Transcription
Infusion Pump RequirementsUniversity of MinnesotaJanuary 29, 2012
Contents1 Generic Infusion System1.1 Overview . . . . . . . . . . . . .1.2 System Variables . . . . . . . . .1.2.1 Input Variables . . . . . .1.2.2 System Output Variables1.3 Enviroment Assumptions . . . .1.4 System Requirements . . . . . .3344910112 GPCA System2.1 Overview . . . . . . . . . . . . . . . . . .2.2 GPCA System Goals . . . . . . . . . . . .2.3 GPCA Variables . . . . . . . . . . . . . .2.3.1 Input Variables . . . . . . . . . . .2.3.2 Output Variables . . . . . . . . . .2.3.3 GPCA system constraints . . . . .2.4 GPCA System Assumptions . . . . . . . .2.5 GPCA Requirement Specifications . . . .2.5.1 Infusion Mode Requirements . . .2.5.2 Drug Configuration Requirements2.5.3 Infusion Requirements . . . . . . .2.5.4 Drug Reservior . . . . . . . . . . .2.5.5 Drug Database . . . . . . . . . . .2.5.6 Log . . . . . . . . . . . . . . . . .2.5.7 Power . . . . . . . . . . . . . . . .2.5.8 Enviromental . . . . . . . . . . . .2.5.9 User Interface . . . . . . . . . . . .2.5.10 Notification . . . . . . . . . . . . .2.5.11 Self Test . . . . . . . . . . . . . . .2.5.12 Data Retention . . . . . . . . . . .2.5.13 Others . . . . . . . . . . . . . . . .131314151520212324242424262626262626272728283 GPCA Software3.1 Overview . . . . . . . . . . . . . . .3.2 GPCA Software Variables . . . . . .3.2.1 Input Variables . . . . . . . .3.2.2 Output Variables . . . . . . .3.2.3 GPCA system constraints . .3.3 GPCA Software Assumptions . . . .3.4 Software Requirements Specifications3.4.1 Infusion Configuration . . . .3.4.2 Patient Data Validations . .3.4.3 Drug Data Validations . . . .3.4.4 Infusion Ready Validations .3.4.5 Infusion Monitoring . . . . .3.4.6 Drug Reservior . . . . . . . .3.4.7 Others . . . . . . . . . . . . .3.4.8 Enviromental . . . . . . . . .3.4.9 Log . . . . . . . . . . . . . .3.4.10 Self Test . . . . . . . . . . . .3.4.11 Power . . . . . . . . . . . . .3.4.12 Access Control . . . . . . . .3.4.13 Alarm . . . . . . . . . . . . .292930303535373838383839394040404141414142.1
4 Traceability432
11.1Generic Infusion SystemOverviewAn external infusion pump is a medical device used to deliver fluids into a patient body in a controlledmanner. Infusion pumps are capable of delivering fluids in large or small amounts, and may be used todeliver nutrients or medications such as insulin or other hormones, antibiotics, chemotherapy drugs, andpain relievers.A patient-controlled analgesia (PCA) pump is an external infusion pump used to deliver pain medication,which is equipped with a feature that allows patients to self-administer a controlled amount of medication,in addition to a to a normal drug dosage, as prescribed by a Physician/Prescriber.This document lists the overall system goal, requirements and specifications of a generic patient-controlledanalgesia (GPCA) pump system.Figure 1: World-Machine Model of the Infusion PumpThe system designed for delivering liquid drug to the patient is a Patient controlled Analegic Infusion pumpsystem. It is intended for use in a hospital setting. The environment of the Infusion pump system is thepatient, the prescription information from a Prescriber and the actual drug to be Infused to the patient.The Infusion pump is physically connected to the patient so that the pain medication is delivered/infused atthe prescribed dosage.Prescriber: A Practicioner, who is certified to prescribe drug dosage to be delivered to the patient.Prescription/Dosage: The form of instructions that govern the plan of care for an individual patient.This would typically list down all details realted to how to admister the drugPatient: A person in hospital who would receive the medication.Drug Safe Limits: The actual drug safe usage information provided by the drug manufactures. Thiswill typically provide the maximun and minimun values for the drug usage. For patient safety, the dosageof the drug to the patient should never exceed these values.3
1.2System VariablesThe system variables are external inputs that are used by the system to produce outputs that affect theenvironment of the system. The Inputs variables are given to the system from external actors and the outputfrom the system are visible these external actors.To Do: Add a clarification of the naming scheme.1.2.1Input VariablesDrug Safe Limits Variables Description: The safe limit variables of a drug are the standard safe valuesprovided by the manufacturer.Drugsaf e name : Drug NameType:StringUnits:Description:Actual name of the drug to be infusedSourceActual Drug Safe LimitsDrugsaf e conType:Description:SourceDrugsaf e conType:Description:Sourcehi :Drug concentration Upper LimitNumericUnits:g/mlSafe Upper limit of drug concentration that can be used to infuse the drug tothe patient. This is the maximum concentration of the drug in the solutionused to infused.Actual Drug Safe Valueslo :Lower limit of drug concentrationNumericUnits:g/mlSafe lower limit of drug concentration that can be used to infuse the drug tothe patient. This is the minimum concentration of the drug in the solutionused to infused.Actual Drug Safe LimitsV T BIsaf e basal lo : Lower limit of Basal drug volume to be infusedType:NumericUnits:ml/hrDescription:Safe lower limit of drug volume to be infused for basal.SourceActual Drug Safe LimitsV T BIsaf e basal hi : Upper limit of drug volume to be infusedType:NumericUnits:ml/hrDescription:Safe Upper limit of drug volume to be infused for basal.SourceF lowRatesaf e basal lo : Lower limit of basal Flow rateType:NumericUnits:Description:Lower limit of drug Flow rate for basal. .SourceActual Drug Safe LimitsF lowRatesaf e basal hi : Upper limit of basal flow rateType:NumericUnits:Description:Upper limit of drug Flow rate for basal. .SourceActual Drug Safe Limits4ml/hrml/hr
V T BIsaf e sbolus lo : Lower hard limit of VTBI for square bolusType:NumericUnits:ml/hrDescription:Lower hard limit of drug volume to be infused for Single square bolus. .SourceActual Drug Safe LimitsV T BIsaf e sbolus hi : Upper hard limit of VTBI for square bolusType:NumericUnits:ml/hrDescription:Upper hard limit of drug volume to be infused for Single square bolus. .SourceActual Drug Safe LimitsF lowRatesaf e sbolus lo : Lower limit of square bolus flow rateType:NumericUnits:ml/hrDescription:Lower limit of drug Flow rate for Single square bolus. .SourceActual Drug Safe LimitsF lowRatesaf e sbolus hi : Upper limit of square bolus flow rateType:NumericUnits:ml/hrDescription:Upper limit of drug Flow rate for Single square bolus. .SourceActual Drug Safe LimitsDurationsaf e sbolus hi : Upper limit of Time over which square Bolus is appliedType:NumericUnits:ml/hrDescription:Upper limit of Time over which Bolus is appliedSourceActual Drug Safe LimitsN umbersaf eType:Description:Sourcesbolus hi :Maximum number of square bolusNumericUnits:Maximum number of square bolus that can be admisterd to the patient.Actual Drug Safe LimitsV T BIsaf e pbolus lo : Lower hard limit of VTBI for patient bolusType:NumericUnits:ml/hrDescription:Lower hard limit of drug volume to be infused for Single patient bolus. .SourceActual Drug Safe LimitsV T BIsaf epbolus hi : Upper hard limit of VTBI for patient bolusType:NumericUnits:ml/hrDescription:Upper hard limit of drug volume to be infused for Single patient bolus. .SourceActual Drug Safe LimitsF lowRatesaf e pbolus lo : Lower limit of patient bolus flow rateType:NumericUnits:ml/hrDescription:Lower limit of drug Flow rate for Single patient bolus. .SourceActual Drug Safe LimitsF lowRatesaf epbolus hi : Upper limit of patient bolus flow rateType:NumericUnits:ml/hrDescription:Upper limit of drug Flow rate for Single patient bolus. .SourceActual Drug Safe Limits5
Durationsaf e pbolus hi : Upper limit of Time over which patient Bolus is appliedType:NumericUnits:ml/hrDescription:Upper limit of Time over which patient Bolus is appliedSourceActual Drug Safe LimitsN umbersaf eType:Description:Sourcepbolus hi :Maximum number of patient bolusNumericUnits:Maximum number of patient bolus that can be admisterd to the patient.Actual Drug Safe LimitsF requencysaf e pbolus hi : Maximum frequency between patient bolusType:NumericUnits:Description:Maximum frequency between patient bolus that can be self admisterd bythe patient.SourceActual Drug Safe LimitsPrescribed Infusion Variables Description: The infusion variables that are prescribed by Prescriberfor the specific drug and patientDrugprescribed name : Prescribed Name of the DrugType:StringUnits:Description:Drug Name that is prescibed for infusionSourcePrescription for InfusionDrugprescribed con : Prescribed drug scribed drug concentration that should be adminstered for the patientSourcePrescribed ValueV T BIprescribedt otal : Prescribed Total Volume to be ed Total Volume to be InfusedSourcePrescribed ValueDurationprescribed basal : Prescribed duration for basal infusion of drugType:NumericUnits:ml/hrDescription:Prescribed duration for basal infusion of drugSourcePrescribed ValueF lowRateprescribed basal : Prescribed basal flow rateType:NumericUnits:Description:Prescribed basal flow rateSourcePrescribed Valueml/hrT OLprescribed basal : Prescribed tolerance of basal flow rateType:NumericUnits:ml/hrDescription:Prescribed tolerance of Fbasal over X timeSourcePrescribed Value6
V T BIprescribed basal : Prescribed basal Volume to be ed Volume to be Infused for basalSourcePrescribed ValueF lowRateprescribed pbolus : Prescribed flow rate of patient bolusType:NumericUnits:ml/hrDescription:Prescribed Patient bolus flow rate,SourcePrescribed ValueT OLprescribed pbolus : Prescribed tolerance of patient bolus flow rateType:NumericUnits:ml/hrDescription:Prescribed tolerance of patient bolus flow rate over X1 timeSourcePrescribed ValueV T BIprescribed pbolus : Prescribed VTBI for patient bolusType:NumericUnits:ml/hrDescription:Prescribed Volume to be Infused for patient bolusSourcePrescribed ValueDurationprescribed pbolus : Prescribed Duration of patient bolus flowType:timeUnits:ml/hrDescription:Prescribed Duration of patient bolus flowSourcePrescribed ValueF requencyprescribed pbolus : Prescribed frequency of patient bolus flowType:timeUnits:ml/hrDescription:Prescribed frequency of patient bolus flowSourcePrescribed ValueN umberprescribed pbolus : Prescribed Max number of patient bolusType:NumericUnits:Description:Prescribed Max number of patient bolusSourcePrescribed ValueF lowRateprescribed sbolus : Prescribed square bolus flow rateType:NumericUnits:ml/hrDescription:Prescribed Square bolus flow rate,SourcePrescribed ValueT OLprescribed sbolus : Prescribed tolerance of square bolus bed tolerance of F sbol over X1 timeSourcePrescribed ValueV T BIprescribed sbolus : Prescribed Volume to be Infused for Square bolusType:NumericUnits:ml/hrDescription:Prescribed Volume to be Infused for Square bolusSourcePrescribed Value7
Durationprescribed sbolus : Prescribed Duration of square bolus flowType:timeUnits:timeDescription:Prescribed Duration of square bolus flowSourcePrescribed ValueN umberprescribed sbolus : Prescribed Max number of square bolusType:NumericUnits:Description:Prescribed Max number of square bolusSourcePrescribed ValueF lowRateprescribed kvo : Minimum keep vein open flow rateType:NumericUnits:ml/hrDescription:minimum keep vein open flow rate that is needed to keep the vein open wheninfusion is not in ProgressSourcePrescribed ValueActual Infusion Control Variables Description: These are the Actual Infusion initiation/inhibitactionsINsys start : Infusion InitiationType:BooleanDescription:Initiate InfusionSourceInfusion Inhibit CommandINsys stop : Infusion InhibitType:BooleanDescription:Inhibit InfusionSourceInfusion Inhibit CommandUnits:Units:Actual Patient Information Description: These are actual patient st :Bolus Request by patientBooleanUnits:Bolus RequestBolus Request by PatientP atientname : Actual Name of the patientType:StringUnits:Description:Actual Name of the patientSourceActual Patient InformationP atientdob : Actual Date of birth of the patientType:StringUnits:Description:Actual Date of birth of the patientSourceActual Patient InformationP atientweight :Type:Description:SourceActual weight of the patientNumericUnits:Actual Weight of the patientActual Patient InformationP atientgender :Type:Description:SourceActual gender of the patientStringUnits:Actual Gender of the patientActual Patient Information8
1.2.2System Output VariablesDescription: These are the actual output of the system.F lowRatepatient : Actual Flow rateType:NumericUnits:Description:Actual flow rate of the drug into the patientSourceDrug that is flowing into the patient.V olumeInf usedpatient : Actual VolumeType:NumericUnits:Description:Actual Total Volume of drug into the patientSourceTotal Volume Drug that is flowing into the patient.Logactual : Actual logging dataType:StringDescription:Log data createdSourceUnits:9
1.3Enviroment AssumptionsA1Prescriptions provided by the physician are assumed to be correct.A2All Infusion parameters are available in the prescription.A3Only safe drugs shall be used for infusionA4Neccessary Infrastructure for the system is availableA5The drug will be admistered to the patient in a hospital room or similar clinical settingA6The hospital room or similar clinical setting will have certified Clinician to adminster the drug byinfusionA7The system shall allow drug infusion to one patient at a timeA8Only one drug shall be used per infusion setting/duration10
1.4System RequirementsIn this section, the Requirements are defined as set of statements that describe what needs to be achievedin the World/Domain interms of of the domain variables.SR 1 The patient shall recieve prescribed dosage of the drug in one of the three modes of Infusion : Basal,Square Bolus and Patient BolusSR 1.1 The Patient shall be infused with the drug at a prescribed flow rate F lowRateprescribed basal fora prescribed duration ,Durationprescribed basalSR 1.2 The Patient shall be also be automatically infused with prescribed additional volume of the drug,V T BIprescribed sbolus , at a prescribed flow rate F lowRateprescribed sbolus at prescribed time intervals ?SR 1.3 The Patient shall also self-adminster prescribed additional volume of the drug, V T BIprescribed pbolus ,at a prescribed flow rate F lowRateprescribed pbolusSR 1.4 Only one more of Infusion shall exisit with the precedence: Patient bolus - Square Bolus - BasalInfusion. The lower precedence infusion shall be paused when a higher precedence infusion starts. Once thehigher precedence infusion is complete, the infusion paused shall resume in orderSR 2 During infusion, for all infusion modes, the patient shall receive the drug with a flow rate precisionof p % of the respective prescribed flow rate with the following tolerances :1. The patient shall never receive the drug at a flow rate u ml/hr above the prescribed flow rate precision more than x seconds in any y hour interval2. The patient shall never receive the drug at a flow rate more than max ml/hr above the prescribed flowrate precision3. The patient shall never receive the drug at a flow rate l ml/hr below the prescribed flow rate - precisionmore than x seconds in any y hour interval4. The patient shall never receive the drug at a flow rate more than min ml/hr below the prescribed flowrate - precision5. The patient shall never receive drug at flow rate less than or equal to 0ml/hr for more than x secondF lowRatepatient F lowRateprescribedF lowRatepatient F lowRateprescribedF lowRatepatient F lowRateprescribed / p / ppbolus / pbasalsbolusSR 2.1 The patient shall never receive the drug in a flow rate more or less than the Drug’s Actual flowrate Limit with a flow rate precision of p % of Drug’s Actual flow rate Limit for cumulatively more than xseconds in any y hourF lowRatesaf e basal lo p F lowRatepatient F lowRatesaf e basal hi pF lowRatesaf e pbolus lo p F lowRatepatient F lowRatesaf epbolus hi pSR 3 During Infusion, for all infusion modes, the patient shall receive the drug with a Volume precision ofv ml with the following tolerances:1. The patient shall never receive the drug volume more than u ml/hr above the prescribed VTBI of therespective infusion mode2. The patient shall never receive the drug volume more than max ml/hr above the prescribed VTBI ofthe respective infusion mode3. The patient shall never receive the drug volume less than l ml/hr below the prescribed VTBI of therespective infusion mode4. The patient shall never receive the drug volume less than min ml/hr below the prescribed VTBI of therespective infusion mode11
5. The patient shall never receive more than the total prescribed VTBI /- precision.V olumeInf usedpatient V T BIprescribed basal / vV olumeInf usedpatient V T BIprescribed pbolus / vV olumeInf usedpatient V T BIprescribed sbolus / vTotal [V olumeInf usedpatient ] V T BIprescribedt otal / vSR 3.1 The patient shall never receive drug volume more or less than the Drug’s Actual VTBI with avolume precision of v mlV T BIsaf e basal lo v F lowRatepatient V T BIsaf e basal hi vV T BIsaf e sbolus lo v F lowRatepatient V T BIsaf e sbolus hi vV T BIsaf e pbolus lo v F lowRatepatient V T BIsaf epbolus hi vSR 4 The patient shall never self-adminster bolus drug more than the prescribed number for boluses inthe prescribed duration and more than the safe number for boluses in the safe durationBoluspatient request N umberprescribed pbolusFrequency of Boluspatient request F requencyprescribed pbolusBoluspatient request N umbersaf e pbolus hiFrequency of Boluspatient request F requencysaf e pbolus hiSR 5 During Infusion, there shall be no downstream occlusion more than x psi and upstream occlusion ofmore than y psi for more than z minutesSR 6 During any state of Infusion, The patient shall never be infused with more than cumulatively x mlof air bubbles in y seconds in any z hour duration or more than max ml of single air bubbleSR 7 The drug availability for infusion shall never be less than y mlSR 8 Manual Infusion start and stop shall be possible. INsysstart ,INsysstopSR 9 The patient shall always receive a minimum KVO (keep vein open) flow rate F lowRateprescribed kvowith a flow rate precision of p % of the KVO flowrate of the drug, when patient is connected to infusionhardware and infusion is not in progress.SR 10 A log of the infusion history and hazardous conditions shall be recorded Logactual for audit purposes.SR 10.1 When Infusion is started first time or restarted with new Patient or Drug or Infusion Parameters, the following shall be recorded : Date in (dd/MM/yy) format, Time in (HH:MM:SS GMT), OperatorName/ID, Prescriber Name Patient Name, Drug Name, Infusion Flow rate.SR 10.2 Every x minutes or when infusion resumes after error, an event log is recorded with Date in(dd/MM/yy) format, Time in (HH:MM:SS GMT), Drug Name, Infusion Flow rate, Total Volume Infusedto Patient.SR 10.3 When any error occurs, an error log is recorded with Date in (dd/MM/yy) format, Time in(HH:MM:SS GMT), Drug Name, Infusion Flow rate, Total Volume Infused to Patient, Error description.SR 11 Only authorized persons can adminster drug for the patient.12
22.1GPCA SystemOverviewA patient-controlled analgesia (PCA) pump is an external infusion pump used to deliver pain medication,which is equipped with a feature that allows patients to self-administer a controlled amount of medication,in addition to a to a normal drug dosage, as prescribed by a Physician/Prescriber.This section describes the overall system goal, requirements and specifications of a generic patientcontrolled analgesia (GPCA) pump systemFigure 2: GPCA Infusion Pump OverviewComponents of GPCA Pump EnviromentHospital Database: The hospital Database stores the actual safe limits of the drug.Clinician/Drug Adminstrator A trained staff who operated the GPCA pump system.Power The AC power source used to supply input power to the system.Patient Patient recieves the drug and can also requests for bolus dose.Components of GPCA Pump SystemBolus Request: The system has a mechanism for the patient to request bolus.The infusion delivery mechanism: Infusion Hardware such as Pump, Drug Reservior, Pump tubingand connectors.User Interface: The system is provided with a user Interface that has a programming unit, displayunit, audio and tactile. The system is equiped with a keypad and display for the clinician to programthe infusion dosage information. The display is also used to view the dosage values. The display andaudio output system is provided for notifying the clinician about hazardous conditions, detected bythe system. The bolus mechanism: The system is equiped with a mechanism that allows patient torequest bolus.13
Battery: The system is equiped with a battery to power the system, as a back up for AC power supplySensors: Various sensors for monitoring, such as Flow Rate Sensor, Battery Voltage sensor etc. areequiped in the system to monitor the system outputs and enviromentLog : A log system records all major operations on the pump, as defined in the logging requirements.Controller : A Central Controller where Software is embedded to control the pump.2.2GPCA System GoalsIn addition to the Infusion System requirements, the GPCA system has additional goals.G 1 The GPCA system shall allow automatic infusion of drugs with limited interference from Clinicians.G 2 The GPCA system shall never allow Infusion of the Drugs whose Safe limits are unknown ormissing partially/completely in the hospital database.G 3 The GPCA system shall ensure that there is no interruption of drug delivery to patient when inuse.G 4 The GPCA system shall detect and notify the clinician of hazardous conditions that would harmthe patient when the system is in use.G 5 The GPCA system shall allow audit of its past X days operations and error conditionsG 6 The GPCA system shall be easy to use.G 7 The GPCA system shall be safe to operate.G 8 The GPCA Pump shall be waterproof.G 9 The GPCA Pump shall be unbreakable.14
2.3GPCA VariablesThe GPCA variables are inputs that are used by the GPCA system to produce outputs . The Inputsvariables are given to the system by the Clinician, Hospital Database and Patient.2.3.1Input VariablesHospital Database VariablesDescription: These are the safe drug values in the hospital/pharmacy drug databaseDrughd name :Type:Description:SourceDrug NameStringUnits:Name of the drug to be infusedHospital/Pharmacy Drug DatabaseDrughd con hi : Upper limit of drug e Upper limit of drug concentration that can be used to infuse the drug tothe patient. This is the maximum concentration of the drug in the solutionused to infused.SourceActual Drug Safe ValuesDrughd con lo : Lower limit of drug e lower limit of drug concentration that can be used to infuse the drug tothe patient. This is the minimum concentration of the drug in the solutionused to infused.SourceHospital/Pharmacy Drug DatabaseV T BIhd basal lo : Lower limit of Basal drug volume to be infusedType:NumericUnits:ml/hrDescription:Safe lower limit of drug volume to be infused for basal.SourceHospital/Pharmacy Drug DatabaseV T BIhd basal hi : Upper limit of basal drug volume to be infusedType:NumericUnits:ml/hrDescription:Safe Upper limit of drug volume to be infused for basal.SourceF lowRatehdType:Description:Sourcebasal lo :Lower limit of basal Flow rateNumericUnits:Lower limit of drug Flow rate for basal. .Hospital/Pharmacy Drug DatabaseF lowRatehdType:Description:Sourcebasal hi :Upper limit of basal flow rateNumericUnits:Upper limit of drug Flow rate for basal. .Hospital/Pharmacy Drug Database15ml/hrml/hr
V T BIhd sbolus lo : Lower limit of VTBI for square bolusType:NumericUnits:ml/hrDescription:Lower limit of drug volume to be infused for Single square bolus. .SourceHospital/Pharmacy Drug DatabaseV T BIhd sbolus hi : Upper limit of VTBI for square bolusType:NumericUnits:ml/hrDescription:Upper limit of drug volume to be infused for Single square bolus. .SourceHospital/Pharmacy Drug DatabaseF lowRatehdType:Description:Sourcesbolus lo :Lower limit of square bolus flow rateNumericUnits:ml/hrLower limit of drug Flow rate for Single square bolus. .Hospital/Pharmacy Drug DatabaseF lowRatehdType:Description:Sourcesbolus hi :Upper limit of square bolus flow rateNumericUnits:ml/hrUpper limit of drug Flow rate for Single square bolus. .Hospital/Pharmacy Drug DatabaseN umberhd sbolus hi : Maximum number of square bolusType:NumericUnits:Description:Maximum number of square bolus that can be admisterd to the patient.SourceHospital/Pharmacy Drug DatabaseV T BIhd pbolus lo : Lower limit of VTBI for patient bolusType:NumericUnits:ml/hrDescription:Lower limit of drug volume to be infused for Single patient bolus. .SourceHospital/Pharmacy Drug DatabaseV T BIhd pbolus hi : Upper limit of VTBI for patient bolusType:NumericUnits:ml/hrDescription:Upper limit of drug volume to be infused for Single patient bolus. .SourceHospital/Pharmacy Drug DatabaseF lowRatehdpbolus lo : Lower limit of patient bolus flow rateType:NumericUnits:ml/hrDescription:Lower limit of drug Flow rate for Single patient bolus. .SourceHospital/Pharmacy Drug DatabaseF lowRatehdType:Description:Sourcepbolus hi :Upper limit of patient bolus flow rateNumericUnits:ml/hrUpper limit of drug Flow rate for Single patient bolus. .Hospital/Pharmacy Drug Database16
N umberhd pbolus hi : Maximum number of patient bolusType:NumericUnits:Description:Maximum number of patient bolus that can be admisterd to the patient.SourceHospital/Pharmacy Drug DatabaseF requencyhdType:Description:pbolus hi :SourceMaximum frequency between patient bolusNumericUnits:Maximum frequency between patient bolus that can be self admisterd bythe patient.Hospital/Pharmacy Drug DatabaseInfusion Variables - ProgrammedDescription: These are the infusion variables programmed by the clinicianDrugprog name : Clinician Programmed Name of the DrugType:StringUnits:Description:Drug Name that is Programmed for infusionSourcePrescription for InfusionDrugprog con : Clinician Programmed drug nician Programmed drug concentration that should be adminstered forthe patientSourceClinician Programmed ValueV T BItotal prog : Clinician Programmed Volume to be n Programmed Volume to be InfusedSourceClinician Programmed ValueF lowRateprog basal : Clinician Programmed basal flow rateType:NumericUnits:ml/hrDescription:Clinician Programmed basal flow rateSourceClinician Programmed ValueT OLprog basal :Type:Description:SourceClinician Programmed tolerance of basal flow rateNumericUnits:ml/hrClinician Programmed tolerance of Fbasal over X timeClinician Programmed ValueV T BIprog basal : Clinician Programmed basal Volume to be n Programmed Volume to be Infused for basalSourceClinician Programmed Value17
DurationprogType:Description:Sourcebasal :Duration of basal flowtimeUnits:Clinician Programmed Duration of basal flowClinician Programmed ValuetimeF lowRateprog sbolus : Clinician Programmed square bolus flow rateType:NumericUnits:ml/hrDescription:Clinician Programmed Square bolus flow rate,SourceClinician Programmed ValueT OLprog sbolus : Clinician Programmed tolerance of square bolus an Programmed tolerance of F sbol over X1 timeSourceClinician Programmed ValueV T BIprog sbolus : Clinician Programmed Volume to be Infused for Square bolusType:NumericUnits:ml/hrDescription:Clinician Programmed Volume to be Infused for Square bolusSourceClinician Programmed ValueDurationprogType:Description:SourceN umberprogType:Description:Sourcesbolus :Clinician Programmed Duration of square bolus flowtimeUnits:timeClinician Programmed Duration of square bolus flowClinician Programmed Valuesbolus :Clinician Programmed Max number of square bolus/timeNumericUnits:Clinician Programmed Max number of square bolus/timeClinician Programmed ValueF lowRateprog pbolus : Clinician Programmed flow rate of pati
1 Generic Infusion System 1.1 Overview An external infusion pump is a medical device used to deliver uids into a patient body in a controlled manner. Infusion pumps are capable of delivering uids in large or small amounts, and may be used to deliver nutrients or medications such as insulin or other hormones, antibiotics, chemotherapy drugs, and
