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Chapter 3
SPECIAL FUNCTIONS
3.7
Piggyback Function
The piggyback-mode offers the possibility to interrupt the current (primary) infusion temporarily in order to administer a piggyback (secondary) infusion.
Above the pump the piggyback-infusion line is connected with a Y-connector to the administration set. The secondary infusion is supposed to be located approx.
20 cm higher than the primary infusion. All infusion lines need to be completely primed. A back check valve has to be placed according to the drawing (see next page).
A precondition to start the piggyback function is that the pump is stopped.
Note: Please mind to set a VTBI of the primary and secondary infusion that corresponds to the size of the container. The piggyback infusion can be delivered in continuous mode or dose over time mode only.
•
Enter the rate manually or load into the pump via the dose rate calculation or the drug library. It is not possible to begin with the secondary infusion if the data for the primary infusion (rate and VTBI) is not set. To enchase comfort list of drugs can be adjusted to secondary mode by DrugLib.
•
Select „Piggyback” from the Special Functions Menu and confirm with l
.
•
The change from the secondary to the primary infusion ("PIGY" to "PRIM") can be done manually or automatically. Correspondingly, if an automatic change is to be made automatically or manually is to be answered with u or d
.
•
The rate and VTBI of the secondary infusion can be loaded via the dose rate calculation, the drug library or are to be entered manually with q .
•
Start secondary infusion by pressing s
. Device delivers the piggyback volume with the set piggyback rate.
Symbols in the headline of the run display ("PRIM" or "PIGY") will indicate if the primary or secondary infusion is currently running.
When the piggyback volume is infused the pump automatically changes to the primary infusion if this was selected. If the VTBI of primary infusion is infused the pump will continue with the KVO-rate respectively after the KVO-operation the pump stops and activates an alarm. If a manual change from secondary infusion to primary infusion was selected, the pump will stop or continue with
KVO after the secondary infusion is completed and the user manually has to change via the menu item “Change to PRIM“ in the Main Menu to the primary infusion and start with s
.
Note: VTBI must consider volume for KVO.
Note: Switching manually between primary and secondary infusion in the Main
Menu is possible at any time while the pump is stopped. It is recommended to keep the roller clamp of the non-active infusion closed.
The piggyback therapy can be repeated many times by changing the piggyback medicament or by reset of the piggyback medicament.
Chapter 3
SPECIAL FUNCTIONS
•
Go to „Set new Piggyback” in the Special Functions Menu and confirm with l
.
Note: Resetting the data of the last secondary will also reset VTBI
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