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WARNING: Delayed respiratory depression following continuous epidural
administration of preservative-free morphine sulfate has been
reported.
For epidural administration, the following is recommended:
6
Nylon or Teflon® catheter
6
Pump sets without Y-sites
6
Stickers for the tubing indicating ongoing administration
d
Note: Facilities practicing epidural anesthesia/analgesia must be staffed and equipped to
manage cardio-pulmonary resuscitation. Supplies should include oxygen, naloxone, and other
appropriate resuscitative drugs and equipment. Continuous monitoring (e.g., oximetry) is
recommended for the patient during epidural administration, as well as frequent patient
observation for side effects (for up to 24 hours) following completion of drug administration by
the epidural route.
Contraindications for Use
The Abbott GemStar Pump should not be operated by persons who do not have the
mental and physical capability or the emotional stability to properly operate this pump.
Drugs not compatible with silicone rubber or PVC plastic, or not stable under infusion
conditions, should not be used with this system.
Warnings and Cautions
The following is a list of warnings and cautions that should be heeded when operating
the Abbott GemStar Pump. Elsewhere in this manual, warnings and cautions that are
relevant to the procedure being discussed are repeated. Pay attention to all alert
messages.
General Cautions
6
Federal (USA) law restricts this device to sale by or on the order of a physician or other
licensed practitioner.
6
Manual references to specific values are approximate only, unless indicated otherwise.
Air-in-line sensitivity values are approximate only.
6
Disconnect the pump from the patient BEFORE connecting the pump to a computer or
printer.
6
For those patients who are likely to be adversely affected by unintended operations
and failures, including interrupted medication or fluid delivery from the device, close
supervision and provision for immediate corrective action should be provided.
10
Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Introduction
Summary of Contents for GEMSTAR
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