TE TEXAS CH CHILDRENS S HOSPITAL NE NEW SCHOOL ORDE DERS - - PowerPoint PPT Presentation

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TE TEXAS CH CHILDRENS S HOSPITAL NE NEW SCHOOL ORDE DERS - - PowerPoint PPT Presentation

TE TEXAS CH CHILDRENS S HOSPITAL NE NEW SCHOOL ORDE DERS Presented b by y Rebecca M a M. H Hutchinson B BSN, R RN, C CDE Di Diabete tes Te Technolo ology gy DEPARTMENT NAME DIABET DIAB ETES MAN ES MANAGEMENT EMENT


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TE TEXAS CH CHILDREN’S ’S HOSPITAL NE NEW SCHOOL ORDE DERS

Presented b by y Rebecca M a M. H Hutchinson B BSN, R RN, C CDE

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DEPARTMENT NAME

Di Diabete tes Te Technolo

  • logy

gy

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SLIDE 3

DEPARTMENT NAME

  • Insulin pumps

Ø Infusion sets and reservoirs Øchanged every 1-3 days Ø Basal rate – small amount of background insulin delivered continuously at a preset rate ØTemp rate – adjust basal rate for a pre-determined period of time Ø(exercise, illness, stress, menstrual cycle) Ø Bolus – dose of insulin delivered when needed Ø(meal and/or correction) ØExtended – feature used for certain meals such as high-fat

DIAB DIABET ETES MAN ES MANAGEMENT EMENT DEV DEVIC ICES ES

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SLIDE 4

DEPARTMENT NAME

INSULIN PUMP INSULIN PUMP MODEL MODELS

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DEPARTMENT NAME

  • PDM

PDM – contr controls all of

  • ls all of the

the pod’ pod’s ope s operations and pr rations and programmin ramming (star g (starts pod, ts pod, de deli liver bolus dose r bolus doses) s)

  • not w

not wate aterpr proof

  • of
  • me

mete ter usin r using f g freestyle style strips strips

  • use

uses 2 AAA batte s 2 AAA batterie ries

  • Po

Pod d – small de small device vice that holds up to 200 units of that holds up to 200 units of rapid actin rapid acting insulin g insulin

  • applie

applied to f d to fatty atty tissue tissue and is w and is wate aterpr proof

  • of; 3 da

; 3 day max w y max wear ar

  • https://www

https://www.m .myomnipod.com/le

  • mnipod.com/lear

arnin ning-center/ center/videos/ videos/

  • www

www.m .myomnipod.com

  • mnipod.com

OM OMNIPOD POD

(T (TUB UBEL ELES ESS PUM PUMP) P)

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DEPARTMENT NAME

  • De

Device ce – programmed t to d

  • delivers i

s insu sulin

  • Rechar

argeab able/touchscreen/wat ater r resistan ant/De Dexcom G5 & & G G6 r receiver

  • Re

Reservoir – hol

  • lds u

s up t to 3

  • 300 u

units of s of r rapid a acting i g insu sulin

  • chan

anged ed every 1 y 1-3 d days ys/at attac ached t to i insulin pu pump

  • Infusi

sion

  • n se

set – con

  • nnects i

s insu sulin p pump t to bod

  • body (

(fatty t tissu ssue)

  • chan

ange e every 1 y 1-3 d days ys

  • T-si

simulator

  • r App on
  • n sm

smart ph phone

  • https://www

s://www.t .tandemdiabe betes.c .com

  • m/
  • http

https://www ://www.t .tandemdiabe betes.c .com

  • m/su

/suppor

  • rt/p

/prod

  • duct-

tr traini ning

TA TANDEM

(TUB (TUBING ING PUMP) UMP)

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SLIDE 7

DEPARTMENT NAME

  • De

Device – pr program ammed t to d deliver i insulin

  • AA

AA Ba Batte ttery; 6 630g & g & 6 670G w G wate terproof; u used a d at th t the C CGM GM r receiver r

  • Re

Reservoir – holds u up t p to 3 300 u units o

  • f r

rapi apid ac acting i g insulin

  • changed e

d every 1 1-3 3 da days; a atta ttached to d to in insulin lin p pump

  • Inf

Infus usio ion n se set – connects i insulin pu pump t p to b body ( y (fat atty y ti tissue)

  • ch

change every 1 1-3 da days

  • Int

Integra rated d Medtronic C CGM

MEDT MEDTRONIC NIC

(TUB UBING ING PUM UMP)

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SLIDE 8

DEPARTMENT NAME

  • ht

https://www www.medtronicdiab abetes.com/customer-su suppor

  • rt/min

inim imed- 630g 630g-sy syst stem-su suppor

  • rt
  • https

ps://www www.medtronicdiab abetes.com/customer-su suppor

  • rt/min

inim imed- 670g 670g-sy syst stem-su suppor

  • rt

MEDT MEDTRONIC NIC 630 & 670G 630 & 670G

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SLIDE 9

DEPARTMENT NAME

  • De

Device – pr program ammed t to d delivers i insulin

  • AA l

lithium bat attery; y; w wat aterpr proof; D Dexcom G G4 r receiver

  • Re

Reservoir – holds u up t p to 2 200 u units o

  • f r

rapi apid ac acting i g insulin

  • chan

anged e every 1 y 1-3 3 da days

  • Infusion s

set – connects i insulin pu pump t p to b body ( y (fat atty t y tissue)

  • chan

ange e every 1 y 1-3 3 da day

  • Di

Discont ntinue nued

AN ANIMAS AS PI PING

(NO (NO LONG NGER ER AVAIL AILAB ABLE) E)

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DEPARTMENT NAME

ØSensor – changed every 6-7 days Dexcom

G5 & Guardian, 10 days Dexcom G6

ØTransmitter- reusable (X3 months

Dexcom; up to 1 year on Guardian)

ØReceiver – specific insulin pumps, smart

phone, smart watch, Dexcom receiver

CG CGMS

CO CONTI TINUOUS GL S GLUCO COSE SE M MONITO TORI RING G SY SYSTEM STEM

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DEPARTMENT NAME

DEXCOM CGMS

(CONTINUOUS GLUCOSE MONITORING SYSTEM)

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DEPARTMENT NAME

MED MEDTRONIC GUAR ARDIAN AN CO CONNECT CT (C

(CGMS) MS)

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DEPARTMENT NAME

CAL CALCU CULATI TING ICR CR/CF /CF

(I (INSU SULIN TO O CAR ARB RATIO O AN AND COR ORREC ECTION FACTOR OR) )

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DEPARTMENT NAME

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Thank You!!

Any Questions??