1000DF00741 Issue 5
22/52
Alaris™ PK Plus Syringe Pump
Starting the Pump
TCI Mode
1. A list of available drugs and models will be displayed. Use the
f
keys to select the required drug and associated model and
press the
OK
softkey. Pressing the
INFO
key will show more information on the selection.
2.
CONCENTRATION
-
a) Select Concentration required and
OK
to confirm (Only required if more than one concentration is available).
b) Press the
OK
softkey to confirm Concentration or press the
MODIFY
softkey to change drug amount and diluent volume.
3.
AGE
- adjust the patient age using the
f
keys, press the
OK
softkey to confirm.
4. The remaining patient parameters for the selected drug must be entered using the
f
keys and press the
OK
softkey to
confirm. The required parameters may include the following depending on the model:
•
HEIGHT
•
GENDER
5.
WEIGHT
- adjust the patient weight using the
f
keys, press the
OK
softkey to confirm. A permissible weight range,
calculated using the models LBM limitations, is displayed.
•
LBM and BMI
(Lean Body Mass and Body Mass Index. This is for information only and is not an adjustable parameter).
6. If configuration allows, select Plasma targeting or Effect Site targeting.
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Prime the extension set.
7. Load the syringe according to the procedure in this manual.
8. Check that the syringe type and size being used matches the display. If required, the syringe brand or type can be changed by
pressing the
TYPE
softkey. Press the
CONFIRM
softkey when the correct type and size are shown.
9. The
CONFIRM
induction screen shows the initial infusion parameters for the drug and model selected. The screen will show blank
data until the syringe has been loaded and confirmed.
10. When a slower titration is required the induction time may be increased in Plasma Targeting (Cpt) only. Press the
TIME
softkey and
cap the maximum induction rate or doserate to increase the desired induction time. The cap rate will be cleared when first titration
occurs.
11. Target Concentration (
Cpt
or
Cet
) - Adjust the Target Concentration if necessary using the
f
keys. Confirm the Target
Concentration and Initial Infusion predicted parameters. On confirmation, if the Target Concentration exceeds any limits, a warning
will be displayed.
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Infusion cannot be started until confirmation has been made.
Initial infusion parameters may fluctuate from the displayed predicted values as a result of real time recalculation.
If the induction time is greater than 10s the flow rate may decrease on the last 10s period to adjust the dose to be
administered.
Maintenance flow rate will decrease over time for a fixed target.
12. Purge (if required) - Press the
i
button and then press and hold the
PURGE
softkey until the fluid flows and the purging of the
IV infusion set is complete. Release the softkey. The volume used during purging will be displayed.
13. Connect the extension set to the patient access device.
14. Press the
b
button to commence operation.
INFUSING
will be displayed. The amber stop light will be replaced by the flashing
green start light to indicate that the Pump is in operation. If the infusion rate exceeds the Soft Alerts then check infusion setting,
to continue with infusion at set target press the
b
button and then confirm
OVERRIDE LIMIT
by pressing the
YES
softkey. If
OVERRIDE LIMIT
is not required press the
NO
softkey and adjust target concentration to be within the Soft Alerts.
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If Target Concentration running exceeds the Soft Alerts then the display will cycle between Drug Name and Up arrows.
15. Pressing the
h
button during infusion will maintain the current Plasma or Effect site.
16. Press the
h
button to halt the operation.
ON HOLD
will be displayed. The amber stop light will replace the green start light.
Effect Site
Prediction
Actual Time
Drug Name and
Concentration
Effect Site
Concentration*
Plasma Concentration
Prediction
Trend Time
Flow Rate and
Dose Rate
Decrement Time
* The Ce value will not be displayed if there is no k
41
(k
eo
) defined for the selected model.
