Deltec Cozmo Bedienungsanleitung PDF herunterladen (Seite 35)

Preparing for CozMore®

Treatment

Prompt treatment of hyperglycemia is essential.

When your blood glucose is above 250 mg/dl

(14 mmol/L):

• BolususingtheDeltecCozmo®insulinpumpand

your correction factor. You may need to adjust

your correction bolus and give yourself a larger

bolus than usual when you are ill. You may also

want to use the Correction bolus increase feature

described on page 110.

• Checkforketonesandcallyourhealthcarepro-

vider regarding results if ketones are positive.

• Checkyourinfusionsettubingforkinks,clogs,or

leaks. Be sure that the tubing is connected to the

cartridge correctly. If blood is noted in the tubing,

change your infusion set.

• Checkyourinsertionsiteforirritation,redness,

soreness, or swelling (signs of infection).

• Evaluatepumpfunction.Checktomakesurethat

your pump is working. Disconnect yourself from

your pump and give a “mid-air” bolus of two units,

then watch for drops to come out of the tubing.

• If your blood glucose is not lower in one hour,

give insulin by injection and change cartridge and

infusion set. Fill cartridge with insulin from a new,

unopened and properly stored vial.

• Checkyourbloodglucoseeveryhourandtreat

high blood glucose as directed by your healthcare

provider until it is within target.

• Onceyourbloodglucoseiswithintarget,moni-

tor your blood glucose levels regularly (at least 4

to 6 times per day, especially before you go to bed

and when you wake up in the morning, or as your

healthcare provider recommends) so that high or

low blood glucose levels can be identied quickly.

• Drinkatleast8to10ouncesofnon-caloricuids

(water is preferable) every 30 to 60 minutes until

blood glucose is below 250 mg/dl (14 mmol/L)

and ketones are negative.

• Adjustbasalrate(s),insulin-to-carbohydrate

ratio(s), or correction factor(s) as indicated by

your healthcare provider as necessary.

• CallCozMore®CustomerSupportwithanyques-

tions regarding your pump.

What to carry in your

everyday pack

e following is a suggested list of items you should

carry with you:

• Insulinsyringeorpen(rememberthatinsulinis

sensitive to temperature, so keep it out of extreme

temperatures—replace the insulin every month.)

• Vial(s)ofyourrapid/shortactinginsulin

• Infusionset

• Cartridge

• DressingandIVPrepforsetchange

• Foil-wrappedKetostix®

• Bloodglucosemeterandteststrips/sensors

(be sure they aren’t expired)

• Lancetsandlancingdevice

• Foodthatyouwouldusetotreatlowbloodglucose

• AAA(IECLR03)battery

• Medicalidenticationcardwithcontactinforma-

tion for your physician and signicant other

• Acopyofyourpumpprogram(basalrates,target

blood glucose, etc.)

As always, discuss with your healthcare provider any

special supplies you might need in your emergency

kit.

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