vacuum from the previous step. Enter the Pump
fill port with syringe 6 and open the stopcock to remove 2 ml. This
will restore the negative pressure safety feature of the Pump.
10. Close the stopcock, remove syringe 6 from the Pump, and set it aside
to be weighed.
Remove guide needles and record fill amount
At this point, the 18 gauge guide needles should be removed and the refill
amount should be calculated and recorded. Follow the steps below:
1. Remove the 18 gauge guide needles. Apply pressure to the needle
insertion sites.
2. Weigh syringes 6 and 7 and record on the refill form. Subtract the
combined weight from the weights obtained in step 14 of the section,
“Remove RINSE BUFFER and Fill with Insulin.” The result is the
new refill amount.
3. Record the extracted and new refill amounts in the PPC.
Program new basal rate
Using the patient’s PPC, cancel the SUSPEND mode, to return to the nor-
mal patient’s basal rate and modify if needed.
Dmp9196021-011_c.book Page 162 Wednesday, April 3, 2002 5:07 PM