Infusion Pumps

Question 1

The tubing/catheter system has lower flow than catheter itself due to what?

Answer 1

Poussielle laminar flow with turbulent flow

Question 2

Remove the air eliminated 1.2 micron filter from IV tubing. True or false?

Answer 2

True, mainly for ICU

Question 3

What pumps generate pressure to regulate flow?

Answer 3

Volumetric

• Peristaltic
• Cassette
• Elastomeric

Syringe

• Electronic gear or screw
• Nonelectronic

Question 4

What controller devices use gravity to regulate flow?

Answer 4

• Manual clamp
• Automated
• In-line disposable

Question 5

What are special needs pumps? (5)

Answer 5

• PCA
• Epidural infusions
• Insulin
• Chemotherapy
• Implantable GI alimentation

Question 6

How is anesthesia being delivered in this group?

Answer 6

Bolus

Question 7

How is anesthesia being delivered to this group?

Answer 7

infusion

Question 8

Identify both:

Answer 8

Left: Bolus

Right: Infusion

Question 9

What kinds of clamps are there?

Answer 9

Roller (Cair)
Slide
Screw
Pinch

Question 10

What IV controller uses a pressure plate and compresses the IV line?

Answer 10

Screw mechanism which has the greatest margin of error.

Question 11

What is the best manual flow rate device?

Answer 11

Control-A-Flow

Question 12

What vertical distance goes the container fluid need to be above the venipuncture device?

Answer 12

75 cm

Question 13

What are the types of infusion pumps?(4)

Answer 13

Peristaltic–rotary, linear
Cassette
Elastomeric reservoir
Syringe

Question 14

What’s this?

Answer 14

Rotary peristaltic

Question 15

What’s this?

Answer 15

Linear peristaltic

Question 16

What kind of pump?

Answer 16

Linear peristaltic

Question 17

What is special about the Cardinal Alaris pump?

What is the disadvantage?

(used at Piedmont)

Answer 17

Pulse ox can be attached

Limited number of banks that can be attached.

Question 18

What is special about the Spectrum pump?

What accuracy does this pump have?

Answer 18

Uses colbalt blue key

+/- 5%

Question 19

What are the downsides of cassette pumps?

Answer 19

Cassette pump

Expensive, non interchangeable

Question 20

How do syringe pumps operate?

Answer 20

Screw devices

Question 21

The Cardinal Alaris syringe pump requires what?

Answer 21

Have to engage the plunger to be detected.

Question 22

What kind of pump?

Where do you place the flange?

Answer 22

Smart plate pump

Question 23

What is special to know about the general plate? (2)

Answer 23

mL/hr and body weight is not an available setting

At least one infusion rate must be turned off or else alarm.

Question 24

What is on the back of each smart plate?

Answer 24

Instuctions regarding dilution.

Question 25

What is the accuracy of the BARD infusion pump? What about bolus accuracy?

Answer 25

+/- 3% , linear rate +/- 3% linear displacement

Question 26

What make sure you do before using the BARD pump?

Answer 26

Must purge to make sure all mechanisms engaged.

Question 27

What must dopamine be diluted to for the BARD pump?

Answer 27

Dilute 200mg into 50ml → 4000 mcg/ml

Question 28

What happens if you use a 20 ml syringe instead of 60 ml for a BARD pump?

Answer 28

Delivers 1/2 the dose on the plate

Question 29

Cassette pumps start very accurate then all pumps end up being about the same in accuracy. True or false?

Answer 29

True

Question 30

What is occuring with this syringe pump infusion?

Answer 30

Slack in gear train and no infusion is delivered.

Question 31

What's pump operation is depicted?

Answer 31

Linear peristaltic Note the refilling.

Question 32

What infusion pump is being depicted?

Answer 32

Cassette pump

Question 33

What is TCI? What is the scheme used?

Answer 33

Target Controlled Infusion ## Footnote BET scheme Bolus Elimination to tissues Trnasferred out of plasma

Question 34

What are the advantages of PCA?

Answer 34

* Patient autonomy * Rapid relief * Dose tailored to pt and pt able to balance anesthesia

Question 35

What are key points of PCA? (10)

Answer 35

* Route of administration * Type of administration (bolus, infusion) * Ease of programming * Ease of priming * Power source * Safety * Security * Portability * Display * Printout

Question 36

What is the dosing pattern with the following plasma concentration plot?

Answer 36

Bolus

Question 37

What is the dosing pattern with the given plasma concentration?

Answer 37

Infusion

Question 38

What is the dosing pattern?

Answer 38

Bolus, Infusion

Question 39

What is the dosing pattern?

Answer 39

Bolus plus a tail dose

Question 40

What is this? What is the downside?

Answer 40

Elastomeric pump, like a balloon. Expensive, non-interchangeable

Question 41

What is this?

Answer 41

Elastomeric pump

Question 42

What kind of pump?

Answer 42

Chemo, insulin pump DON'T place a bovie over it!