Curlin 4000 User Manual - Med-E-Quip Locators

3 ADMIN Rt (Administration Route): Allows a selection from three routes of administration:the default setting of IV (intravenous), EPI (epidural), and SQ (subcutaneous). If Epidural isselected, the Therapy Identifier bar in the Prescription Menu will display EPI instead of PCA.Each of the routes has defined settings as illustrated in the following table:AdministrationRouteOcclusion SettingmmHg (psi)Administration RoutesMaximumBasal Rate(ml/hr)Rate DuringBolus(ml/hr)MaximumBolus Dose(ml)MaximumLoad Dose(ml)Intravenous 900 or 400 (18 or 8) 50 125 50 50Epidural 900 or 400 (18 or 8) 25 90 25 25Subcutaneous 900 or 400 (18 or 8) 5 60 5 5Figure 5.1 PCA Administration Route Default Settings4 Load Dose (Loading Dose): Allows the clinician to program in a pre-infusion loading dose ifit is prescribed. If a loading dose is not ordered, select the default setting of “0” by pressing“YES/ENTER”. If it is ordered, enter the dose in this field, and press the “YES/ENTER”key to accept and move to the next field. The maximum load dose is determined by theadministration route (refer to Figure 5.1 above).The amount of drug infused during the “loading dose” depends onthe units chosen which may be in ml’s, mg, or mcg. A loading doseof 5 mg will infuse 50 ml if the concentration is 0.1 mg/ml.Note: The “units” will correspond to the choice previously selected.The loading dose will be delivered at the fixed bolus delivery rate when the “RUN” key ispressed to start the PCA infusion. The amount of the loading dose is included in thedisplayed “amount infused” and is logged into the history file. The bolus lockout time is setfrom the end of the loading dose. Because the loading dose is only used on initial start up ofan infusion, it will revert to a value of “0” whenever the “REPEAT Rx” function is selected.IMPORTANTINFORMATIONIMPORTANTINFORMATIONTo terminate a loading dose in progress but save the rest of theprescription, pause the pump and select “REPEAT Rx.” When the“RUN” key is pressed, the prescription will restart without theloading dose.5 Titrate: Allows the clinician to program titration limits into the prescription settings of thepump. If there is no titration prescription, select “OFF,” and press “YES/ENTER” toaccept, and move the cursor to the next field. If a titration prescription has been written,select “ON”, press the “YES/ENTER” key to accept, and the following screen will appear toprogram the titration parameters:PCA Titrate Limits Screen56