1 / 11

Insulin Infusion Pumps

Insulin Infusion Pumps. By Cindy Lingle. Objectives. Examine use of Insulin Infusion Devices Describe and define insulin infusion List and describe hardware and software of insulin pumps How insulin pumps interface with information system

teal
Télécharger la présentation

Insulin Infusion Pumps

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Insulin Infusion Pumps By Cindy Lingle

  2. Objectives • Examine use of Insulin Infusion Devices • Describe and define insulin infusion • List and describe hardware and software of insulin pumps • How insulin pumps interface with information system • Describe advantages/disadvantages of using insulin pump • Examine legal and ethical issues related to the use of insulin pump • Describe technology related competencies needed by RN’s working with insulin pumps • Describe functions of informatic nurse working with insulin pumps

  3. What is an Insulin Pump? • Portable, automated device that administers subcutaneous insulin at regular periodic intervals • The pump delivers insulin 24-hours a day • Keeps blood glucose in the desired range between meals and over night • The user programs the pump to deliver a "bolus dose" of insulin when meals or snacks are consumed (Ruchi,M 2009) • With results of blood glucose monitoring, this tool can be used to obtain excellent blood glucose control • (Ruchi, M. 2009)

  4. Hardware and Software • An insulin pump is made up of a pump reservoir filled with regular insulin, a small battery-operated pump and a computer chip that allows the user to control exactly how much insulin is delivered • The pump reservoir delivers insulin to the body by an "infusion set" via a needle or cannula , inserted under the skin, usually on the abdomen • Implantable sensors • Newest technology • Communicates wirelessly • Sensors alert patient if blood sugar is too high or too low • Displays glucose readings for real-time glucose value • Future insulin pumps will interface with the glucose monitor and adjust insulin amounts as the body requires • (International Journal of Medical Informatics, 2009, June).

  5. Legal and Ethical Issues • Malfunctioning pumps • Non-discrimination and informed consent • Privacy and surveillance • Allocation of resources • Clinical trials of new devices and implants • Conflicts of interest • Human and animal experimentation • ( Capurro, R. 2005, August 2).

  6. Nurse Competencies • Inserting the pump cannula • Delivering a dose of insulin through the pump (bolus) • Checking pump memory (time of the last bolus dose) • Troubleshooting steps • Replacing batteries • Diabetes educators and insulin pump company staff members often provide training for school nurses and staff • ( Juvenile Diabetes Research Foundation, 2009)

  7. Informatic Nurse Functions • Analyze data on insulin pump use • Examine staff compliance with hospital procedures • Glycemic control • Establish a standard of care • Patient Safety • Facilitate the education of staff nurses • Develops policy/procedures for patients with insulin pumps during hospital stays • (International Journal of Medical Informatics. 2009)

  8. Advantages • Injections are less and easier • More flexible sleep/wake/meal times • Less problems with health due to better control • More freedom with food • Insulin reduction is found by most people • No long-acting insulin is needed • Better and more consistent blood sugarlevels/A1c's • (Diabetes Forum.com, 2009)

  9. Disadvantages • Risk of DKA due to pump malfunction • Bumps, scar tissue and poor absorption may occur at the site • Expense • More frequent testing of blood glucose • Some medical professionals are not informed about pumps • Tubing can become kinked or occluded • (Diabetes Forum.com, 2009)

  10. Works Cited 1: • Advantages and Disadvantages of Pumping Insulin. (2008, October 10 Retrieved December 05, 2009, from Diabetes Forum.com: http://www.medicinenet.com/insulin_pump_for_diabetes_mellitus/article.htm#tocd • Capurro, R. (2005, August 2). Ethical Aspects of Human Implants in the Human Body. Retrieved December 05, 2009, from http://www.drugdeliverytech.com/ME2/ • Juvenile Diabetes Research Foundation. (2009). Retrieved December 06, 2009, from Insulin Delivery Methods: http://www.jdrf.org/index.cfm?page_id=103438

  11. Works cited 2: • International Journal of Medical Informatics. (2009, June). Retrieved December 06, 2009, from http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T7S-4VF12W2 • Living with Diabetes. (2009). Retrieved December 05, 2009, from American Diabetes Association: http://www.diabetes.org/living-with-diabetes/treatment-and-care/medication/insulin/insulin-pumps.html • Ruchi, M. (2009). Medicine.net. Retrieved December 05, 2009, from Insulin Pumps for Diabetes Melitis: http://www.medicinenet.com/insulin_pump_for_diabetes_mellitus/article.htm#tocd

More Related