Animas IR 1200, User Manual

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OTHER
Medications (steroids, terbutaline,
other hormone treatments)
Inform physician of all medication changes or additions.
Infection, illness, virus Refer to Sick Day Management Guidelines.
Pre-menstrual cycle
Consult healthcare team. May need to use Temp Basal or set
additional Basal Program.
Pregnancy
Insulin requirements may increase in later trimesters. Consult
healthcare team.
Weight changes
May need recalculation of basal or bolus doses. Consult healthcare
team.
Consult your healthcare team before making any changes in your basal rates, bolus
ratios or correction factor.
When in doubt, change it out!
1.
Follow guidelines provided by your healthcare team.
2.
Change infusion set.
3.
Check for ketones.
4.
Take rapid-acting insulin by injection.
Problems with Infusion Sets and Sites
A number of problems can occur with infusion sets and sites, the most common of which are
listed in the following table, along with some suggested solutions.
Problem Suggested Solution
Air bubbles in tubing
Always fill your pump cartridge with room temperature insulin. Check
Luer lock connection and tubing; change infusion set if needed. If
using a disconnect set, remove the set from your infusion site and
prime the bubbles out. Check that cartridge plunger is straight and
the cartridge is not filled with more than 2.0 mL of insulin.
Kinked tubing Straighten tubing if needed; replace infusion set if needed.
Dislodged needle or cannula
Change infusion set and site. Consider using different tape, dressing
or infusion set. A cannula cannot be pushed back into skin
successfully.
Blood in tubing (insulin looks pink
or red) Change infusion set and site. Check needle/cannula angle at new
infusion site.
Insulin leak
Check Luer lock connection by wrapping a tissue around it to check
for moisture; tighten or change cartridge and infusion set if needed.
Check that cartridge is not filled with more than 2.0 mL of insulin.
Redness, tenderness, lumps,
itching, warmth, discharge Change infusion set and site; use clean technique. Treat old site for
infection if necessary. Consult healthcare team.
Cartridge Reused Do not reuse cartridge. Cartridge for single use only.
DKA (Diabetic Ketoacidosis)
Hyperglycemia can lead to DKA. If your BG is above 250 mg/dL (13.5 mmol/L), check blood
or urine ketones per your healthcare team. Remember, the first signs of DKA are often
nausea and vomiting. Also remember that because you no longer have long-acting insulin in
your system, DKA can develop quickly if you ignore and/or fail to troubleshoot potential
problems.