Ambit PIB v1.5 - P+P Mode

Section 3 • Programming Instructions
37
3.2.3 P+PMode
P+P stands for patient-intermittent bolus (PIb) combined with patient-controlled analgesia
(PCA). This mode contains dose volumes occurring at set intervals, as well as optional boluses.
ItisimportanttounderstandhowtheP+Pmodefunctions.Belowisanexplanation.
3.2.3.1 P+PModeProgrammingParametersandDenitions
• In the PIB-IL v1.5,amaximumintervallimitisset.Thislimitsthe
maximumdoseandmaximumbolusthatcanbeprogrammed.
• A bolus is a volume of medication infused over a relatively short period
of time.
19
Thebolusisinfusedatthebolusowrate.Abolusisdelivered
when a patient requests it by pushing the BOLUS button or the optional
remote BOLUS switch. A bolus is sometime referred to as a PCA bolus.
The bolus has units of milliliters (ml).
• Thebolus/doseowrateistheowrateatwhichabolusordoseis
delivered.Itisahigherowratethanthebasalowrate.IntheambIT
®
PIB v1.5pumps,thebolusowratevariesfrom210ml/hrto125ml/
hr, depending on the energy left in the battery. Flow rate accuracy is not
affectedbythebolusowrate.SeeSection1.4.1foranexplanationofhow
thebolusowratechanges.Thebolus/doseowrateisnotadjustable.
• The dose is a volume of medication infused over a relatively short period
of time
20
and is programmed to occur at scheduled intervals. Sometimes
a dose is referred to as a programmed intermittent bolus (PIb) or as a
programmed intermittent epidural bolus (PIEb)
21
. In this manual, the term
“dose” will be used when discussing either PIb or PIEb. The dose has
units of milliliters (ml).
• The interval or dose interval is the time between the start of one dose and
thestartofthenextdose.Thedoseintervalhasunitsofhoursandminutes
(hh:mm).
• In general, the lockout time is the time between the end of one after a
bolusordoseandthestartofthenextbolusordose.Thelockouttimehas
unitsofhoursandminutes(hh:mm).
• Thevolumetobeinfusedisthetotalamountofuidinthesolution
container or reservoir to be infused. The volume to be infused has units of
milliliters (ml).
SeeSection1.4.1foranexplanationofthepatternsofowavailableinP+Pmode:specically,
bolus-only, dose-only and bolus plus dose (Figures 1-2 and 1.4 through 1-6).
19 Thebolusisdeliveredatahigherowratethanthebasalrate;therefore,foragivenvolume,thebolusisdeliveredfaster.
20 Thedoseisdeliveredatahigherowratethanthebasalrate;therefore,foragivenvolume,thedoseisdeliveredfast.
21 In some publications, the PIB is referred to as an “automated bolus” or “automated mandatory bolus.” This usage is less
common than PIB or PIEB.