Hospira GemStar Series, System Operating Manual

Page: 71 / 221

Chapter 4. Pain Management
62 Hospira GemStar System Operating Manual
Bolus Delivery
Set bolus doses and delivery limits during programming. The default bolus dose
delivery rate in a Pain Management therapy is 125 mL/hr.
A bolus cord is available for patient bolus requests. Refer to Connecting the Bolus
Cord in Chapter 15 Optional System Components, on page 170, for more
information.
Delivering a Bolus Dose
From the
RUN
mode, press either the bolus button [+] on the top of the pump or the
button on the end of the bolus cord to begin bolus dose delivery. The pump flashes
BOLUS DELIVERY
on the display and the amount infused accrues as the delivery
progresses.
When the bolus dose is complete, the pump does the following:
6
Records the bolus request and delivery amount to the event and bolus history logs
6
Adds the delivered boluses to the total bolus amount in the program amounts
6
Resets the bolus lockout time (if applicable) and ignores other bolus requests until
the lockout time has elapsed
6
Continues programmed infusion
If the bolus delivery does not start, it could be locked out by one of the following
conditions:
6
Bolus lockout period
6
Loading dose delivery in progress
6
Bolus dose delivery in progress
6
Bolus per-hour limit
6
1-hour or 4-hour dose limit
d
Note: ALL bolus requests are recorded to the event and bolus history logs.