64
3. ADMIN Rt (Administration Route): Allows a selection from three routes of administration:
the default setting of IV (intravenous), EPI (epidural), and SQ (subcutaneous). If Epidural is
selected, the Therapy Identifier bar in the Prescription Menu will display EPI instead of PCA.
Each of the routes has defined settings as illustrated in the following table:
A d m i n i s t r a t i o n R o u t e s
Figure 5.1 PCA Administration Route Default Settings
4. Load Dose (Loading Dose): Allows the clinician to program in a pre-infusion loading dose if it
is prescribed. If a loading dose is not ordered, select the default setting of “0” by pressing YES/
ENTER. If it is ordered, enter the dose in this field, and press the YES/ENTER key to accept
and move to the next field. The maximum load dose is determined by the administration route
(refer to Figure 5.1 above).
The amount of drug infused during the “loading dose” depends on
the units chosen which may be in mLs, mg, or mcg. A loading dose
of 5 mg will infuse 50 mL if the concentration is 0.1 mg/mL.
Note:
The units will correspond to the choice previously selected.
The loading dose will be delivered at the fixed bolus delivery rate when the RUN key is
pressed to start the PCA infusion. The amount of the loading dose is included in the displayed
“Amount Infused” and is logged into the history file. The bolus lockout time is set from the end
of the loading dose. Because the loading dose is only used on initial start up of an infusion, it
will revert to a value of “0” whenever the “REPEAT Rx” function is selected.
To terminate a loading dose in progress but save the rest of the
prescription, pause the pump and select “REPEAT Rx.” When the
RUN key is pressed, the prescription will restart without the loading
dose.
5. medLMTS
™
: (Medication Limitations Prescription): Allows the clinician to setup (clinician or
institutional) limits on any medication that is being infused with the pump. If there is no
request or mandate to set limits, press YES/ENTER to select the OFF setting and accept the
factory defaults. (see Figure 5.1) If a specific medication limit is requested or mandated, press
NO/CHANGE to change the OFF setting to ON. Press YES/ENTER to accept the ON
setting and the PCA med limitation menu will appear. Enter the appropriate limits for each
field:
Intravenous
Epidural
Subcutaneous
or 400
or 400
or 400
or 8
or 8
or 8
9.9
25
5
125
90
60
9.9
25
5
9.9
25
5
IMPORTANT
INFORMATION
IMPORTANT
INFORMATION
Summary of Contents for CURLIN INFUSION PainSmart
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