Product Info Part 4
Table Of Contents
- APPENDIX D Precautions and General Procedures
- Special note and precautions
- General procedures
- Locating the pump fill port and the side port
- Venting the Minimed refill syringe (optional)
- APPENDIX E Pump Rinse Procedure
- Preparing for the procedure
- Remove insulin from the Pump and fill with NaOH
- Equilibrate and pull NaOH through system
- APPENDIX F Side Port Catheter Flush Procedure
- Supplies and solutions
- Preparing for the procedure
- Flushing the Side Port Catheter
- Program minimal basal rate
- Remove insulin and fill with rinse buffer
- Equilibrate and pull rinse buffer through system
- Flush side port catheter
- Remove rinse buffer and fill with insulin
- Equilibrate and pull insulin through system
- Remove guide needles and record refill amount
- Program new basal rate
- Remove rinse buffer from catheter
- APPENDIX G Stroke Volume Measurement
- Supplies and Solutions
- APPENDIX H Pressure Measurement Using The Side Port Catheter
- Supplies and solutions
- Measuring pressure in the side port
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a flush procedure to push out a catheter tip blockage, the 13 units in
the distal catheter will be delivered to the patient. The 13 units can be
managed by programming cautions bolus amounts prior to the proce-
dure, or with the use of oral or IV glucose as needed during the proce-
dure. Individual patient response to INSULIN bolus amounts must be
considered.
6. Patient blood glucose monitoring must be performed during, and up to
one hour after the procedure. Oral and intravenous glucose should be
available for glycemic management.
7. After the flush procedure, at least 13 units of RINSE BUFFER will
remain in the distal portion of the catheter. Programmed bolus
amounts to remove the RINSE BUFFER may be completed before
the patient leaves the clinic. A prescribed INSULIN basal rate should
be programmed when the system is clear of RINSE BUFFER.
8. Never push down on the plunger to fill the Pump. When the MiniMed
refill needle is properly seated in the fill port, the vacuum in the reser-
voir will draw the fluid from the syringe.
9. Each step of the procedure will list the syringes and appropriate fluids
needed for that step. It is suggested that the syringes be prepared and
labeled prior to the start of the procedure.
10. The Side Port Catheter is intended to be accessed only during the
implant procedure, the combined rinse/flush procedure, the catheter
flush procedure, and for diagnostic procedures. The catheter is not
intended to provide access to the peritoneum for bolus injections of
fluids or for withdrawal of body fluids.
General procedures
Before beginning any of the procedures, be sure you are familiar with the
general techniques for locating the Pump fill port and the Side Port Cath-
eter, accessing the Pump inlet, venting the refill syringe, and preparing the
syringes.
Dmp9196021-011_c.book Page 146 Wednesday, April 3, 2002 5:07 PM