Spasticity Management: Long term follow up- a team ... - acpin

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Dye StudiesCaution is needed to prevent accidental overdosePerform telemetry and stop pumpAsceptic technique in RadiologyUse catheter port access kit and locate catheter portAspirate at least 2mlsIf unable to aspirate stop procedure- do not attempt to flushInject radiopaque dye and perform fluroscopyIf resuming ITB restart pump and perform a catheterpriming bolus (catheter volume only, not internal tubing)Check all parameters with a colleagueWessex ACPIN <strong>Spasticity</strong> Presentation 2009. © Liz Keenan
Post dye studyInternal PumpTubingDRUGCatheterPumpReservoirDRUGIf resuming ITB restart pumpand perform a catheter primingbolus (catheter volume only,not internal tubing)Check all parameters with acolleagueWessex ACPIN <strong>Spasticity</strong> Presentation 2009. © Liz Keenan
Page 1 and 2: Spasticity Management:Long term fol
Page 3 and 4: Long term follow up forIntrathecal
Page 5 and 6: General reviewAny new problems- Wit
Page 7 and 8: Assessment-Hands OnObserve- posture
Page 9 and 10: MeasuresSpasm scale - (Pennet al 19
Page 11 and 12: Physical management of spasticityCO
Page 13 and 14: In practice:community physiotherapi
Page 15 and 16: TelemetryRead pumpCheck;- Patient d
Page 17 and 18: Position for refillNo special requi
Page 19 and 20: Refill procedureAsceptic techniqueR
Page 21 and 22: ReprogrammingChange reservoir volum
Page 23 and 24: Infusion ModesvolumetimeSimple cont
Page 25 and 26: Changing Baclofen concentrationCaut
Page 27 and 28: Catheter-Related ComplicationsKinki
Page 29: Pump RefillWessex ACPIN Spasticity
Page 33 and 34: Help lineTelephone help lineContinu
Page 35: ReferencesDarzi Report (2008) High

Spasticity Management: Long term follow up- a team ... - acpin

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