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Insulin Pump

Aka: Insulin Pump

Background
1. Device that delivers Insulin subcutaneously
Components
1. Insulin Pump
  1. Insulin reservoir (disposable)
  2. Control pad
    1. Enter Insulin Infusion maintenance rate
    2. Enter bolus dose directly or calculated based on carbohydrate intake
2. Infusion set (disposable)
  1. Tubing
  2. Cannula to insert subcutaneously
    1. Introduced in similar fashion to IV start (except subcutaneous)
    2. Needle is used to introduce the catheter subcutaneously
    3. Needle is removed after insertion and catheter is left in place
3. Insertion site
  1. Subcutaneous cannula with adhesive to hold it in place
  2. Changed every 3-5 days
  3. In rare cases, site may become infected
Protocol: Persistent Hyperglycemia
1. Subcutaneous Insulin injections can still be given in addition to pump for persistently high Blood Glucose values
2. Detach the pump in severe Hyperglycemia or Diabetic Ketoacidosis and manage per Insulin Drip or Hourly Subcutaneous Insulin protocols
Protocol: Hypoglycemia
1. Immediately detach pump in severe hypoglycemic episode
Procotol: Hospitalization
1. Detach the Insulin Pump during hospitalizations where Insulin will be managed by nursing and provider orders
Resources
1. American Diabetes Association
  1. http://www.diabetes.org/living-with-diabetes/treatment-and-care/medication/insulin/insulin-pumps.html
2. Wikipedia
  1. http://en.wikipedia.org/wiki/Insulin_pump

Insulin pump (C1140609)
Definition (SPN)	An infusion pump is a device used in a health care facility to pump fluids into a patient in a controlled manner. The device may use a piston pump, a roller pump, or a peristaltic pump and may be powered electrically or mechanically. The device may also operate using a constant force to propel the fluid through a narrow tube which determines the flow rate. The device may include means to detect a fault condition, such as air in, or blockage of, the infusion line and to activate an alarm.
Concepts	Medical Device (T074)
SnomedCT	69805005
English	Insulin pump, NOS, PUMP, INFUSION, INSULIN, Pumps, Insulin, Insulin Pumps, Insulin pump, device, insulin pumps, insulin infusion pump, Insulin Infusion Pump - Device, Insulin pump, device (physical object), Insulin pump, insulin pump
Spanish	bomba de insulina (objeto físico), bomba de insulina
Sources	Derived from the NIH UMLS (Unified Medical Language System)

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 3/10/2012 and last published on 5/14/2013.

This is one of 5887 pages in the Family Practice Notebook