胰岛素泵722操作学案.ppt

建立合理的期望值 动态不能取代指血 每天至少需要两次指血校正 调整治疗方案前需要指血确认 探头值不能用于大剂量向导 实时动态胰岛素泵还不是闭环泵 患者还是需要设置胰岛素的输入剂量 美敦力正在研发闭环技术 The End 提问和回答 Why Professional and Personal CGM? Why Professional and Personal CGM? * Review these tips for insertion Discuss using ice or topical analgesic for pain if needed Tell all patients to wait for you before injecting Observe each individual placement one person at a time Offer privacy if possible and necessary Others can wait and read literature while waiting Leave next slide up on projector while doing insertion Demonstrate loading the Sen-serter device and loading the sensor: Place the rear of the sensor with the round gold tip into the round hole. The handle of the introducer needle should slide into the slot above, press the handle of the introducer needle firmly into the slot. Hold the white tape while removing the clear tape Push the sensor down by pressing on the white tape until the Sen-serter clicks. (The Sen-serter can be locked by rotating the white button) Remove the needle guard from the Introducer Needle * Trainer observe each participant individually. Ask all participants to wait while you go around the table and assist each participant. Have them prepare prior to you coming over and observe each participant’s insertion. KEY POINTS: If bleeding exists with placement, apply pressure wait for it to stop prior to connection. Apply pressure, wick it, wipe it. Put the Sen-serter on the skin at a 45° to 60°angle, you achieve this angle by putting the legs of the sen-serter completely on the skin and tipping slightly, use other hand to maintain angle. A lot of times, the 60°angle works better. Injecting at a 45-60 degree angle will minimize trauma and bleeding by allowing the beveled tip of the needle to lead into the skin. If the Sen-serter is locked, unlock it now. Place 2 fingers on the body of the sensor Push the white release button to insert the sensor. Hold pressure on the white button for 5 second to assure glucose sensor is i