Section 1 • Introduction
1
SECTION 1 - INTRODUCTION
1.1 DenitionsandSymbols
1.1.1 Denitions
ANALGESIA:
Relief from pain.
BASAL FLOW RATE:
Thecontinuousowrate.Itoccurswhenthepumpisnotdelivering
abolusinPCAmode.Thebasalowrateisadjustableandhasunitsofmillilitersperhour
(ml/hr).
BOLUS:
A volume of medication infused over a relatively short period of time.
1
The bolus
isinfusedatthebolusowrate.Abolusisdeliveredwhenapatientrequestsitbypushingthe
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).
BOLUS/DOSE FLOW RATE:
Theowrateatwhichabolusordoseisdelivered.Itis
ahigherowratethanthebasalowrate.IntheambIT
®
PIB v1.5 pumps,thebolusowrate
varies from 210 ml/hr to 125 ml/hr, depending on the energy left in the battery. Flow rate
accuracyisnotaffectedbythebolusowrate.SeeSection1.4.1foranexplanationofhowthe
bolusowratechanges.Thebolus/doseowrateisnotadjustable.
CAUTION:
A caution usually appears in front of a procedure or statement. Failure to
observeacautioncouldresultinseriouspatientoruserinjury.Cautionsarefoundthroughout
this document emphasized with grey shading.
DOSE:
A volume of medication infused over a relatively short period of time
2
and is
programmed to occur at regularly scheduled intervals. Sometimes a dose is referred to as a PIB
or as a PIEB. In this manual, the term “dose” will be used when discussing either PIB or PIEB.
The dose has units of milliliters (ml).
INTERVAL OR DOSE INTERVAL:
The time between the start of one dose and the start
ofthenextdose.Thedoseintervalhasunitsofhoursandminutes(hh:mm).
INTERVAL LIMIT (“IL”): Themaximumamountthatcanbedeliveredwithinadoseinterval
andthemaximumbolusvolumeallowedtobeprogrammed.Thissettingisonlyapplicableto
PIB + PCA (“P+P”) mode for PIB-IL v1.5 pumps.
LOCKOUT TIME:
Thetimebetweentheendofonebolusordoseandthestartofthenext
bolusordose.Thelockouttimehasunitsofhoursandminutes(hh:mm).
NOTE:
Anotehighlightsinformationthatactsasareminderorhelpsexplainaconceptor
procedure.
P+P: An acronym for a combination of programmable intermittent bolus (“PIb”) and patient
controlled analgesia (“PCA”) and allows for dose volumes occurring at set intervals, as well as
optional boluses.
1 Thebolusisdeliveredatahigherowratethanthebasalrate;therefore,foragivenvolume,thebolusisdeliveredfaster.
2 Thedoseisdeliveredatahigherowratethanthebasalrate;therefore,foragivenvolume,thedoseisdeliveredfast.