Section 1 • Introduction
13
Figure1-5
Doseandbolus(P+Pmode)infusionpattern(doesnotapplytothePIB-IL v1.5)
Bolusesareavailableafteralockouttime.IntheexampleusedinFigure1-5andFigure1-6,
the dose volume is 20 ml, the dose interval is 90 minutes, the bolus volume is 10 ml, and the
lockout time is 30 minutes.
Automated doses are scheduled at a set interval. An optional dose is available at the start of
a new infusion if the BOLUS button is pushed within 60 seconds. Unlike in PCA mode, if the
BOLUSbuttonisnotpushed,thebolusisNOTavailableuntilthelockouttimehasexpired.
If a bolus is requested and delivered, the lockout time may delay the dose until the lockout
timehasexpired.Alockouttimeoccursimmediatelyaftereitherabolusordose
12
. The third
doseinFigure1-5hasbeendelayedbyalittleoverveminutes,soinsteadofoccurringatthe
180-minute mark, the third dose occurs at about the 185-minute mark. The dose stays delayed
for the rest of the therapy.
NOTE: Figure 1-5 does not apply to the PIB-IL v1.5pump;seeFigure1-7andFigure1-8
for PIB-IL v1.5 P+P infusion pattern.
12 Thepurposeofthelockouttimeistwo-fold:(1)toallowthemedicationtoworkbeforethepatientcanreceiveadditional
medication and (2) to space out doses and boluses to prevent the patient receiving a harmful amount of medication.