Smiths Medical Medfusion 3500, Operator'S Manual

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67
Medfusion® Model 3500 pump V6 Operator’s Manual
Loading doses
A
loading dose
is a separate, specified volume (or
dose) of drug infused as a one-time-only bolus (often
at a different, higher rate) prior to the start of normal
delivery. It is an optional parameter of continuous
delivery modes which allows a bolus volume or
dose to be delivered over a specified time. A loading
dose may also be configured to be automatically
“prompted” or included in the programming steps of
a drug program.
Set up loading dose
If programming a loading dose at the
Begin
Infusion screen:
1. Set the delivery mode parameters. When
the pump is paused at the
Begin Infusion
screen, press
Options
.
2. Use the
number
keys to choose
Loading
Dose
. (You may have to press
More
to see
this option.)
3. If the initial infusion is programmed in
one of the body weight modes (e.g. Dose/
Kg/Min), the loading “dose” may be
programmed in the parameters of that
dose mode (e.g. Mcg/Kg) or in Total Dose
(e.g. Mg). Use the number keys to set the
desired loading dose for this infusion (or
to set the dose volume in mL, if applicable
for the infusion). Volume is limited by the
maximum fill volume of the current syringe
size, and minimum volume is 1/600
th
of the
syringe size. When the loading dose setting
(or volume) is correct, press Enter .
4. Confirm that the loading dose settings and
total loading dose are correct. If incorrect,
press
No
, and the pump returns to the
Enter Loading Dose screen. If correct,
press
Yes.
Note that the bolus dose may
be entered in dose/kg or Total Dose for
weight-based modes (depending on pump
customization). The confirmation screen
highlights (in reverse) the value that the
pump calculates.
A loading dose may be programmed at the Begin
Infusion
screen by pressing
Options
. If Loading
Dose Autoprompt is set to Enable in PharmGuard
®
Toolbox 2, when initially programming a continuous
infusion the loading dose programming screens
(steps 3-5, below) are part of the drug program setup.
Pressing
Disable
at the loading dose entry screen will
disable the feature for the duration of the infusion .
PRESS THE NUMBER TO SELECT THE PROGRAM OPTION
MORE
1 STANDBY 5 DELAYED START
2 KVO 6 VOLUME LIMIT
3 LOADING DOSE 7 DISABLE FLOWSENTRY
4
OVERRIDE ALARM LOUDNESS
8 CHANGE TO DOSE
Disable – turns Bolus off for the duration of the infusion.
Clear – deletes an entry. Backspace – erases a character.
OPTIONS CLEAR TOTALS
PRESS < « > KEY TO BEGIN INFUSION
CHG DOSE MAIN MENU
CONC
20
mg
/
m
L
PVD
0
m
L
WEIGHT
40
kg
KVO
DOSE
33.3
mg
/
kg
/
Hr
RATE
66.6
m
L/
Hr
BACKSPACE
ENTER
ENTER LOADING DOSE - PRESS ENTER TO CONTINUE
HIGH: 10
LOW: 0.0167
CLEAR
MG/KG
5
DISABLE
5 CURRENT SETTING
NO
CONFIRM TOTAL LOADING DOSE
LOADING DOSE PER KILOGRAM
5
MG/KG
WEIGHT
40
KG
YES
TOTAL LOADING DOSE 200
MG
NO
CONFIRM TOTAL LOADING DOSE
YES
TOTAL LOADING DOSE 200
MG
LOADING DOSE PER KILOGRAM
5
MG/KG
WEIGHT
40
KG