胰岛素泵的临床使用和规范化管理__培训课件.pptVIP

7.按时更换输注导管与针头，防止因使用时间 过长引起导管泄漏 8.在安装胰岛素之前，查对胰岛素有效日期， 不使用过期胰岛素，按规定保存胰岛素 9.严格设定泵程序，做到一人设定一人查对， 确保程序设置正确，每次泵入餐前大剂量整 基础量时做到双人查对确保无误 10.注意输注导管不要打折 11.关注各种报警信息 胰岛素泵使用过程中的观察(二) * 胰岛素强化治疗是指在保证饮食控制和运动疗法的基础上，通过每日3次或4次注射胰岛素而使血糖得到满意控制。一般情况下，在三餐前注射短效胰岛素控制餐后血糖，睡前注射中、长效胰岛素控制夜间血糖和清晨空腹血糖。目前最先进的胰岛素强化治疗是采用胰岛素泵治疗，即采用胰岛素泵持续皮下注射胰岛素能稳定、安全地控制血糖，已日益成为糖尿病胰岛素强化治疗的重要方法。 * Brad – describe implantable sensor and entire slide… Gary: ________ * Pump Therapy Indications 1995 and Today Early in the evolution of pump therapy Criteria for selection of pump patients was outlined Definition of biological, psychological, and social criteria was established Necessary for insurance coverage of CSII therapy REF: Marcus A et al. Postgraduate Medicine 1995 Today’s standards current data from multiple studies has established the benefits and risks of pump therapy more clearly all patients requiring or using insulin and practicing intensive therapy are candidates for CSII revised acknowledgement has been adopted by Blue Shield of California * 通过胰岛素泵计算机系统设置基础量和餐前剂量，模拟正常人胰岛功能和胰岛素分泌模式，可使血糖得到最满意的控制， * 21 CSII has a variety of pharmacokinetic advantages over conventional MDI therapy. pump uses only short-acting insulin, which has less than a 3% variation in absorption allows matching the recognized individual metabolic characteristic of a given patient peak free insulin concentrations are achieved 30 to 90 minutes after meal bolus injections, making it possible to maintain near-normal blood glucose levels minimization of the variety of results with different delivery to the individual By contrast for long- and intermediate-acting insulins absorption can vary by more than 50% peak plasma insulin concentrations seldom appear in relation to meals Pump therapy has one infusion site, eliminating variation in absorption associated with rotation of the injection site. Infusion also eliminates most of the subcutaneous insulin depot. Programmable delivery simulates normal pancreatic function. REF: Laur