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I & M II > Infusion Pumps > Flashcards

Infusion Pumps Flashcards

1
Q

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

A

Poussielle laminar flow with turbulent flow

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2
Q

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

A

True, mainly for ICU

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3
Q

What pumps generate pressure to regulate flow?

A

Volumetric

  • Peristaltic
  • Cassette
  • Elastomeric

Syringe

  • Electronic gear or screw
  • Nonelectronic
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4
Q

What controller devices use gravity to regulate flow?

A
  • Manual clamp
  • Automated
  • In-line disposable
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5
Q

What are special needs pumps? (5)

A
  • PCA
  • Epidural infusions
  • Insulin
  • Chemotherapy
  • Implantable GI alimentation
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6
Q

How is anesthesia being delivered in this group?

A

Bolus

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7
Q

How is anesthesia being delivered to this group?

A

infusion

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8
Q

Identify both:

A

Left: Bolus

Right: Infusion

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9
Q

What kinds of clamps are there?

A

Roller (Cair)
Slide
Screw
Pinch

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10
Q

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

A

Screw mechanism which has the greatest margin of error.

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11
Q

What is the best manual flow rate device?

A

Control-A-Flow

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12
Q

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

A

75 cm

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13
Q

What are the types of infusion pumps?(4)

A

Peristaltic–rotary, linear
Cassette
Elastomeric reservoir
Syringe

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14
Q

What’s this?

A

Rotary peristaltic

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15
Q

What’s this?

A

Linear peristaltic

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16
Q

What kind of pump?

A

Linear peristaltic

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17
Q

What is special about the Cardinal Alaris pump?

What is the disadvantage?

(used at Piedmont)

A

Pulse ox can be attached

Limited number of banks that can be attached.

18
Q

What is special about the Spectrum pump?

What accuracy does this pump have?

A

Uses colbalt blue key

+/- 5%

19
Q

What are the downsides of cassette pumps?

A

Cassette pump

Expensive, non interchangeable

20
Q

How do syringe pumps operate?

A

Screw devices

21
Q

The Cardinal Alaris syringe pump requires what?

A

Have to engage the plunger to be detected.

22
Q

What kind of pump?

Where do you place the flange?

A

Smart plate pump

23
Q

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

A

mL/hr and body weight is not an available setting

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

24
Q

What is on the back of each smart plate?

A

Instuctions regarding dilution.

25
Q

What is the accuracy of the BARD infusion pump?

What about bolus accuracy?

A

+/- 3% , linear rate

+/- 3% linear displacement

26
Q

What make sure you do before using the BARD pump?

A

Must purge to make sure all mechanisms engaged.

27
Q

What must dopamine be diluted to for the BARD pump?

A

Dilute 200mg into 50ml → 4000 mcg/ml

28
Q

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

A

Delivers 1/2 the dose on the plate

29
Q

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

A

True

30
Q

What is occuring with this syringe pump infusion?

A

Slack in gear train and no infusion is delivered.

31
Q

What’s pump operation is depicted?

A

Linear peristaltic

Note the refilling.

32
Q

What infusion pump is being depicted?

A

Cassette pump

33
Q

What is TCI?

What is the scheme used?

A

Target Controlled Infusion

BET scheme

Bolus
Elimination to tissues
Trnasferred out of plasma

34
Q

What are the advantages of PCA?

A
  • Patient autonomy
  • Rapid relief
  • Dose tailored to pt and pt able to balance anesthesia
35
Q

What are key points of PCA? (10)

A
  • Route of administration
  • Type of administration (bolus, infusion)
  • Ease of programming
  • Ease of priming
  • Power source
  • Safety
  • Security
  • Portability
  • Display
  • Printout
36
Q

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

A

Bolus

37
Q

What is the dosing pattern with the given plasma concentration?

A

Infusion

38
Q

What is the dosing pattern?

A

Bolus, Infusion

39
Q

What is the dosing pattern?

A

Bolus plus a tail dose

40
Q

What is this?

What is the downside?

A

Elastomeric pump, like a balloon.

Expensive, non-interchangeable

41
Q

What is this?

A

Elastomeric pump

42
Q

What kind of pump?

A

Chemo, insulin pump

DON’T place a bovie over it!

I & M II (21 decks)

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