Jump to ContentJump to Main Navigation
Palliative Care in the Home$

Derek Doyle and David Jeffrey

Print publication date: 2000

Print ISBN-13: 9780192632272

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780192632272.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2017. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a monograph in OSO for personal use (for details see http://www.oxfordscholarship.com/page/privacy-policy). Subscriber: null; date: 26 February 2017

(p.162) Appendix 4 Setting up a syringe driver

(p.162) Appendix 4 Setting up a syringe driver

Source:
Palliative Care in the Home
Publisher:
Oxford University Press

There are two syringe drivers in use in palliative care:

  • Graseby Model MS 26, which is calibrated in millimetres per day and is the most commonly used in palliative care

  • Graseby Model MS 16, which is calibrated in millimetres per hour

Providers of palliative care both in hospital and in the community should evolve a common syringe-driver policy which uses one of the above. Having two different types of syringe drivers available in a practice can lead to drug administration errors.

  • The boost button is useful to check the function of the driver and is not a means of giving breakthrough subcutaneous analgesia.

  • A 10 ml, 20 ml, or rarely a 30 ml syringe can be used. The commonest size is a 10 ml syringe.

  • The syringe-driver setting chosen is the distance the plunger of the syringe will travel in 1 day for the MS26 and in 1 hour for the MS16.

  • The speed is set at 48 mm per hour on the MS26 and 2 mm per hour on the MS16.

  • The butterfly needle is inserted subcutaneously in the anterior abdominal wall, upper chest wall, or upper arm, and is held in. place with adhesive film such as Tegaderm.

  • The battery is inserted and the booster button pressed to check function.

  • The drugs require changing every 24 hours.

  • The patient and relative should be educated to check that the driver is functioning.

  • The site of infusion is inspected daily and changed every 3 days, or earlier if any redness is developing.

(p.163) Troubleshooting

  • Cannula blockage-change the cannula

  • Leaking tubing-again replace

  • Blocked tube due to drug precipitation-review drug combination, consider dilution using larger volume syringe

  • Syringe may become dislodged if dropped-reposition

  • Battery failure-s-replace

  • Inspect skin site for local irritation-change site

  • Remember that syringe pumps are not waterproof-they need disconnecting if the patient is having a shower.

  • Readers are referred to Dickman, A., Littlewood, C. and Varga J. “he Syringe Driver” Oxford University Press, 2002, for detailed information about syringe drivers and their use.

(p.164)