BDDF00001 Issue 5
22/56
Alaris™ Syringe Pumps
Basic Features
Basic Features
Bolus Infusion
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 attached to the patient . (Drugs given by an IV bolus could 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 to:
a) BOLUS Disabled
b) BOLUS Enabled
• Hands-On only
• Hands-Free and Hands-On
BOLUS Disabled
If configured to Disabled, pressing the
i
button will have no effect and the Pump will continue to infuse at the set rate .
w
A Hands-On bolus and Hands-Free bolus cannot be administered if the rate lock is active or if the feature is disabled
for the selected Profile or specific drug. During BOLUS the pressure limit alarm is temporarily increased to the
maximum level.
BOLUS Enabled - Hands-On
In Hands-On 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 .
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
BOLUS
softkey . During the bolus, the volume being infused is displayed . When the desired
bolus volume has been delivered or the bolus volume limit is reached, release the softkey . The bolus volume is added to the total
volume infused .
BOLUS Enabled - Hands-Free and Hands-On
The Hands-Free Bolus is delivered with a single press of the (flashing)
BOLUS
softkey . The bolus rate and bolus volume are set by drug
profile in the data set and can be changed within limits set by the data set .
1 . During infusion press the
i
button to display the Hands-Free bolus selection screen .
2 . Press the
YES
softkey to go to Hands-Free selection bolus screen, press the
HANDS ON
softkey for Hands-On bolus (see section
above) .
3 . Use the
f
keys to set the bolus volume/dose required; If necessary use the
RATE
softkey and the
f
keys to adjust
the bolus delivery rate .
Note:
Rate may be restricted by the syringe size and the
CAP BOLUS RATE
.
4 . Press the flashing
BOLUS
softkey once to begin the delivery of the preset bolus . The display will show the bolus being delivered, the
bolus counting down and revert to main infusion display upon completion of the bolus .
5 . To terminate a bolus being delivered press
STOP
softkey . This will stop the bolus and continue infusing at the set rate . Press the
h
button to stop the bolus delivery and place the Pump on hold .
6 . If the bolus volume reaches the set bolus volume the bolus will stop and the Pump will revert to infuse at the set infusion rate and
continue infusing .
w
If the Hands-Free bolus option is active, then this feature will be cancelled following any interruption in delivery, e.g.
occlusion, even if the bolus delivery is incomplete.
If the volume to be infused (VTBI) is reached during a bolus, the VTBI complete alarm will sound. Press
R
to silence
the alarm or CANCEL to acknowledge the alarm. See VTBI section for more details on VTBI operation.
Any Hands-Free Bolus dose setting which exceeds or is under a Guardrails Soft Alert must be confirmed before
operation can be continued.*
Manual Bolus
The Manual Bolus is delivered by moving the plunger drive mechanism forward while the Pump is infusing . This method of delivering a
bolus is not recommended as best clinical practice .
The syringe must be confirmed and the plunger mechanism has to move from an engaged position to disengage and then re-engage
position . A minimum travel of 1mm (leadscrew pitch) must be detected to register .
*
Guardrails
