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Page 35

Chapter 6 Using the Normal Bolus Feature

6

Your IR 1250 offers several advanced bolus options, which can be activated from the Setup
Advanced menu. The bolus feature allows you to program an insulin delivery to cover food
eaten or high blood glucose. You and your healthcare team can determine which features are
best for you.

See Chapter 11, Advanced Features.

This chapter covers the basics of a Normal bolus, which is used to cover carbohydrates you’ve
eaten and to correct high blood sugars.

1. From the

Main Menu

, select

Bolus

.

2

.

The cursor will flash over the amount field to indicate that it can be edited. Use the Up/Down

arrows to enter desired bolus amount. Press OK.

3. Go is highlighted. Press OK to deliver the bolus.

4. The

Delivering Bolus

screen is displayed. If you have activated the Normal Bolus sound in

the Setup Sound menu, the pump will beep to confirm start of delivery, as well as when delivery
is complete.

During a bolus delivery, you can stop delivery at any time by pressing any key on the front

panel of the pump. The Warning screen shown here will be displayed. Confirm the Warning
by pressing OK and check your Bolus History for the amount delivered.

Note: You can check when you last gave a bolus by looking in History or Status. These features
are covered later.

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Содержание IR 1250

Страница 1: ...Page 1...

Страница 2: ...eed assistance with your pump our Pump Support Department is available to you 24 7 In the United States and Canada call 1 877 767 7373 for assistance every minute of every day For non urgent technical...

Страница 3: ...dge Compartment Cap 22 IR Window for Download 22 Sounds 22 Tamper Resistant Feature 23 Basic Display Screens 23 Home Screen 23 Main Menu Screen 23 Status 24 Chapter 5 Getting Your Pump Ready 25 Batter...

Страница 4: ...dvanced 3 Insulin Limits 56 Setup Advanced 4 Language Setup Display Timeout Contrast and Battery Type 57 Setup Advanced 5 Auto OFF Feature 57 Setup Advanced 6 Low Cartridge Warning Setting and Occlusi...

Страница 5: ...with Infusion Sets and Sites 90 DKA Diabetic Ketoacidosis 91 Chapter 16 Sick Day Guidelines 93 Medication 93 Blood and Urine Testing 93 Fluids and Diet 93 Chapter 17 Lifestyle Issues 95 Exercise and S...

Страница 6: ...Page 6...

Страница 7: ...targets as recommended by your healthcare team It delivers two ways a continuous 24 hour basal rate and bolus insulin deliveries to accommodate for immediate doses to cover foods eaten and high blood...

Страница 8: ...nd concerns when using a new product Please do not hesitate to call for assistance Supply Reordering You can place orders for cartridges infusion sets skin prep batteries and many pump accessories by...

Страница 9: ...n in your body To avoid the risk of Diabetic Ketoacidosis DKA or very high blood sugar you must be prepared to give yourself an injection of insulin if delivery is interrupted for any reason Your Anim...

Страница 10: ...esence of common sources of electrostatic and electromagnetic interference including airport and store security systems However like all portable electronic devices the pump should not be exposed to v...

Страница 11: ...Page 11 Radiology Quick Reference Chart 1...

Страница 12: ...inimize this condition and maintain pump delivery accuracy the vertical distance between the pump and the infusion site should be no more than 12 inches 30 cm If the pump is placed at a vertically low...

Страница 13: ...termine which programming features are appropriate for you Some features require a greater knowledge of insulin pumping and advanced self care skills Additionally some advanced programming features re...

Страница 14: ...eginning insulin delivery Air bubbles can compromise accuracy of delivery Refer to the Instructions for Use included with your cartridge packaging Interference with the pump electronics by cell phones...

Страница 15: ...the necessary characteristics to power the pump and should not be used Some AA lithium batteries are available with other voltages such as 3 6V or 4 0V Do not use these batteries Use of anything other...

Страница 16: ...Page 16...

Страница 17: ...s Corporation Outside the US send the card to your local Animas representative o Limited warranty terms Your warranty will be automatically activated when you return your registration card o Instructi...

Страница 18: ...Page 18...

Страница 19: ...tant Information See User Guide for Instructions for Use S N Serial Number Date of Manufacture IPX8 Water Tight Equipment protected against the effects of submersion tested to 12 feet 3 6 meters for 2...

Страница 20: ...Page 20...

Страница 21: ...tions and to scroll up and down to enter values such as bolus amount The OK button allows you to select an item or activate a function Programming Basics Your Animas pump is menu driven much like an A...

Страница 22: ...lows air inside the pump to maintain equalized pressure but prevents water from getting inside Under no circumstances should you introduce any kind of sharp object into the vent openings to clean them...

Страница 23: ...pump times out the screen display is blank Press any button to see the Home Wake up screen Main Menu Screen This screen shows all Main Menu options Bolus This selection takes you to the Normal Bolus...

Страница 24: ...you on which features are best suited for your plan of treatment as well as train you to achieve the best results Prime Rewind This function enables you to properly align the cartridge and piston rod...

Страница 25: ...ttery 1 5V It is possible to safely power your IR 1250 pump with a conventional AA Alkaline battery 1 5V but battery life is significantly reduced Be sure you select the correct Battery Type on the Ve...

Страница 26: ...secure but do not over tighten The cap should be flush with the pump case and you should not see the colored o ring 6 Each time you change the battery your IR 1250 will run a series of self tests whic...

Страница 27: ...load Time Date and Sound settings ezManager Plus and the IR Accessory Kit are each sold separately For instructions on uploading basal program information refer to your ezManager Plus User Guide Setti...

Страница 28: ...y because the day has essentially been altered to consist of 25 hours If you change the clock between midnight and 1am you must also change the date This will result in a duplicate date entry in your...

Страница 29: ...can be set to one of the following Vibrate Low volume Medium volume or High volume For safety reasons some of these alerts cannot be turned off Vibrate mode should not be used during sleep If you are...

Страница 30: ...anteed if infusion sets other than those specified are used Do not connect infusion set to your body until after you have completed the Prime process 1 Clean the workspace where you will be connecting...

Страница 31: ...n set To avoid leakage be sure to tighten the Luer connection securely You can check for moisture periodically by wrapping a tissue around the Luer connection between the cartridge and infusion set Wh...

Страница 32: ...Press OK The pump will rewind the piston rod 5 When the rewind action is complete the Rewind Complete screen is displayed The pump will beep once to let you know the rewind is complete Note If using a...

Страница 33: ...ive screen is displayed followed by the Prime screen The pump will beep once to let you know the cartridge is aligned with the piston rod 9 On the Prime screen Continue is highlighted Press OK 10 The...

Страница 34: ...f your pump in order to complete the Priming function Selecting the Infusion Site and Inserting the Infusion Set Your healthcare team will review appropriate site selections and techniques for inserti...

Страница 35: ...rsor will flash over the amount field to indicate that it can be edited Use the Up Down arrows to enter desired bolus amount Press OK 3 Go is highlighted Press OK to deliver the bolus 4 The Delivering...

Страница 36: ...6 6 Note If you have Advanced Bolus features turned on the Bolus Menu at right will be displayed when you select Bolus from the Main Menu Select Normal and press OK Follow steps 2 through 4 in this se...

Страница 37: ...h basal program can be set with up to 12 different basal rates doses in a 24 hour period These 12 start times can be set to accommodate your changing basal needs throughout the day For example your bo...

Страница 38: ...Use Up Down arrows to set desired basal rate Press OK to confirm and exit Edit mode for this field 7 Scroll down to select the next Start time field Press the OK button to activate Edit mode indicated...

Страница 39: ...ayed which shows the current rate of delivery for the program that is active b If you ve edited an inactive program and wish to activate it select Go from the Basal Options screen When you select Go t...

Страница 40: ...d on the Home screen Always review changes to your basal program to be sure they are correct See next section Reviewing Basal Programs Reviewing Basal Programs 1 From Basal Menu scroll to highlight de...

Страница 41: ...beep and the Alert screen message will remind you that the active program is cleared For more information see Chapter 14 Safety System and Alarms You do have the option to either select Confirm to qui...

Страница 42: ...U hr When you set a negative temporary basal rate the pump will beep and display an Alert screen to remind you of the minimum delivery limit This screen will display once for 5 seconds and give one au...

Страница 43: ...the Home screen will be displayed to show the current rate per hour of the active basal program Note If you Suspend your pump while a Temp Basal program is active the Temp Basal program will be cancel...

Страница 44: ...Page 44...

Страница 45: ...highlighted Press OK The screen will display a message reminding you that this mode not only suspends your active basal delivery but also cancels any Temp Basal or Combo Bolus that may be active 3 The...

Страница 46: ...1 From the Main Menu scroll down to Suspend Resume 2 Resume is highlighted Press OK 3 The Home screen is displayed to show you the pump is no longer in Suspend mode Your previously active basal progr...

Страница 47: ...yed Bolus History Your IR 1250 displays the last 600 Bolus records 1 From the History Menu select Bolus This screen displays the following Bolus Record number Date of bolus Time of bolus Type of bolus...

Страница 48: ...se the Up Down arrows to scroll to other records 4 When finished reviewing press OK to exit Review Mode 5 History Menu is highlighted Press OK to return to History Menu Alarm History Your IR 1250 disp...

Страница 49: ...exit Review Mode 5 History Menu is highlighted Press OK to return to History Menu Suspend History Your IR 1250 displays the last 30 Suspend records 1 From the History Menu select Suspend The screen d...

Страница 50: ...ss OK to activate Review Mode indicated by flashing cursor 3 Record 1 indicates the most recent record Use the Up Down arrows to scroll to other records 4 When finished reviewing press OK to exit Revi...

Страница 51: ...eing delivered Insulin currently remaining in cartridge The cursor is flashing on the Status Screen number 1 Press the Up arrow to move to Status Screen 2 or press OK to highlight Main Menu and exit S...

Страница 52: ...tus screens Status Screen 4 Combo Bolus The screen displays the following information Most recent Combo Bolus that was used Status of most recent Combo Bolus o Active or Completed or Canceled o Start...

Страница 53: ...tatus Screen 7 Personal Information The screen displays the following information Personal information of your choice The cursor is flashing on the Status Screen number 7 Press OK to highlight Main Me...

Страница 54: ...Page 54...

Страница 55: ...ezManager Plus User Guide for upload instructions From the Setup Menu select Advanced and press OK Setup Advanced 1 Audio Bolus Feature This screen allows you to Turn Audio Bolus on or off Select the...

Страница 56: ...s OK to change to flashing cursor for Edit mode 3 Use the Up Down buttons to change to desired setting 4 Press OK when setting is made To move to the next Setup Advanced screen scroll to the bottom of...

Страница 57: ...p Advanced screen scroll to the bottom of the screen and highlight Next Press OK To return to the Home screen scroll to Home and press OK To return contrast setting to original factory default press t...

Страница 58: ...lerts you one time For example if you have it set to 30U and receive an alert and then change the setting to 20U it will not alert at 20U until after the next cartridge has been primed Setup Advanced...

Страница 59: ...ss OK Setup Advanced 9 BG Target Ranges Your healthcare team may recommend you use different BG Target Ranges for different times of day When you use the CarbSmart feature or ezBG your pump will autom...

Страница 60: ...ovolog or Humalog If you use an insulin other than Novolog or Humalog do not use this feature Use of any insulin with lesser or greater concentration can result in serious injury or death This screen...

Страница 61: ...more information on sick day guidelines refer to Chapter 16 Sick Day Guidelines and contact your healthcare team This screen allows you to Set a BG limit as a reminder for testing when sick Set the f...

Страница 62: ...Page 62...

Страница 63: ...you should always look at the screen to confirm correct programming until you are comfortable with the feature 1 Turn on Audio Bolus in the Setup Advanced menu and select your preferred step size See...

Страница 64: ...right will be displayed See Chapter 14 Safety System and Alarms If during a bolus delivery your low cartridge level is reached the pump will not display the warning until after the bolus is completed...

Страница 65: ...ber of carbs eaten either manually or by selecting an item or items from the CarbSmart food database The pump will automatically calculate your bolus dose based on the insulin to carb I C ratio insuli...

Страница 66: ...Smart Home screen will use the max number for the calculator 3 Check that the grams of carb entered and your insulin to carb I C ratio at the top of the screen are correct a If the entries are correct...

Страница 67: ...en enter the number of carbs Press OK 2 Add BG is highlighted Press OK The BG Correct screen is displayed 3 The Actual field is highlighted and flashing to indicate Edit mode Use the Up Down arrows to...

Страница 68: ...d the abbreviated food names and serving sizes Failure to use the reference sheet to confirm your food selection could result in too much or too little insulin being calculated for your food bolus If...

Страница 69: ...d List to select a different category scroll up to highlight List and press OK 7 The food item detail screen is displayed showing nutritional information and standard serving size The Servings field i...

Страница 70: ...ore than 999g the pump display will show the actual total and the max amount The CarbSmart Home screen will use the max number for the calculator and will show the Actual total in parentheses 11 Revie...

Страница 71: ...th the cursor flashing to indicate edit mode Use the Up Down arrows to change the Servings field to the desired amount Scroll to Total Press OK The CarbSmart Total screen is displayed Note To delete a...

Страница 72: ...the Up Down arrows to enter your actual BG reading Press the OK button to confirm the entry and exit Edit mode 3 Make sure the target amount is correct Your healthcare team will give you your target...

Страница 73: ...needed Enter your bolus amount Press OK to deliver Note If Insulin on Board IOB feature is activated your IR 1250 will calculate a reduced BG Bolus amount for your review Note If you enter a BG amount...

Страница 74: ...TAL bolus amount Press OK Go is highlighted The factory default setting for Duration is 30 minutes and the ratio is 0 Normal and 100 Extended If these settings are appropriate press OK to deliver 3 To...

Страница 75: ...inders for times of day and one reminder to check BG at a certain time after a bolus Confirm the Reminder by pressing OK Once you ve confirmed the Reminder you will not be alerted again Bolus Reminder...

Страница 76: ...n Menu When you enter a time this feature will sound an alert after any Normal Bolus is programmed including the Normal portion of a Combo Bolus If you program an Extended Bolus only the reminder will...

Страница 77: ...BG or the Add BG feature during CarbSmart programming when entering a correction bolus Your healthcare team will give you recommendations specific to your plan of treatment In the examples shown here...

Страница 78: ...Page 78...

Страница 79: ...opening is clogged replace the battery cap Cleaning Do not use household or industrial cleaners chemicals solvents bleach scouring pads or sharp instruments to clean the pump Never put your pump in th...

Страница 80: ...Page 80...

Страница 81: ...e warning Alarms are triggered by several conditions All require you to address the alarm by taking appropriate action in order to clear the alarm condition F Indicates that this Alert Warning or Alar...

Страница 82: ...tion Press OK to confirm Beeps Vib User selected one time and each time manually awakened until confirmed No progression Alert Clearing Basal Segments Cause Clear command selected from Basal Options s...

Страница 83: ...opped Message Displayed when manually awakened until confirmed Action Press OK to select Edit Basal Review basal edits and select Save Review Beeps Vib User selected every 3 minutes until confirmed If...

Страница 84: ...ser selected every 3 minutes until confirmed If not confirmed progresses to sweep vibe within one hour Warning Exceeds Max TDD F Cause Bolus delivery exceeds user set maximum Effect All deliveries may...

Страница 85: ...awakened until confirmed Action Press OK to confirm Replace with full cartridge Beeps Vib User selected every 3 minutes until confirmed If not confirmed progresses to sweep vibe within one hour Warnin...

Страница 86: ...nsert new battery Beeps Vib MAX volume every 3 minutes until action taken Alarm Call Service Cause Hardware or software anomaly detected Effect All deliveries stop Message Continuous until battery is...

Страница 87: ...Basal rate programmed incorrectly Check times and rates remember to review basal programs when making any changes Clock time incorrect Reset clock to current time being careful to check AM PM Pump exp...

Страница 88: ...sitive May need to adjust sensitivity factor Consult healthcare team May need to adjust BG target range Consult healthcare team If you experience frequent or severe episodes of hypoglycemia contact yo...

Страница 89: ...tubing completely INSULIN Cloudy clumpy expired or insulin exposed to extreme temperatures Remove infusion set and cartridge and discard Use new insulin vial Using non buffered Regular insulin Consult...

Страница 90: ...l rates bolus ratios or correction factor When in doubt change it out 1 Follow guidelines provided by your healthcare team 2 Change infusion set 3 Check for ketones 4 Take rapid acting insulin by inje...

Страница 91: ...site use clean technique Treat old site for infection if necessary Consult healthcare team Cartridge Reused Do not reuse cartridge Cartridge is for single use only DKA Diabetic Ketoacidosis Hyperglyce...

Страница 92: ...Page 92...

Страница 93: ...not eat your need for insulin continues and may also increase Continue your usual basal dose of insulin along with your sensitivity insulin or supplemental insulin scale as prearranged with your healt...

Страница 94: ...Page 94...

Страница 95: ...ks or signs of damage If the back label of the pump is not securely affixed or if you suspect your pump may have been damaged or otherwise has had its waterproof integrity compromised do not use in wa...

Страница 96: ...ff airport metal detectors so there is no need to remove your pump when passing through airport security However as airport security technology becomes more sophisticated it is possible that an insuli...

Страница 97: ...for your personal treatment plan Insulin to Carb Ratios I C Insulin Sensitivity Factor ISF Daily Time Slot My I C ratio 12am 4am 4am 8am 8am 12pm 12pm 4pm 4pm 8pm 8pm 12am BG Targets Time of Day My BG...

Страница 98: ...e Decrease Set Temp in advance of activity yes or no Minutes to set in advance Light gardening walking shopping Moderate leisurely biking golf no cart Strenuous basketball jogging swimming Sustained i...

Страница 99: ...1 Program 2 Program 3 Program 4 Weekday ______________ Other _______________ Weekend ______________ Exercise _______________ SEGMENT START TIME Units Hr Units Hr Units Hr Units Hr Basal Programming D...

Страница 100: ...1 Program 2 Program 3 Program 4 Weekday ______________ Other _______________ Weekend ______________ Exercise _______________ SEGMENT START TIME Units Hr Units Hr Units Hr Units Hr Basal Programming D...

Страница 101: ...1 Program 2 Program 3 Program 4 Weekday ______________ Other _______________ Weekend ______________ Exercise _______________ SEGMENT START TIME Units Hr Units Hr Units Hr Units Hr Basal Programming D...

Страница 102: ...1 Program 2 Program 3 Program 4 Weekday ______________ Other _______________ Weekend ______________ Exercise _______________ SEGMENT START TIME Units Hr Units Hr Units Hr Units Hr Basal Programming D...

Страница 103: ...the Audio Bolus feature in Setup Advanced If Audio Bolus is not turned on this button is a short cut to the Normal Bolus screen 4 I can t get the cartridge to go in all the way When loading a cartridg...

Страница 104: ...Page 104...

Страница 105: ...od glucose level in the morning upon waking Basal rate delivery by the ANIMAS pump can be programmed to compensate for dawn phenomenon diabetes Diabetes is a complex disease in which the body cannot m...

Страница 106: ...endent diabetes mellitus or Type 1 diabetes infrared Infrared is a wireless means by which the pump communicates with external devices using an optical signal which is invisible to the human eye infus...

Страница 107: ...he pump o ring Both the cartridge and the battery cap contain an o shaped ring made of a soft material that functions as a seal when compressed O rings operate properly only if the surface is free of...

Страница 108: ...single fault condition Max 2 0 U Cartridge Capacity up to 2 0 mL or 200 units Continuous Operation Internally Powered Device Type BF Medical Equipment Patient isolated not defibrillator protected Wat...

Страница 109: ...emperature changes can delay an occlusion alarm Occlusion Pressure Threshold 75 kPa typical 241 kPa max Bolus Volume after Occlusion release 1 0U hr basal 1 0 U max with occlusion sensitivity set to h...

Страница 110: ...to have his or her property respected The Animas Patient Administration Representative will discuss billing of co pays and deductibles as well as determination of whether the patient has on going abil...

Страница 111: ...d user has about an item or use of an item that is sold or rented to the end user If the end user has questions about Medicare Animas will refer the end user to the appropriate carrier 5 Animas mainta...

Страница 112: ...uoroscopy 10 help 8 high blood sugar 88 95 history feature 47 home screen 23 hyperglycemia 88 91 hypoglycemia 60 87 infusion set 30 34 89 insulin limits 56 insulin on board 13 72 77 insulin on board s...

Страница 113: ...Page 113...

Страница 114: ...ucagon Emergency Kit is a trademark of Eli Lilly and Company Energizer is a trademark of the Eveready Company Duracell is a trademark of the Gilette Company 200 Lawrence Drive West Chester PA 19380 In...

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