Infusion Site Management Guide

Troubleshooting

Infusion Set-Related Hyperglycemia

• Questions To Ask the Pump User: Related to the Pump
  • Received an occlusion alarm? Please see Troubleshooting Occlusions & Obstructions for proper procedure.
  • Solution: Contact technical support for the pump company if unable to determine cause of problem.
• Questions To Ask the Pump User: Related to the Tubing
  • Is there blood in tubing?
  • Is the tubing "clicked in" to site?
  • Is there air in tubing?
  • Solution: Disconnect the tubing from the set and prime out the air immediately (infusing air instead of insulin does not harm the tissue, but it does cause hyperglycemia).
  • Prevention: Fill the cartridge with room temperature insulin; draw the insulin from the vial using a slow and steady technique.
• Are there leaks in the tubing or at the luer connections? Do you smell insulin?
  • Has the tubing been used longer than recommended?
  • Has the tubing been reused, but not according to manufacturer's instructions?
  • Solution: Change tubing.
  • Received an occlusion alarm? Please see Troubleshooting Occlusions & Obstructions for proper procedure.
  • Solution: Contact technical support for the pump company if unable to determine cause of problem.
• Questions To Ask the Pump User: Related to the Site
  • Is there blood in the cannula?
  • Is the cannula dislodged from skin or kinked?
  • Is the dressing wet or leaking?
  • Is there a rash, redness, or pain at the site?
  • Has the site been used longer than recommended?
  • Solution: Change infusion set; inspect cannula for kinking upon removal.

Troubleshooting Occlusions & Obstructions

 Printable Infusion Site Management Guide (Acrobat Reader Required)