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��HomeMedDosiFuserEIS86227311 Infusing Home ChemotherapyUsingan Elastomeric PumpHow will I infuse my chemotherapy at home?You will receive your chemotherapy at home by a nonelectronic balloon system (commonly called an elastomeric infusion system orEIS)The brand used by the University of Michigan is the DosiFuser(see images below)When filled with chemotherapy, the balloon pushes the drug through yourIV t a slow rateordered by your doctor. As this happens, you should notice the balloon gradually becomes smallerandthe volume indicatormovingdown the scale on the outside of the plastic container. The benefitof a balloon systemare:ght weightasyto usllows you to continue your daily activities rather than having to stay overnight inhospitalfor treatmentImage . DosiFuserParts �� &#x/Att;¬he; [/;ott;&#xom ];&#x/BBo;&#xx [2;C.9; 36;&#x.070; 37;�.80;ˆ 7;.77;˜ ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/Att;¬he; [/;ott;&#xom ];&#x/BBo;&#xx [2;C.9; 36;&#x.070; 37;�.80;ˆ 7;.77;˜ ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;HomeMedDosiFuserEIS86227312 Image . How to tell if your

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chemotherapy is infusing:What should I expect?Your doctor will order chemotherapy to be given by the DosiFuser. The chemotherapy will be prepared by a specialty pharmacy called HomeMed. A nurse in the infusion center will connect the osiuserfilled with chemotherapy to your IV and will tell you how long your infusion will take. You will be discharged home after your DosiFuseris connectedoteIt is important to check your DosiFuserfrom time to time to ensure the chemotherapy is infusing. It is possible that your infusion may endup to hours early or late.f your device becomesempty sooner or later than hours of the expected ending time oryou have any questions or concerns about your infusionplease contact HomeMed at 1How does my body temperature affect mypumpThe rate of the pump is regulated by your body temperature. The pump may run too fast if it gets warm or if your bodtemperature is above normal. �� &#x/Att;¬he; [/;ott;&#xom ];&#x/BBo;&#xx [2;C.9; 36;&#x.070; 37;�.80;ˆ 7;.77;˜ ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/Att;¬he; [/;ott;&#xom ];&#x/BBo;&#xx [2;C.9; 36;&#x.070; 37;�.80;ˆ 7;.77;˜ ];&#x/Sub;&#xtyp

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e;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;HomeMedDosiFuserEIS86227313 Usewarmwater temperatures when bathing(see Water and your DosiFuserfor more bathing information)Avoidanything that will raise or lower the temperature of the pump.The DosiFuserwill infuse faster or slower if your body becomes very hot or cold.Do not get the pump hot or cold.Do notplace pump in direct sunlight.Do notuse heating pad or heating blankets.Do not expose to cold.Can I exercise with my DosiFuserYou may exercise while using a DosiFuserif you do the followingSecure the DosiFuserto ensure it won’t be dropped or pull on your IV catheterduring exerciseExercise can increase your body temperature.tape the temperature controller while you exercise.tape the temperature controller when you are done exercising.How should I wear my DosiFuserWear the temperature sensor taped to your skin at all times. Do not add extratape, as you may kink the tubing or stop the infusion.The DosiFuserplaced in a small carrying pouch that attachesto your belt loop, clipped to your clothing or sleeping pillow, or placeon a nearby surface. Removethe infusion bottlefrom the pouch at leastonce every 12 hours while connected to be sure that the IV tubing is not clamped

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and is running at the appropriate rate. ��HomeMedDosiFuserEIS86227314 How will I Sleepwith my DosiFuserPlace the DosiFuserunder or next to your pillow, or on a bedside chair or tablewhen sleeping.You mayse the DosiFuserclip to secure the pump to your pillow caseDo not place underyour bedcovers during sleep.Do not sleepwiththepump or fanny pack attachedto your body.Do not hang pump above chest level.Do not place pump on the floor.How will I keep my DosiFuserdry?Always keep your IV accesssitedryWrap the filter with plastic wrap if showering or bathingDo notget the pump or filter wetDo not swim or use a hot tub while the pump is connected to you.TipShower before your connection and then sponge bathe during your infusionHow will I know when my infusion is done?lways leave the DosiFuserconnected and unclamped until it is empty. You can tell that the pump is empty ifThe bloon is deflatedandhe olume indicator at zeroWhen the DosiFuserhas finished the infusion, you may still see a small quantity of remaining liquid; this is normal.Do not clamp the tubing until the infusion is being disconnected. �� &#x/Att;¬he; [/;ott;&#xom ];&#x/BBo;&#xx [2;C.9; 36;&#x.070; 37;�.80;ˆ 7;.77;

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8 ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/Att;¬he; [/;ott;&#xom ];&#x/BBo;&#xx [2;C.9; 36;&#x.070; 37;�.80;ˆ 7;.77;˜ ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;HomeMedDosiFuserEIS86227315 Do not disconnect your infusion by yourselfunless you have been trained in this procedure.When should I contact HomeMedPharmacyPlease contact HomeMed at (12731) if:Your DosiFuseris empty 7or more hours earlier than your planned disconnect time.You have leaks in theDosiFuseror tubing.You have a fever during your infusionhe infusion volume indicator appears not to be moving closer to zero after a couple of hours of watchingTip:se a marker and mark the bottom of the volume indicatorheck back in acouple ofhourto see if the volume indicator has movedWhat are important tipsto ememberKeep pets and small children away from the osiuserWear the DosiFuseroutsideof clothing at waist levelAlways keep sensor taped to yourskin.Do not travel by air unless approved by your doctor.not clamp your DosiFusertubing unless instructed by your care team.Do not wear the DosiFuserduring an MRI. The DosiFuserinfusion will need to be disconnected during the MRI procedur

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e. �� &#x/Att;¬he; [/;ott;&#xom ];&#x/BBo;&#xx [2;C.9; 36;&#x.070; 37;�.80;ˆ 7;.77;˜ ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;&#x/Att;¬he; [/;ott;&#xom ];&#x/BBo;&#xx [2;C.9; 36;&#x.070; 37;�.80;ˆ 7;.77;˜ ];&#x/Sub;&#xtype;&#x /Fo;&#xoter;&#x /Ty;&#xpe /;&#xPagi;&#xnati;&#xon 0;HomeMedDosiFuserEIS86227316 Disclaimer: This document contains information and/or instructional materials developed by the University of Michigan Health System (UMHS) for the typical patient with your condition. It may include links to online content that was not created by UMHS and for which UMHS does not assume responsibility. It does not replace medical advice from your health care provider because your experience may differ from that of the typical patient. Talk to your health care provider if you have any questions about this document, your condition or your treatment plan. Author: Jamie Tharp, PharmDReviewers: Carol McMahon, RN; Jeff Wood, RNand PFCC AdvisorsPatient Education by University of Michigan Health Systemis licensed under a Creative Commons AttributionNonCommercialShareAlike 3.0 Unported License . Last Revised /201