2. Infusion volume because the vial itself is not completely standardized, plus the infuser itself to be filled with liquid, so the preset volume must be slightly less than the amount of infusion and the amount of drugs and to avoid the infusion of liquid, not yet to the infusion of the alarm, of course, the infusion of liquid will be finished to produce air bubbles alarm, the pump bubble alarm is very sensitive, not afraid of 10,000, fear of the worst, but the alarm malfunctions, there is the possibility of air The pump's bubble alarm is very sensitive, fearing the worst, but in case of alarm failure, it is possible to put the air into the human body, resulting in air embolism, endangering the patient's life, which is something no one wants to happen.
3. When using a regular infusion set, the infusion set should be pulled down a distance after 7-8 hours. Ordinary infusion sets are made of plastic with poor elasticity, and the tube will be deformed by the pump for a period of time, squashed and not rounded, which will significantly affect the accuracy of infusion.
It is recommended that you open the pump door (at this time there will be an open door alarm, ignore it), open the stop liquid clip, pull the tube down ten centimeters away, and pay attention to the tube must be straight and can not be bent, once bending will produce a large error, and then close the pump door, continue to infuse.
In the use of specialized infusion sets, some infusion sets are installed in place, but the bubble light does not go out, this is due to the silicone tube part of the special infusion set coated with too much talcum powder, please use alcohol to clean the silicone tube of the bubble probe part, and it will be back to normal immediately.
When the "charging" light is on, even if the pump has not been used, do not turn off the power switch, and do not unplug the AC power supply, so that the battery is full of electricity, such as "charging" light is off, and then turn off the power supply, but turned off the power supply in the middle of the day, can not continue to charge, affecting the battery life time. The battery can be used for a long time, and the battery can be used for a long time.
Problem 2: the use of infusion pumps precautions 善德仕医疗科技（北京）有限公司
Domestic medical infusion pumps precautions
At present, the domestic infusion pump manufacturers continue to increase, domestic infusion pumps this industry is also growing, domestic pumps in recent years, the market share of the pumps continue to rebound, this is for our domestic infusion pump industry is a This is a happy and proud thing for our domestic infusion pump industry players, the new year has begun, all colleagues in the new year need to work harder, constantly improve, strict quality control, to continue to improve the technology, constantly improve the quality, and constantly enhance the credibility of the service medical industry players, to serve the community.
China's infusion pumps have dozens of brands, but due to infusion pumps, syringe pumps and other products are mostly imported, its own technical content is not too high, after more than a decade of development, improvement, technological maturity than in previous years to improve the comprehensive performance tends to be stable, however, due to the national situation, as a clinical auxiliary equipment products, the use of the situation in our country is still in the early stages, many hospitals on the use and understanding of its use, but also to improve the quality of the products. Many hospitals are still not familiar with its use and understanding, the use of the problem is still more, for this, I roughly summed up some of the basic features of the domestic infusion pump for a small summary, I hope to help the majority of hospital staff can skillfully operate the infusion pump, really reduce the workload of health care, improve the quality of health care work and level.
The basic working principle of the domestic infusion pump is more or less the same, the basic structure is also very different, excluding the performance of different manufacturers of machines, quality and other factors, alone on the use of infusion pumps in the process of some of the problems that will occur, I summarize.
1 . Infusion device selection, the domestic infusion pump for the choice of infusion device in fact, strictly speaking, are in a state of incomplete qualification. Because the actual situation in the country is different hospitals, the use of different infusion device, so in the performance, quality can not be unified. Ideal infusion pump work with the infusion set should be very good elasticity, quality infusion set, long time extrusion and will not cause serious decline in elasticity, pipeline breakage and other situations, so as to ensure the accuracy of infusion. Domestic infusion pumps, although some are fully compatible with domestic infusion sets, but the use of the process of precision will be reduced, so it is recommended that hospitals use better elasticity, good quality infusion sets. Infusion pumps used in the program above the display of the infuser to be consistent with the reality of the use of the type of infuser. If there is no name display should be selected to customize the above, and the infuser calibration before use, so as to avoid the increase in the error of infusion precision.
2. The drip pot of the infusion set should be kept more than 10 centimeters from the entrance above the infusion pump door, too short or too long will affect the accuracy of the infusion more or less. Infusion volume because the hanging bottle itself is not completely standardized, plus the infuser itself to be filled with liquid, so the preset volume must be slightly less than the amount of infusion and the amount of drugs and the sum of the infusion volume, to avoid the infusion of liquid, not yet to the end of the infusion of the alarm, of course, the infusion of the drug will be finished to produce air bubbles alarm, the pump bubble alarm is very sensitive, not afraid of 10,000, afraid of the eventuality of a failure of the alarm, there is the possibility of air into the human body, resulting in an air embolus
The pump's bubble alarm is very sensitive.
3. Hospitals according to different specifications and quality of the infuser situation, should take flexible infusion control measures, some manufacturers say that the use of ordinary infusers, over 7 - 8 hours should be pulled down the infuser a distance. In fact, from the safest and most accurate point of view, the use of ordinary infusion set, the same position is best not to squeeze more than 4 hours; ordinary infusion set is made of plastic, i.e., PVC tube, the elasticity of the general, the quality also varies, a long time infusion, the pump piece of the tube is very easy to be deformed after the extrusion of the quality of the second will even be broken, both the elasticity and the safety will be greatly reduced, will significantly affect the accuracy of infusion and infusion safety. This will obviously affect the accuracy and safety of infusion. In the country can not use all the expensive special infusion tube under the real conditions, to take this method is extremely scientific and effective.
The specific operation method is as follows:
We recommend that you open the pump door (at this time there will be an open door alarm, do not pay attention to it) before closing the control valve on the infusion pipeline, and then open the liquid stop clamp, the tube down or up to pull ten centimeters of the left smooth distance, and pay attention to the tube must be straight and can not be bent and too loose, once bending will produce a large error, and then close the pump door, open the control valve to continue the infusion. Control valve to continue infusion.
4. Infusion pump general infusion method: flow rate mode (ml / h), the number of drops mode (drops / minute), the total amount of time mode (total amount - hours), the liquid weight mode. The international common infusion mode is the first flow rate mode, the other various modes are still ultimately converted to the flow rate mode, so health care workers can be rooted in the process of using ...... >>
Question 3: What is the maintenance method of the micro pump? Abstract Purpose To explore the use of micro syringe pumps in the process of problems and solutions, in order to better play the role of micro pumps. Methods The problems that occurred during the use of micropumps in my department in the past 6 years were analyzed and solutions were proposed. Results Solve the problems caused by human factors in the use process to ensure the normal play of the role of the micropump, to ensure that the patient's treatment in a timely and correct manner. Conclusion It is very important to ensure the normal play of the role of the micropump.
Keywords Micro syringe pump, nursing countermeasures
Micro pump is a new type of pumping instrument for micro intravenous drug delivery, the advantages of accurate dosage, safety, timing, quantitative, uniform drug delivery, rapid and convenient adjustment. It is commonly used in ICU, CCU, pediatrics, cardiothoracic, cerebral surgery, general surgery and other critical patients. Our department began to apply the push-type micro syringe pump in May 2002 to use the maintenance method of drug administration to achieve good results in the control of acute pancreatitis. However, there are some unreasonable phenomena in the process of intravenous drug delivery by micro pumps, which not only reduce the efficacy of drugs, but also hide some insecurity factors, in order to attract the attention of nursing staff and better play the role of micro pumps, this paper analyzes and discusses this.
1 Objects and methods
1.1 Objects Our department in May 2003 to December 2009 period of hospitalized patients Use of micro-pump injection *** 117 cases, cases of mainly acute pancreatitis, which accounted for 94% of the use of growth inhibitors, and the rest accounted for 6%
1.2 Materials The micro-pump model for the production of Germany's Beltron (Perfusor pact) micro-injector pump, which is a micro-pump, with a micro-injector pump, a micro-injector pump, a micro-injector pump, a micro-injector pump, a micro-injector pump, and a micro-injector pump. pact) micro syringe pump, Guangzhou Zhongda Medical Equipment Co., Ltd. production (WZS) 50F dual-channel micro pump by the pump. The micro pump consists of three parts: the pump, syringe and extended infusion tube: the syringe can be used according to the need to choose 20 ml or 50 ml specifications, connected to the choice of disposable extended infusion tube. Pump alarm indicator system with battery, connected to the AC power can be automatically charged, charging 16 h can be used continuously for 3 h, generally use the AC power form of work, the flow rate is selected for 0,10 ~ 99.9 ml / h.
1.3 Methods Extract the liquid with a syringe, and its *** and the extension of the tube is connected to the pump after exhausting the syringe into the pump slide seat, push the slide seat to the state of injection, open the power switch, according to the doctor's orders to choose the liquid, and the extension of the infusion tube to the pump. Turn on the power switch, select the required flow rate (ml/h) according to the medical advice, press the pump start button (START), the visible injection indicator mark flashes, connect the intravenous channel, the micro-pump enters the working state.
2 Problems and causes
2.1 Drug extravasation If drug extravasation occurs during the injection process, the alarm system of the micropump will not reflect it, and if positive and correct measures are not taken in time, serious consequences will occur.
2.2 Phlebitis and Phlebosclerosis The risk of phlebitis and phlebosclerosis is higher with the use of indwelling needles for micropumps and the relatively high concentration of drugs.
2.3 Venous regurgitation Factors associated with slow speed, long or folded and twisted extension tubing, and simultaneous dual-channel injections.
2.4 Needle blockage Due to the extension tube has a certain elasticity and large capacity, after the needle blockage, the micropump still continues to deliver the medicine, but the medicine does not enter the blood vessel, but accumulates in the extension tube, and the micropump alarms when the pressure of the extension tube is increased to a certain limit, which is unfavorable to the critically ill patients.
2.5 Micropump rate adjustment error Due to the operator is not familiar with the speed setting key, or change the drug did not change the speed in a timely manner, or in individual cases the speed setting was inadvertently mistakenly touched by others and changed the speed, so that the drug into the body too much or not enough, resulting in adverse consequences.
2.6 Micropump failure is often inaccurate speed, battery depletion, in addition with improper maintenance, do not pay attention to the cleanliness of the micropump, especially high-viscosity medication adhering to the propeller and the guide rail friction, affecting the accuracy of the speed.
2.7 Clinical insertion of 2 to 3 channels from the heparin cap of the intravenous indwelling needle, so that the patient is free from the pain of re-intravenous puncture of this phenomenon is very common, but growth inhibitors can not be used in conjunction with other drugs, which will reduce the efficacy of treatment.
2.8 Intravenous needle retention time is too long, due to the long course of acute pancreatitis treatment, so in the process of micro-pump use, the retention of intravenous needle retention time is too long, more than 7 days and cause phlebitis.
3 Nursing countermeasures
3.1 Division to strengthen the patrol observation: close observation of the local reaction of the medication, there is no return of blood, extravasation, especially from the central venous input, dense ...... >>
Question 4: What is the syringe pump for? ==. To administer an IV? Or? The spinal anesthesia used to slowly release the force of the drug
Question 5: What is a good syringe pump in China The syringe pump produced by Keli Jianyuan is very good
Question 6: Infusion pumps multi-channel use of the precautions Zindesi Medical Technology (Beijing) Co. Infusion pump manufacturers continue to increase, the domestic infusion pump industry is also growing, the domestic pump market share in recent years has been rising, this for our domestic infusion pump industry is a happy and proud of things, the new year has unfolded, colleagues in the new year need to make more efforts to continuously improve, strict quality control, to continuously improve the technology, continuously improve the quality, continuously strengthen the credibility of the medical industry. Enhanced credibility to serve those in the medical profession and the community.
China's infusion pumps have dozens of brands, but due to infusion pumps, syringe pumps and other products are mostly imported, its own technical content is not too high, after more than a decade of development, improvement, technological maturity compared to previous years to improve the comprehensive performance tends to be stable, however, due to the national situation, as a clinical auxiliary equipment products, the use of the situation in our country is still in the early stages, many hospitals on the use and understanding of its use, but also to improve the quality of the products. Many hospitals are still not familiar with its use and understanding, the use of the problem is still more, for this, I roughly summed up some of the basic features of the domestic infusion pump for a small summary, I hope to help the majority of hospital staff can skillfully operate the infusion pump, really reduce the workload of health care, improve the quality of health care work and level.
The basic working principle of the domestic infusion pump is more or less the same, the basic structure is also very different, excluding the performance of different manufacturers of machines, quality and other factors, alone on the use of infusion pumps in the process of some of the problems that will occur, I summarize.
1 . Infusion device selection, the domestic infusion pump for the choice of infusion device in fact, strictly speaking, are in a state of incomplete qualification. Because the actual situation in the country is different hospitals, the use of different infusion device, so in the performance, quality can not be unified. Ideal infusion pump work with the infusion set should be very good elasticity, quality infusion set, long time extrusion and will not cause serious decline in elasticity, pipeline breakage and other situations, so as to ensure the accuracy of infusion. Domestic infusion pumps, although some are fully compatible with domestic infusion sets, but the use of the process of precision will be reduced, so it is recommended that hospitals use better elasticity, good quality infusion sets. Infusion pumps used in the program above the display of the infuser to be consistent with the reality of the use of the type of infuser. If there is no name display should be selected to customize the above, and the infuser calibration before use, so as to avoid the increase in the error of infusion precision.
2. The drip pot of the infusion set should be kept more than 10 centimeters from the entrance above the infusion pump door, too short or too long will affect the accuracy of the infusion more or less. Infusion volume because the hanging bottle itself is not completely standardized, plus the infuser itself to be filled with liquid, so the preset volume must be slightly less than the amount of infusion and the amount of drugs and the sum of the infusion volume, to avoid the infusion of liquid, not yet to the end of the infusion of the alarm, of course, the infusion of the drug will be finished to produce air bubbles alarm, the pump bubble alarm is very sensitive, not afraid of 10,000, afraid of the eventuality of a failure of the alarm, there is the possibility of air into the human body, resulting in an air embolus
The pump's bubble alarm is very sensitive.
3. Hospitals according to different specifications and quality of the infuser situation, should take flexible infusion control measures, some manufacturers say that the use of ordinary infusers, over 7 - 8 hours should be pulled down the infuser a distance. In fact, from the safest and most accurate point of view, the use of ordinary infusion set, the same position is best not to squeeze more than 4 hours; ordinary infusion set is made of plastic, i.e., PVC tube, the elasticity of the general, the quality also varies, a long time infusion, the pump piece of the tube is very easy to be deformed after the extrusion of the quality of the second will even be broken, both the elasticity and the safety will be greatly reduced, will significantly affect the accuracy of infusion and infusion safety. This will obviously affect the accuracy and safety of infusion. In the country can not use all the expensive special infusion tube under the real conditions, to take this method is extremely scientific and effective.
The specific operation method is as follows:
We recommend that you open the pump door (at this time there will be an open door alarm, do not pay attention to it) before closing the control valve on the infusion pipeline, and then open the liquid stop clamp, the tube down or up to pull about ten centimeters distance, and pay attention to the tube must be straight can not be bending and too loose, once bending will produce a large error, and then close the pump door, open the control valve to continue the infusion. Control valve to continue infusion.
4. Infusion pump general infusion method for: flow rate mode (ml / h), the number of drops mode (drops / minute), the total amount of time mode (total amount - hours), liquid weight mode. The international common infusion mode is the first flow rate mode, the other various modes are still ultimately converted to the flow rate mode, so health care workers can use the process according to their own habits or drug ...... >>
Question 7: What domestic syringe pump quality is good Currently there are more domestic infusion pumps. But in my infusion pump function is mainly safe, accurate, reliable. From these three aspects of the selection of products, the motor is one of the main components, the current motor has been Japan's Sanyo motor to do the best, small heat, low noise. Accurate is the error is small, our domestic production of infusion tube manufacturers are too many, each workmanship and materials are not the same, so there is a more accurate function of the infusion pump is certainly the best. In addition, when choosing infusion pumps, it is best to choose the pump body can be taken out, which has two advantages, one is easy to clean, one is sure that he used the gear drive. Will not be belt drive.