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BOMBAS DE INFUSION CONTINUA DE INSULINA SUBCUTANEA DR. GUSTAVO LUJAN
BOMBAS DE INFUSION CONTINUA DE INSULINA SUBCUTANEA ES UN SISTEMA PROGRAMABLE QUE LIBERA INSULINA AL TEJIDO SUBCUTANEO PARA CUBRIR LOS REQUERIMIENTOS METABOLICOS BASALES ( DOSIS BASAL ) Y PARA CONTRARESTAR LAS EXCURSIONES POSTPRANDIALES ( BOLOS )
BOMBAS EN ARGENTINA H – TRON MINIMED 508 SPIRIT (ROCHE) ACCU-CHEK COMBO (ROCHE) PARADIGM 522 (MEDTRONIC) PARADIGM REAL TIME (MEDTRONIC)
CARACTERISTICAS  ACTUALES TAMAÑO APROXIMADO DE 8 + 5 + 2 CM RESERVORIO DE INSULINA REGULAR O ANALOGOS RAPIDA SET DE INFUSION CON CATETER Y AGUJA BATERIA, PANTALLA Y BOTONES SON PROGRAMABLES Y MODIFICABLES SUMINISTRAN UNA DOSIS BASAL Y BOLOS VARIABLES  SEGÚN NECESIDAD SISTEMA DE ALARMAS Y DE SEGURIDAD
LAS BOMBAS DEBEN SER PROGRAMADAS POR EL EQUIPO DIABETOLOGO/DIABETICO YA QUE NO SON AUTONOMAS Y NO REACCIONAN A LOS CAMBIOS DE GLUCEMIA DEL PACIENTE DEBEN SER ACTIVADAS/DESACTIVADAS POR EL PACIENTE SEGÚN NECESIDAD
CONDICIONES  NECESARIAS PARA ICIS EQUIPO DE SALUD ENTRENADO MOTIVACION PARA EL MEJORAR EL CONTROL METABOLICO COMPROMISO PARA ASUMIR RESPONSABILIDADES CAPACIDAD DE COMPRENSION ADECUADA PREDISPOSICION PARA TRABAJAR EN ARMONIA CON EL EQUIPO REALIZAR E INTERPRETAR EL AUTOMONITOREO ENTENDER Y LOGRAR MANEJAR LA BOMBA LUEGO DEL ENTRENAMIENTO CONOCER LA PRESENCIA DE OTRAS ENFERMEDADES (ENF CELIACA Y DISFUNCION TIROIDEA)
ELEMENTOS  NECESARIOS TIEMPO ENTRENAMIENTO Y EVALUACION RECURSOS MATERIALES, PROVISION DE INSUMOS EVALUAR HABILIDADES EN INSULINOTERAPIA INTENSIFICADA EVALUAR AL GRUPO FAMILIAR DESCARTAR INTERCURRENCIAS (CELIAQUIA, TIROIDOPATIAS ) AUTOMONITOREOS Y HB GLICOSILADA REQUERIMIENTOS DE INSULINA DIARIOS EVACUAR DUDAS (DEPORTES, VACACIONES, SEXO E HIGIENE)
BENEFICIOS DE LA ICIS MENOS PINCHAZOS PARA  COLOCAR INSULINA UN SITIO DE INYECCION PARA BASAL Y BOLOS ADAPTABLE PARA CADA PTE ADAPTABLE A CADA ESTILO DE VIDA MAS ESTABILIDAD METABOLICA REGULA EL FENOMENO DEL ALBA MENOR CANTIDAD DE INSULINA MEJORA LA LABILIDAD METABOLICA MENOS HIPOGLUCEMIAS MEJORA EL CONTROL METABOLICO MEJORA LA CALIDAD DE VIDA

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Bombas de infusión continua

  • 1. BOMBAS DE INFUSION CONTINUA DE INSULINA SUBCUTANEA DR. GUSTAVO LUJAN
  • 2. BOMBAS DE INFUSION CONTINUA DE INSULINA SUBCUTANEA ES UN SISTEMA PROGRAMABLE QUE LIBERA INSULINA AL TEJIDO SUBCUTANEO PARA CUBRIR LOS REQUERIMIENTOS METABOLICOS BASALES ( DOSIS BASAL ) Y PARA CONTRARESTAR LAS EXCURSIONES POSTPRANDIALES ( BOLOS )
  • 3. BOMBAS EN ARGENTINA H – TRON MINIMED 508 SPIRIT (ROCHE) ACCU-CHEK COMBO (ROCHE) PARADIGM 522 (MEDTRONIC) PARADIGM REAL TIME (MEDTRONIC)
  • 4. CARACTERISTICAS ACTUALES TAMAÑO APROXIMADO DE 8 + 5 + 2 CM RESERVORIO DE INSULINA REGULAR O ANALOGOS RAPIDA SET DE INFUSION CON CATETER Y AGUJA BATERIA, PANTALLA Y BOTONES SON PROGRAMABLES Y MODIFICABLES SUMINISTRAN UNA DOSIS BASAL Y BOLOS VARIABLES SEGÚN NECESIDAD SISTEMA DE ALARMAS Y DE SEGURIDAD
  • 5. LAS BOMBAS DEBEN SER PROGRAMADAS POR EL EQUIPO DIABETOLOGO/DIABETICO YA QUE NO SON AUTONOMAS Y NO REACCIONAN A LOS CAMBIOS DE GLUCEMIA DEL PACIENTE DEBEN SER ACTIVADAS/DESACTIVADAS POR EL PACIENTE SEGÚN NECESIDAD
  • 6. CONDICIONES NECESARIAS PARA ICIS EQUIPO DE SALUD ENTRENADO MOTIVACION PARA EL MEJORAR EL CONTROL METABOLICO COMPROMISO PARA ASUMIR RESPONSABILIDADES CAPACIDAD DE COMPRENSION ADECUADA PREDISPOSICION PARA TRABAJAR EN ARMONIA CON EL EQUIPO REALIZAR E INTERPRETAR EL AUTOMONITOREO ENTENDER Y LOGRAR MANEJAR LA BOMBA LUEGO DEL ENTRENAMIENTO CONOCER LA PRESENCIA DE OTRAS ENFERMEDADES (ENF CELIACA Y DISFUNCION TIROIDEA)
  • 7. ELEMENTOS NECESARIOS TIEMPO ENTRENAMIENTO Y EVALUACION RECURSOS MATERIALES, PROVISION DE INSUMOS EVALUAR HABILIDADES EN INSULINOTERAPIA INTENSIFICADA EVALUAR AL GRUPO FAMILIAR DESCARTAR INTERCURRENCIAS (CELIAQUIA, TIROIDOPATIAS ) AUTOMONITOREOS Y HB GLICOSILADA REQUERIMIENTOS DE INSULINA DIARIOS EVACUAR DUDAS (DEPORTES, VACACIONES, SEXO E HIGIENE)
  • 8. BENEFICIOS DE LA ICIS MENOS PINCHAZOS PARA COLOCAR INSULINA UN SITIO DE INYECCION PARA BASAL Y BOLOS ADAPTABLE PARA CADA PTE ADAPTABLE A CADA ESTILO DE VIDA MAS ESTABILIDAD METABOLICA REGULA EL FENOMENO DEL ALBA MENOR CANTIDAD DE INSULINA MEJORA LA LABILIDAD METABOLICA MENOS HIPOGLUCEMIAS MEJORA EL CONTROL METABOLICO MEJORA LA CALIDAD DE VIDA