Alaris™ VP Plus Guardrails™ Volumetric Pump
Bolus
1000DF00660 Issue 9
18/48
Bolus
Bolus Infusions
Bolus
- Administering a controlled volume of fluid or drug at an increased rate for diagnostic or therapeutic purposes . The Pump
should always be infusing and always be attached to the patient (Drugs given by an IV bolus can achieve immediate and high drug
concentration levels) .
Bolus can be used at the start of an infusion or during an infusion .
The bolus feature can be configured via the Alaris Editor to:
a) Bolus Mode - Disabled
b) Bolus Mode - Enabled
i) HANDSON only
ii) HANDSON and HANDSFREE
Bolus Mode - Disabled
If configured to Disabled, pressing the
i
button will have no effect and the Pump will continue to infuse at the set rate .
A
A Bolus cannot be administered if the feature is disabled for the selected profile or drug protocol.
Bolus Mode - Enabled
A
During a BOLUS the downstream occlusion alarm limit is temporarily increased to its maximum.
BOLUS Enabled - HANDSON Only
In
HANDSON
bolus, press and hold the flashing Bolus softkey to deliver the required bolus . The bolus rate can be adjusted . The bolus
volume is limited in the configuration via Alaris Editor .
1 . During infusion press the
i
button once to display the
BOLUS
screen .
2 . Use the
f
keys to adjust the bolus rate if required .
3 . To deliver the bolus press and hold the flashing
BOLUS
softkey . During the bolus, the volume being infused is displayed . When the
desired bolus volume has been delivered or the bolus volume max is reached, release the softkey . The bolus volume is added to the
total volume infused displayed .
A
If the volume to be infused (VTBI) is reached during a bolus, a VTBI complete alarm or warning will sound. Press
c
to silence the alarm or warning. Press CANCEL to acknowledge the alert. See VTBI section for more details on VTBI
operation.
BOLUS Enabled - HANDSON and HANDSFREE
The
HANDSFREE
bolus is delivered with a single press of the flashing
BOLUS
softkey . Bolus rate and bolus volume are at default values
and can be changed . The default bolus volume is 0 .1ml .
1 . During infusion press the
i
button once to display the
BOLUS
screen .
2 . Press the
YES
softkey to go to the
HANDSFREE
bolus screen or press
HANDSON
softkey to go to the HANDSON only bolus .
3 . Use the
f
keys to adjust the bolus
DOSE
if required . If necessary press the
RATE
softkey to adjust the bolus delivery rate .
4 . Press the flashing
BOLUS
softkey once to begin the delivery of the preset bolus . The display will show the bolus being delivered by
the bolus counting down and will revert to the main display upon completion of the bolus .
5 . To terminate a bolus being delivered perform one of the following:
• Press
STOP
softkey to stop the bolus delivery and continue infusing at the set rate .
• Press the
h
button to stop the bolus delivery and place the Pump on hold .
NOTE:
If the bolus volume reaches the set bolus volume max the bolus will stop and the Pump will revert to infuse at the set infusion
rate and continue infusing .
NOTE:
Rate may be restricted by the
Bolus Rate Max
which is configured in the Alaris Editor .
NOTE:
If the
BOLUS
exceeds the soft or hard limits, a prompt will display .
NOTE:
The bolus rate will be automatically set to the current infusion rate, when the default bolus rate is lower than the current
infusion rate . A bolus rate cannot be configured lower than the current infusion rate .
NOTE:
Once the bolus rate has been set all subsequent bolus infusions will default to the previous bolus rate, until the infusion setup
is cleared .
