Agitation — midazolam, haloperidol, levomepromazine. Secretions — hyoscine butylbromide, hyoscine hydrobromide, glycopyrronium. Seizures — midazolam, levetiracetam, dexamethasone. Setting up syringe pumps Syringe pumps will normally be prescribed by a specialist nurse or GP and set up by a district nurse.
The soft plastic cannula or butterfly needle is usually placed in the upper arm, leg or abdomen. If patients are able to move around, they can carry the syringe pump with them in a special bag. Supporting a patient with a syringe pump You can also provide information to your patient and their family or friends.
What should I do if the syringe pump stops working? In the meantime, there are certain things you can do: Check the area around the cannula — skin irritation, redness or discomfort may be signs of infection, or irritation from the medicines. For example, under part of the body. Check there are no white particles along the tube this means the medication has crystallised. Place the syringe pump in a safe and comfortable position.
Tucked slightly under a pillow can be a good place. If the patient is able to move around, they might find it helpful to have a syringe driver bag to keep it safe and in a comfortable position. Avoid getting the syringe pump wet. If the patient wants to shower or bathe, suggest they speak to their district nurse for advice. Report immediately if the pump gets wet or is dropped. Do not position the pump in sunlight or anywhere it can get too hot, as this can affect the medication inside the syringe.
What to do if the syringe pump stops working If an alarm is going off, this might mean that the syringe pump has stopped working. If the syringe pump is in place when the patient dies When the patient dies, contact the GP or district nurse. Download My Learning form.
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You don't need repeated doses of medication and a consistent dose is delivered. A combination of medicines can be used in one syringe to manage many symptoms. Giving medicines slowly under your skin subcutaneous administration is more comfortable than injections into your muscle intramuscular injections. The syringe driver can be placed in a carry bag or pouch, so you can be mobile. Your doctor or nurse will have to predict your medicine needs for a hour period.
Changes in your symptoms may require more injections for relief. Your symptoms and the effectiveness of the medicines must be reassessed regularly. You can get pain, redness and swelling or infection at the injection site, which can cause discomfort and interfere with the delivery and absorption of the medicines.
Thomas T, Barclay S. Continuous subcutaneous infusion in palliative care: a review of current practice. Int J Palliat Nurs. Belfast: GAIN; Sera L, Uritsky T.
Pharmacokinetic and pharmacodynamic changes in older adults and implications for palliative care. Prog Palliat Care.
Challenges and innovations of drug delivery in older age. Adv Drug Deliv Rev. Epub Sep The current evidence base for the feasibility of hour continuous subcutaneous infusions CSCIs : A systematically-structured review.
PLoS One. An evaluation of continuous subcutaneous infusions across seven NHS acute hospitals: is there potential for hour infusions? BMC Palliat Care. Royal Pharmaceutical Society. Palliative Care [Internet].
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