Pressure limits on infusion pumps

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Hi Guys,

Yet another question from me!!!! Can anyone tell me what the current reccomended pressure limits are for infusion pumps? we use Graesby's and we have low (77-105mmHg), med (200-240 mmHg approx), high (400 mmHg approx). Do you use different settings when administrating TPN?

We recently had an extravasation injury with Dex 10% and the pump was at a medium pressure setting:cry:Is there any research on pressure settings??

What type of volumetric or syringe pumps are suitable for neonatal use????? Sorry to bombard you loads of questions but the staff who were involved in the incident were very upset and I have been asked to review the circumstances and make reccomendations. So I would be mega thankful for any help. Ta:bow:

Specializes in Neonatal ICU (Cardiothoracic).

All our feeds were put on a separate medfusion pump on the other side of the bed to avoid confusion. Occasionally when we were out of medfusions we would have to use a syringe pump module to give feeds, and it'd always look funny to come in and see an entire IV pump clamped upside down with EBM running.

We did use special brightly colored tube feed systems that could only connect to special syringes. You couldn't get a med syringe to fit even if you tried.

Specializes in Level III NICU.
All our feeds were put on a separate medfusion pump on the other side of the bed to avoid confusion. Occasionally when we were out of medfusions we would have to use a syringe pump module to give feeds, and it'd always look funny to come in and see an entire IV pump clamped upside down with EBM running.

We did use special brightly colored tube feed systems that could only connect to special syringes. You couldn't get a med syringe to fit even if you tried.

We use medfusion pumps for everything in a syringe. Feeds, meds, blood transfusions. We don't have special syringes for feeds, so most of us are meticulous about labeling what is hanging. It would be nice to have the Alaris syringe pump channels just for meds, and keep the medfusions for feeds.

Specializes in Neonatal ICU (Cardiothoracic).

Yeah, and like I said, since the pump was upside down, there was no mistaking what was running.

We use medfusion pumps for everything in a syringe. Feeds, meds, blood transfusions. We don't have special syringes for feeds, so most of us are meticulous about labeling what is hanging. It would be nice to have the Alaris syringe pump channels just for meds, and keep the medfusions for feeds.

Are you talking about channel labeling? The Alaris has an option to label a channel ,"Enteral Feeding" :confused:

Wanted to add that I've seen an 'occluded" reading on an enteral feed. Everyone was like, "What the....???" We ended up changing out the whole modular system since we didn't know what it was.

Specializes in Level III NICU.
Are you talking about channel labeling? The Alaris has an option to label a channel ,"Enteral Feeding" :confused:

Wanted to add that I've seen an 'occluded" reading on an enteral feed. Everyone was like, "What the....???" We ended up changing out the whole modular system since we didn't know what it was.

Well, we don't have the syringe pump channels for the Alaris yet anyway. I don't know if we'll be getting them. We just label the actual syringe that is hanging (in the medfusion).

Well, we don't have the syringe pump channels for the Alaris yet anyway. I don't know if we'll be getting them. We just label the actual syringe that is hanging (in the medfusion).

You don't? That's the best part about having that system! I can't belive the rep couldn't convince your higher ups to buy it.

Specializes in neonatal/paeds.

we use alaris asena, for both drugs and enteral feeds. our drug infusion pumps are labelled for drug use only, and have a special pressure set attached to the side, so again, you couldnt give a feed through them if you wanted to! im not too sure if this is what you guys are describing?!

anyone still use gemini imeds?!

Specializes in NICU, PICU, educator.

Also, I think that it is a JCH requirement that we now have to label all lines and do a line reconcillation during report. I love that the pumps can be labeled!

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