NAME: D.O.B Hospital no. Consultant: DATE No. PROBLEM GOAL NURSING PLAN SIGNATURE REVIEW DATE Uncontrolled To maximise Ensure Apomorphine is prescribed correctly. ‘ON’ Parkinson’s time 50mg = 1 x 10ml syringe, 100mg = 2 x 10ml disease. Safe To be during waking hours / over night Motor fluctuations administration of Ensure Domperidone 20 mg tds is prescribed 72 hours and sustained Apomorphine before starting apomorphine unpredictable Improve quality of If using a 10ml volume ensure the spacer is attached to periods, life the APO-go pump. ‘OFF’ resulting in poor Slide plunger up/down to loosen. quality Unscrew the syringe plunger, leaving black bung at the ‘OFF’ time. top. Attach the syringe to the pump by firmly pressing the syringe onto the pump and clicking the syringe wings into place under the clips (by twisting the syringe). Stand pump in its rest on the tray. Attach the connecting tube to the syringe. the pre filled syringe add 10ml or 20ml to the APO-go syringe (see instruction sheet) Remove the connecting tube. Attach the butterfly needle with extension tubing to the leur lock of the syringe. Turn the pump ON by pressing and holding the red ON/OFF button. Check the pump settings: Ensure the 10 or 20 in the left-hand corner of the pump display match the correct volume of infusion. Refer to the instruction manual if it doesn’t. the pump reads the following settings: d . F . . The pump will then read a number, this is the amount of time in hours and minutes the infusion will run for. It does not have to run for this length of time! Prime the line by pressing and holding the BLUE d button. Repeat this until the line is fully primed. Turn the pump OFF, red button.
NAME: D.O.B Hospital no. Consultant: DATE No. PROBLEM GOAL NURSING PLAN SIGNATURE REVIEW DATE Uncontrolled Parkinson’s disease. Motor fluctuations and sustained unpredictable ‘OFF’ periods, resulting in poor quality ‘OFF’ time. To maximise ‘ON’ time Safe administration of Apomorphine Improve quality of life Ensure Apomorphine is prescribed correctly. 50mg = 1 x 10ml syringe, 100mg = 2 x 10ml To be during waking hours / over night Ensure Domperidone 20 mg tds is prescribed 72 hours before starting apomorphine If using a 10ml volume ensure the spacer is attached to the APO-go pump. Slide plunger up/down to loosen. Unscrew the syringe plunger, leaving black bung at the top. Attach the syringe to the pump by firmly pressing the syringe onto the pump and clicking the syringe wings into place under the clips (by twisting the syringe). Stand pump in its rest on the tray. Attach the connecting tube to the syringe. the pre filled syringe add 10ml or 20ml to the APO-go syringe (see instruction sheet) Remove the connecting tube. Attach the butterfly needle with extension tubing to the leur lock of the syringe. Turn the pump ON by pressing and holding the red ON/OFF button. Check the pump settings: Ensure the 10 or 20 in the left-hand corner of the pump display match the correct volume of infusion. Refer to the instruction manual if it doesn’t. the pump reads the following settings: d . F . . The pump will then read a number, this is the amount of time in hours and minutes the infusion will run for. It does not have to run for this length of time! Prime the line by pressing and holding the BLUE d button. Repeat this until the line is fully primed. Turn the pump OFF, red button.
apo-Best-Practice-Guidelines-2013-draft.docx