Abbott Hospira Plum A Plus and Plum A Plus 3 version 11.6 Infusion ...

1- 8 1) Descriptive Information• Air bubbles may form distal to the cassette as result ofnormal out-gassing of dissolved air in the fluid. This mayoccur if chilled solution is in use, if the infuser is mountedsignificantly above the patient, or when using certainfluids known to routinely outgas. In these cases, an aireliminating filter may be used.• Repeated opening and closing of the door may defeat theproximal air-in-line alarm and may cause a distal air-inlinealarm, requiring repriming.• In vitro studies have suggested that packed red bloodcells with unusually high hematocrit be diluted with bloodcompatiblefluids, such as 0.9% sodium chlorideinjection, to decrease hemolysis and increase flow rate.• The screen displays the VTBI (volume to be infused) inintegers when value is above 99.9. Any fraction of amilliliter delivered is not displayed, but is retained inmemory.• For Plum A+3 users, be aware that changing the weighton one device does NOT change the weight on the othertwo devices. Patient weight must be changed on eachdevice when delivering weight-based therapy dependenton medication requirements.CONCURRENT FLOWGUIDELINESWhen delivering short half-life critical drugs (see Critical Drugs,this section) using the Plum A+ in the Concurrent mode, thefollowing delivery rate guidelines should be observed:• If the critical drug (with half-life less than 6 minutes)is to be infused at less than 2 mL/hr, the otherinfusion should be no faster than 5 times the criticaldrug’s rate. Dopamine, for example, delivered at 1.5mL/hr should not be accompanied by an infusionprogrammed any faster than 7.5 mL/hr.• If the critical drug (with half-life less than 6 minutes)is to be infused at 2 to 5 mL/hr the other infusion430-95215-003 (Rev. 10/05)