The syringe driver/pump may be indicated in the following situations:
If doses of drugs need to be altered, then change the syringe, the contents, and the infusion line. It is not recommended to alter the rate of infusion.
Check the syringe driver/pump and infusion regularly for:
Sites of choice include:
Avoid areas of inflammation, oedema, broken skin, bony prominences, recently irradiated areas, sites of tumour, sites of infection, skin folds or lymphoedema.
The choice of drug is dictated by the symptom, and the compatibility with other drugs to be delivered. See Compatibility Chart below:
Contact your specialist palliative care team if further advice on compatibilities is needed.
The dose of each drug to be given by infusion over a specified time period (usually 24 hours) should be clearly written.
This Guide is intended for use by healthcare professionals and the expectation is that they will use clinical judgement, medical, and nursing knowledge in applying the general principles and recommendations contained within. They are not meant to replace the many available texts on the subject of palliative care.
Some of the management strategies describe the use of drugs outside their licensed indications. They are, however, established and accepted good practice. Please refer to the current BNF for further guidance.
While WMPCPS takes every care to compile accurate information , we cannot guarantee its correctness and completeness and it is subject to change. We do not accept responsibility for any loss, damage or expense resulting from the use of this information.