Medtronic Paradigm 522 Guía de usuario Pagina 62
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Normal meal bolus practice using exchanges:
Choose a meal you might eat and fill in the blanks.
Food:__________ exchange:____________
__________ exchange:____________
__________ exchange:____________
total exchanges:____________
You will take _______ units of insulin for each exchange. Your total bolus is _______ for this meal.
Normal meal bolus using carbohydrate counting
Lydia has been taught that she needs to take 1 unit of insulin for every 10 grams of carbohydrate. This is
her insulin to carbohydrate ratio. For dinner she will have:
4 ounces broiled chicken 0 grams
2/3 cup of rice 30 grams
1/2 cooked broccoli 5 grams
1 ounce dinner roll 15 grams
1 tsp margarine 0 grams
__________________
total grams of carbohydrates = 50 grams
Lydia's dinner totals 50 grams of carbohydrate. Her insulin to carbohydrate ratio is 1 unit: 10 grams. She
will take a meal bolus of 5 units for her dinner
. She determined this by dividing 50 (total grams of
carbohydrate) by 10 (insulin to carbohydrate ratio).
Basic programming 43
Chapter 4
- Insulin Pump User Guide 1
- Paradigm 2
- 522 and 722 Insulin Pumps 2
- 6025250-013_b 3
- Important Safety Information 6
- Regarding Y 6
- Contents 8
- Contentsviii 9
- Contents ix 10
- Contentsx 11
- Contents xi 12
- Contentsxii 13
- Contents xiii 14
- Contentsxiv 15
- Contents xv 16
- Contentsxvi 17
- Contents xvii 18
- Contentsxviii 19
- Introduction 20
- Emergency kit 21
- Consumables 22
- Accessories 22
- How to wear your pump 23
- How to use this guide 24
- User safety 25
- Contraindications 26
- Warnings 26
- Tubing Connector 27
- Transmitter 27
- Precautions 28
- Adverse reactions 29
- Introduction 11 30
- Introduction12 31
- Introduction to pump therapy 32
- Understanding pump ther 33
- Blood glucose and A1C testing 34
- Hyperglycemia protocol 38
- Diabetes ketoacidosis (DKA) 39
- Sick day management 40
- Nutrition 41
- Reading a food label 42
- Fat and blood glucose 43
- • meat • fish • poultry 44
- Exercise 45
- The basics 46
- Install battery 47
- Pump buttons 48
- The pump screen 50
- HOME screen 50
- Screen icons 51
- Beep/vibrate 52
- Operating modes 52
- Normal mode 53
- Special mode 53
- Attention mode 53
- The basics 35 54
- STATUS screen 55
- If you remove your pump 56
- The basics38 57
- Basic programming 58
- Selecting the language 59
- Setting the Normal bolus 60
- Basic programming42 61
- Basic programming 43 62
- Basic programming44 63
- Review your bolus deliveries 64
- Bolus details 66
- Maximum bolus limit 67
- BG Reminder 68
- Start and stop times 69
- Basic programming 51 70
- Current basal delivery 71
- Daily basal rate(s) 71
- Chapter 4 72
- Setting the Max basal rate 73
- Stopping your pump 74
- Resume pump delivery 74
- Basic programming56 75
- Starting on insulin 76
- Filling the reservoir 77
- Starting on insulin 59 78
- Changing your infusion set 79
- Starting on insulin 61 80
- Rewinding your pump 81
- Starting on insulin 63 82
- Manual prime 83
- Inserting the infusion set 84
- Starting on insulin66 85
- Fixed prime 86
- Prime history 86
- Disconnecting Quick-set 86
- Reconnecting Quick-set 87
- Starting on insulin 69 88
- Starting on insulin70 89
- What is it? 90
- Bolus Wizard feature settings 92
- Bolus Wizard warnings 94
- MAX BOLUS EXCEEDED 95
- Selecting the Carb units 96
- Setting the Carb/Exch ratios 96
- Setting the BG units 97
- Insulin sensitivity 98
- Setting the BG Targets 99
- Target Range 99
- About active insulin 100
- Active insulin time 101
- Meter option 102
- Meter rules 103
- Bolus Wizard feature examples 105
- Optimizing pump therapy 110
- Optimizing pump therapy 93 112
- Optimizing pump therapy94 113
- Optimizing pump therapy 95 114
- Optimizing pump therapy96 115
- Easy bolus 116
- Delivering Easy Bolus 117
- Optimizing pump therapy 99 118
- Basal patterns 119
- Select a pattern 120
- Temp basal rates 121
- How does temp basal work? 122
- Temp basal types 122
- Temp Basal Settings 123
- Percent of basal 124
- Selecting temp basal type 126
- Delivering a temp basal 126
- Canceling a temp basal 127
- Optimizing pump therapy 109 128
- Optimizing pump therapy110 129
- Sensor features 130
- Selecting the BG units 131
- High Glucose Alert 131
- Setting the High Snooze 132
- Low Glucose Alert 132
- Setting the Low Snooze 133
- Setting the Alarm Snooze 133
- Setting the Cal Reminder 134
- Entering the transmitter ID 134
- Reviewing your settings 135
- The transmitter 136
- Transmitter charger 136
- Sensor features118 137
- Starting the sensor 138
- Inserting the sensor 138
- Sensor features120 139
- Sensor features 121 140
- Sensor features122 141
- Calibrating the sensor 142
- Entering meter BG 143
- Using your sensor 144
- The graphs 146
- 3-hour graph 147
- The rapid change arrows 148
- Using your sensor130 149
- Calibration history 150
- Sensor alarm history 150
- Removing the sensor 151
- Using your system in water 152
- Using your sensor134 153
- Utilities 154
- Auto-off 155
- Review daily insulin totals 156
- Pump data management 157
- Utilities 139 158
- Utilities140 159
- Personal reminders 160
- Remote control option 160
- Utilities142 161
- Block feature 162
- Lock keypad feature 163
- Selftest 163
- User settings 164
- Restoring the settings 165
- Clearing the settings 166
- History 166
- Utilities148 167
- Therapy software 168
- Therapy software150 169
- Recommended follow-up 170
- Laboratory tests 171
- Every visit 171
- Annually 171
- Troubleshooting and alarms 172
- Troubleshooting and alarms154 173
- My screen appears distorted 174
- My bolus stopped 175
- I dropped my pump 176
- I submerged my pump in water 177
- What to do 178
- Pump alert conditions 179
- LOW RESERVOIR 179
- LOW BATTERY 179
- Sensor alert conditions 179
- WEAK SIGNAL 179
- LOST SENSOR 180
- LOW TRANSMTR 180
- BAD TRANSMTR 181
- BAD SENSOR 181
- SENSOR END 181
- CAL ERROR 181
- METER BG NOW 182
- METER BG BY 182
- SENSOR ERROR 182
- NOTE: The ST 183
- Alarm conditions 184
- Troubleshooting and alarms166 185
- Testing the transmitter 186
- Disconnecting the tester 187
- Reconnect old sensor 188
- Find lost sensor 188
- Troubleshooting and alarms172 191
- Maintenance 192
- Cleaning your pump 193
- Cleaning the transmitter 193
- Cleaning the Sen-serter 194
- Maintenance176 195
- Pump specifications 196
- Pump specifications178 197
- Carb ratios 198
- Carb units 198
- Daily totals 198
- Default screen 198
- Delivery accuracy 199
- Pump specifications 181 200
- Low resv (reservoir) warning 201
- Meter value 201
- Normal bolus 201
- Occlusion detection 201
- Pump specifications 183 202
- Pump specifications184 203
- Status screen 204
- Pump specifications186 205
- Pump specifications188 207
- Pump specifications 189 208
- (5.6 mmol/L) 210
- Chapter 15 210
- Pump specifications 193 212
- Pump specifications194 213
- Pump specifications 195 214
- Pump specifications 197 216
- Pump specifications198 217
- Pump specifications 199 218
- Pump specifications200 219
- Pump specifications 201 220
- Pump specifications202 221
- Pump specifications 203 222
- Icon table 223
- Warranty 225
- Sensor accuracy 226
- Performance results in adults 227
- Sensor accuracy 209 228
- Appendix A210 229
- Appendix A 230
- Appendix A212 231
- Sensor accuracy 213 232
- Low and High Alerts in adults 233
- The High Glucose Alert 234
- Appendix A216 235
- Sensor accuracy 217 236
- Appendix A218 237
- Sensor accuracy 219 238
- Time-elapsed plots 239
- Appendix A222 241
- Sensor accuracy 223 242
- Appendix A224 243
- Sensor accuracy 225 244
- Appendix A226 245
- The Low Glucose Alert 246
- Glossary 248
- Glossary230 249
- Glossary 231 250
- Glossary232 251
- Glossary 233 252
- Glossary234 253
- Glossary 235 254
- Glossary236 255
- Numerics 256
- Index238 257
- Index 239 258
- Index240 259
- Index 241 260
- Index242 261
- 6025250-011C 112106 262
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