Pompa de Insulina Paradigm 715 - Manual de Utilizare

Optimizarea terapiei cu pompa 7
GH LQVXOLQČ

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:DYH HVWH XWLO ɁL SHQWUX FRUHFĩLD YDORULORU ULGLFDWH DOH JOLFHPLHL vQDLQWH GH R PDVČ

Optimizarea terapiei cu pompa de insulină 85

&RQVXOWDĩL JUDILFXO GH PDL MRV SHQWUX D YHGHD R GHVFULHUH D GLIHULWHORU WLSXUL GH EROXV

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,168/,1Ă BOLUS BOLUS 3RU‫܊‬LXQHD BOLUS
NORMAL SQUARE WAVE Now, DUAL WAVE

1 2 FX HOLEHUDUH 3

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TIMP

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GH ED]Č DOH SRPSHL



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1 $FFHVDĩL HFUDQXO 23Ĩ,81( '8$/ 648$5( '8$/ 648$5( 237,21

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3 $FFHVDɃL HFUDQXO 7,38/ %2/868/8, %2/86 7<3(

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86 Optimizarea terapiei cu pompa de insulină

4 3HQWUX XQ EROXV 6TXDUH :DYH SDUFXUJHɃL HWDSHOH GH PDL MRV
a. 6HOHFWDɃL Bolus Square Wave (Square Wave Bolus), DSRL DSČVDɃL ACT 9D DSČUHD HFUDQXO 6(7$5( %2/86
648$5( 6(7 648$5( %2/86
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c. 7UHFHɃL OD HWDSD
3HQWUX XQ EROXV 'XDO :DYH SDUFXUJHɃL HWDSHOH XUPČWRDUH
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727$/ 6(7 '8$/ %2/86 727$/
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LPHGLDWČ 1RZ ɁL SRUĩLXQLOH 6TXDUH :DYH DOH EROXVXOXL 'XDO :DYH 'H DVHPHQHD HFUDQXO YD DILɁD
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QXPČUXOXL GH XQLWČĩL &RQWLQXDĩL FX HWDSD

5 9D DSČUHD HFUDQXO '85$7ċ %2/86 648$5( 648$5( '85$7,21 ,QWURGXFHĩL LQWHUYDOXO GH WLPS FDUH VČ
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6 9D DSČUHD HFUDQXO $'0,1,675$5( %2/86 %2/86 '(/,9(5< FDUH YD DYHD XQ FHUF JRO FH YD LQGLFD FČ SRPSD
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FH EROXVXO HVWH DGPLQLVWUDW SRPSD YD UHYHQL OD HFUDQXO 35,1&,3$/ +20( 3RPSD YD HPLWH XQ ELS YD
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Optimizarea terapiei cu pompa de insulină 87

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88 Optimizarea terapiei cu pompa de insulină

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Optimizarea terapiei cu pompa de insulină 89

1 $FFHVDĩL HFUDQXO ,1752'8&(5( */,&(0,( (17(5 %*

$SČVDĩL EXWRQXO GH SH SRPSČ VDX IRORVLɃL FDOHD GH PDL MRV

Meniu principal > Bolus > Utilizare Bolus Wizard (Main > Bolus > Use Bolus Wizard)

2 ,QWURGXFHĩL YDORDUHD JOLFHPLHL DSRL DSČVDĩL ACT

3 9D DSČUHD HFUDQXO ,1752'8&(5( $/,0(17( (17(5 )22' ,QWURGXFHĩL DOLPHQWXO DSRL DSČVDĩL ACT

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6 3HQWUX D VHWD XQ EROXV 6TXDUH :DYH SDUFXUJHɃL HWDSHOH XUPČWRDUH

a. 'LQ HFUDQXO %2/86 (67 VHOHFWDɃL Square Wave Bolus, DSRL DSČVDɃL ACT

b. (FUDQXO 6(7$5( %2/86 648$5( 6(7 648$5( %2/86 YD OXPLQD LQWHUPLWHQW YROXPXO HVWLPDW DO EROXVXOXL
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3HQWUX VHWDUHD XQXL EROXV 'XDO :DYH SDUFXUJHɃL HWDSHOH GH PDL MRV

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90 Optimizarea terapiei cu pompa de insulină

8 $SČVDĩL ACT SHQWUX DFFHSWDUHD ĂL DGPLQLVWUDUHD EROXVXOXL 9D DSČUHD HFUDQXO $'0,1,675$5( %2/86 %2/86
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'XSČ FH DĩL FRQILJXUDW (DV\ %ROXV GH ILHFDUH GDWČ FkQG DSČVDĩL SXWHĩL VČ FUHɁWHĩL YROXPXO %ROXVXOXL QRUPDO FX R
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'XSČ FH VHWDĩL YDORDUHD WUHSWHL SXWHĩL VČ SURJUDPDĩL (DV\ %ROXV SHQWUX GXPQHDYRDVWUČ $WXQFL FkQG YČ DIODĩL vQ
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VDX YHĩL VLPĩL R YLEUDĩLH SHQWUX ILHFDUH FUHɁWHUH FX R WUHDSWČ
)LHFDUH ELS HVWH GLIHULW $VWIHO YČ YD IL XɁRU VČ QXPČUDĩL ELSXULOH vQ WLPS FH SURJUDPDĩL (DV\ %ROXV

&RQILJXUDUHD (DV\ EROXV

1 $FFHVDĩL HFUDQXO 23Ĩ,81( ($6< %2/86 ($6< %2/86 237,21
Meniu principal > Bolus > Easy Bolus (Main > Bolus > Easy Bolus)
6HOHFWDĩL On/Set (deschis/setare), DSRL DSČVDĩL ACT 'DFČ QX GRULĩL VČ IRORVLĩL (DV\ %ROXV VHOHFWDĩL Off (închis),
DSRL DSČVDĩL ACT

127ċ 'DFČ IRORVLĩL WHOHFRPDQGD (DV\ %ROXV WUHEXLH VHWDW SH RQ GHVFKLV

Optimizarea terapiei cu pompa de insulină 91

Configurarea valorii treptei

3XWHĩL FRQILJXUD YDORDUHD WUHSWHL GH OD OD XQLWČĩL VDX OD OLPLWD PD[LPČ VHWDWČ GH VXE XQLWV VHWDUHD LPSOLFLWČ
6HWDĩL WUHDSWD OD R FLIUČ FDUH VČ ILH XɁRU GH IRORVLW ɁL GH vQPXOɃLW

1U WRWDO GH WUHSWH Exemplu:
1U WRWDO GH DSăVăUL DOH EXWRQXOXL XQLWă‫܊‬L (DV\ EROXV FX R YDORDUH
4 D WUHSWHL VHWDWă OD XQLWă‫܊‬L

WUHDSWă 2

3 XQLWă‫܊‬L

WUHDSWă

2 XQLWă‫܊‬L

WUHDSWă

1 XQLWă‫܊‬L

WUHDSWă

0 XQLWă‫܊‬L

0 0,5 1,0 1,5

1U WRWDO GH XQLWă‫܊‬L

1 (FUDQXO ,1752'8&(5( %2/86 ($6< ($6< %2/86 (175< YD OXPLQD LQWHUPLWHQW YDORDUHD WUHSWHL 0RGLILFDĩL
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2 (FUDQXO YD UHYHQL OD 0(1,8/ %2/86 %2/86 0(18 9DORDUHD WUHSWHL D IRVW SURJUDPDWČ LDU (DV\ %ROXV SRDWH IL
IRORVLW 3ČUČVLĩL PHQLXULOH

$GPLQLVWUDUHD (DV\ %ROXV

([HUVDĩL IRORVLUHD IXQFĩLHL (DV\ %ROXV vQ WLPS FH SULYLĩL HFUDQXO SRPSHL SH PČVXUČ FH QXPČUDĩL ELSXULOH $FHDVWČ IXQFĩLH
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VRQRUH SHQWUX DGPLQLVWUDUHD EROXVXOXL IČUČ D IL QHYRLH VČ SULYLĩL HFUDQXO

1 'LQ HFUDQXO 35,1&,3$/ +20( DSČVDĩL 9D DSČUHD HFUDQXO 6(7$5( ($6< %2/86 6(7 ($6< %2/86 FX R VLQJXUČ
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2 $SČVDĩL GH FkWH RUL HVWH QHFHVDU SHQWUX YROXPXO EROXVXOXL 3ULYLĩL FXP YROXPXO VH PRGLILFČ SH HFUDQ OD ILHFDUH

DSČVDUH 3RPSD YD YLEUD VDX YD HPLWH XQ VHPQDO VRQRU GLIHULW SHQWUX ILHFDUH DSČVDUH D

3 $WXQFL FkQG SH HFUDQXO 6(7$5( ($6< %2/86 6(7 ($6< %2/86 DSDUH YROXPXO WRWDO DO EROXVXOXL DSČVDĩL ACT
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92 Optimizarea terapiei cu pompa de insulină

'H H[HPSOX 7UHEXLH VČ DGPLQLVWUDɃL XQ EROXV GH XQLWČɃL LDU GLPHQVLXQHD WUHSWHL SHQWUX GXPQHDYRDVWUČ HVWH
VHWDWČ OD 'H ILHFDUH GDWČ FkQG DSČVDɃL XQLWČɃLOH FUHVF FX YDORDUHD WUHSWHL GH XQLWČɃL 3HQWUX
DGPLQLVWUDUHD D XQLWČɃL WUHEXLH VČ DSČVDɃL EXWRQXO GH RUL ; (FUDQXO LQGLFČ XQLWČĩL

127ċ 3HQWUX VLJXUDQĩD GXPQHDYRDVWUČ QX SXWHĩL VČ IRORVLĩL SHQWUX D VHOHFWD YDORULOH (DV\ %ROXV

$SČVkQG VDX ESC YHĩL DQXOD (DV\ EROXV
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SRPSD YD HPLWH XQ ELS VDX YD YLEUD
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35,1&,3$/ +20(

Exemplul 1: Easy bolus

$OH[DQGHU RFXSČ R IXQFĩLH GH FRQGXFHUH VROLFLWDQWČ vQWU R ILUPČ GH FRQWDELOLWDWH 3RDUWČ SRPSD 3DUDGLJP OD FXUHD ɁL
QX GRUHɁWH VČ R GHD MRV SHQWUX D ɁL DGPLQLVWUD EROXVXO $OH[ SRDWH VČ DMXQJČ FX XɁXULQĩČ OD EXWRQXO (DV\ %ROXV
SHQWUX D ĂL DGPLQLVWUD EROXVXO
$QWHULRU ĂL D SURJUDPDW SRPSD SHQWUX VČ DGPLQLVWUH]H (DV\ %ROXV vQ WUHSWH HJDOH FX LQWHUYDOH GH XQLWČĩL 'LQ
HFUDQXO 35,1&,3$/ +20( FX ILHFDUH DSČVDUH D EXWRQXOXL SRPSD YD HPLWH XQ VXQHW GLIHULW DVWIHO vQFkW
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'RUHɁWH VČ vɁL DGPLQLVWUH]H XQLWČĩL SHQWUX R JXVWDUH DɁDGDU YD DSČVD GH RUL DSČVČUL [ XQLWČĩL DSČVDUH
XQLWČĩL GXSČ FDUH YD DSČVD EXWRQXO ACT 3RPSD YD HPLWH ELSXUL vQWUXFkW EXWRQXO D IRVW DSČVDW GH RUL
$SDVČ GRDU ACT SHQWUX FRQILUPDUHD YDORULL LDU SRPSD YD HOLEHUD FHOH XQLWČĩL
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LPSRUWDQWH SRDWH VČ R VHWH]H SH PRGXO 9LEUDĩLH ɁL VČ SHUFHDSČ YLEUDĩLLOH vQ ORF VČ DVFXOWH WRQXULOH 3HQWUX GHWDOLL
FRQVXOWDĩL VHFĩLXQHD 6HWDUHD WLSXOXL GH DOHUWČ GLQ FDSLWROXO ,QVWUXPHQWH XWLOH

Optimizarea terapiei cu pompa de insulină 93

$FXP HVWH UkQGXO GXPQHDYRDVWUČ ([HUFLĩLX SHQWUX (DV\ EROXV

6HWDUHD GLQ IDEULFČ SHQWUX IXQFĩLD (DV\ %ROXV HVWH WUHSWH GH XQLWČĩL 3XWHĩL PRGLILFD QLYHOXO WUHSWHORU GXSČ FXP
HVWH QHFHVDU OD R YDORDUH FDUH SRDWH IL IRORVLWČ ɁL vQPXOɃLWČ FX XɁXULQĩČ
$GPLQLVWUDĩL XUPČWRUXO EROXV IRORVLQG IXQFĩLD (DV\ %ROXV GH SH SRPSČ

&kWH XQLWČĩL DĩL DGPLQLVWUDW" BBBBBBB 1LYHOXO WUHSWHL SHQWUX GXPQHDYRDVWUČ HVWH BBBBBBBB

&kWH VXQHWH DĩL QXPČUDW" BBBBBBB

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SXWHĩL IRORVL FX XɁXULQĩČ

7LSDUHOH UDWHL ED]DOH

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LQGLYLGXDOH ]LOQLFH VČSWČPkQDOH VDX OXQDUH (VWH LPSRUWDQW VČ DYHĩL vQWRWGHDXQD OD GXPQHDYRDVWUČ R KkUWLH FX WLSDUHOH
SURJUDPDWH SHQWUX VLWXDĩLLOH vQ FDUH WUHEXLH VČ UHSURJUDPDĩL SRPSD 3HQWUX D VHOHFWD VDX D IRORVL WLSDUXO $ VDX %
RSĩLXQHD SHQWUX WLSDUH WUHEXLH DFWLYDWČ ɁL SURJUDPDWČ

127ċ (VWH SRVLELO VČ YČ GRULĩL VČ IRORVLĩL DFHDVWČ RSĩLXQH GXSČ FH YČ IDPLOLDUL]DĩL FX IXQFĩLLOH GH ED]Č DOH SRPSHL

(VWH LPSRUWDQW VČ YČ FRQVXOWDĩL FX VSHFLDOLVWXO vQ GRPHQLXO VČQČWČĩLL vQDLQWH GH D IRORVL XQ WLSDU GLIHULW GH FHO VWDQGDUG

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RELĂQXLWH vQ FDGUXO VWLOXOXL GXPQHDYRDVWUČ GH YLDɃČ ([HPSOH vQ DFHVW VHQV DU SXWHD IL XQ VSRUW SH FDUH vO SUDFWLFDɃL
R GDWČ SH VČSWČPkQČ VDX PRGLILFDUHD WLSDUXOXL VRPQ YHJKH SH SDUFXUVXO ZHHNHQGXOXL SHULRDGH SUHOXQJLWH GH
DFWLYLWDWH PDL LQWHQVČ VDX VFČ]XWČ VDX SHULRDGHOH GH PHQVWUXDɃLH

$FWLYDUHD WLSDUHORU

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1 $FFHVDĩL HFUDQXO 23ɂ,81( 7,3$5( 3$77(516 237,21

0HQLX SULQFLSDO ! 5DWČ ED]DOČ ! 7LSDUH 0DLQ ! %DVDO ! 3DWWHUQV

2 6HOHFWDɃL 2Q GHVFKLV DSRL DSČVDĩL $&7 )XQFɃLD SHQWUX WLSDUH HVWH DFXP DFWLYDWČ 3ČUČVLɃL PHQLXULOH

94 Optimizarea terapiei cu pompa de insulină

Programarea unui tipar

3RPSD YD SČVWUD VHWČULOH SHQWUX WLSDU FKLDU ĂL DWXQFL FkQG RSɃLXQHD SHQWUX WLSDUH HVWH GH]DFWLYDWČ &X WRDWH DFHVWHD
IXQFɃLD SHQWUX WLSDUH WUHEXLH VČ ILH DFWLYDWČ SHQWUX SURJUDPDUHD XQXL WLSDU DO UDWHL ED]DOH

3HQWUX SURJUDPDUHD WLSDUHORU SDUFXUJHɃL HWDSHOH GH PDL MRV
1 $FFHVDɃL HFUDQXO (',7$5( 5$7ċ %$=$/ċ (',7 %$6$/

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2 6HOHFWDɃL WLSDUXO UDWHL ED]DOH SH FDUH GRULɃL VČ vO SURJUDPDɃL DSRL DSČVDɃL ACT
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FČ SRDWH IL PRGLILFDWČ 6HWDĩL SULPD UDWČ DSRL DSČVDĩL ACT
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4 9D DSČUHD HFUDQXO 6(7$5( 25ċ Í1&(3(5( 6(7 67$57 7,0( /LQLLOH VLWXDWH VXE GHQXPLUHD HFUDQXOXL YRU OXPLQD
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6 $SČVDĩL ACT 9D DSČUHD HFUDQXO 6(7$5( 5$7ċ %$=$/ċ 6(7 %$6$/ 5$7(
7 3H HFUDQ YRU OXPLQD LQWHUPLWHQW UDWD ED]DOČ VHWDWČ DQWHULRU VDX OLQLLOH 6HOHFWDĩL YDORDUHD SHQWUX DFHDVWČ UDWČ
ED]DOČ
8 $SČVDĩL ACT 9D DSČUHD HFUDQXO 6(7$5( 25ċ Í1&(3(5( 6(7 67$57 7,0( $ GRXD UDWČ ED]DOČ D IRVW VHWDWČ
9 'DFČ QX WUHEXLH VČ FRQILJXUDĩL PDL PXOWH UDWH ED]DOH DSČVDĩL (6& 'DFČ WUHEXLH VČ FRQILJXUDĩL PDL PXOWH UDWH
ED]DOH UHSHWDĩL HWDSHOH GH PDL VXV SHQWUX ILHFDUH UDWČ
10 'XSČ FH DSČVDĩL (6& YD DSČUHD HFUDQXO 5$7$ %$=$/ċ %$6$/ 5$7( (FUDQXO YD LQGLFD
‡ WLSDUXO UDWHL ED]DOH ɁL UDWD ED]DOČ FXUHQWH
‡ RUD OD FDUH D vQFHSXW UDWD ED]DOČ ɁL
‡ UDWD ED]DOČ WRWDOČ SH SDUFXUVXO D GH RUH
'XSČ FH DGXFHĩL PRGLILFČUL WLSDUXOXL SRPSD YD IRORVL WLSDUXO UHVSHFWLY FD UDWČ ED]DOČ FXUHQWČ $VLJXUDĩL YČ FČ
WLSDUXO UDWHL ED]DOH SH FDUH vO GRULĩL HVWH VHOHFWDW vQ HFUDQXO 6(/(&7$5( 7,3$5 6(/(&7 3$77(51

6HOHFWDUHD XQXL WLSDU

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WLSDUXOXL VWDQGDUG ɁL VDX D WLSDUXOXL $ VDX % SDUFXUJHĩL DFHVWH HWDSH SHQWUX D VHOHFWD XQ WLSDU FDUH VČ ILH DFWLY

1 $FFHVDĩL HFUDQXO 6(/(&7$5( 7,3$5 6(/(&7 3$77(51

Optimizarea terapiei cu pompa de insulină 95

0HQLX SULQFLSDO ! 5DWČ ED]DOČ ! 6HOHFWDUH WLSDU 0DLQ ! %DVDO ! 6HOHFW 3DWWHUQV
2 6HOHFWDĩL WLSDUXO GRULW DSRL DSČVDĩL ACT.
3 (FUDQXO YD UHYHQL OD 0(1,8/ %$=$/ %$6$/ 0(18 7LSDUXO UDWHL ED]DOH HVWH DFXP DFWLY 3ČUČVLĩL PHQLXULOH

127ċ 'DFČ HVWH DFWLY WLSDUXO $ VDX % SRPSD VH DIOČ vQ PRGXO 6SHFLDO ÍQ SDUWHD GH VXV D HFUDQXOXL YD DSČUHD XQ

F HUF JRO

Exemplul 1:
7LSDUHOH UDWHL ED]DOH

.HQ D IRORVLW SRPSD GH LQVXOLQČ WLPS GH DSUR[LPDWLY R OXQČ ÍɁL WHVWHD]Č JOLFHPLD GH RUL SH ]L ɁL vɁL LQWURGXFH
UH]XOWDWHOH vQ MXUQDO (VWH PXOĩXPLW GH FRQWUROXO JOLFHPLF GH SH SDUFXUVXO VČSWČPkQLL vQVČ D REVHUYDW FČ vQ
ZHHNHQGXUL WUHEXLH VČ FRQVXPH PDL PXOWH DOLPHQWH SHQWUX D vPSLHGLFD VFČGHUHD JOLFHPLHL OD XQ QLYHO IRDUWH MRV
.HQ ɁL D GDW VHDPD FČ SH SDUFXUVXO VČSWČPkQLL FkQG HVWH OD VHUYLFLX HVWH IRDUWH LQDFWLY ɁL vɁL SHWUHFH PDMRULWDWHD
WLPSXOXL VWkQG OD ELURX 7RWXĂL vQ ZHHNHQG XUL HVWH RFXSDW FX PXQFD vQ FXUWH IDFH FXPSČUČWXUL ĂL VH MRDFČ FX FRSLLL
6WDELOHĂWH FČ DUH QHYRLH GH VHWČUL DOH UDWHL ED]DOH PDL MRDVH SHQWUX D SULPL R FDQWLWDWH PDL PLFČ GH LQVXOLQČ vQ
SHULRDGHOH vQ FDUH HVWH DFWLY FXP DU IL vQ ZHHNHQG
3RDWH VČ IRORVHDVFČ IXQFɃLD 7LSDUHOH UDWHL ED]DOH SHQWUX D VXVɃLQH VFKLPEČULOH GLQ WLPSXO ZHHNHQGXOXL vQ FHHD FH
SULYHĂWH QLYHOXO GH DFWLYLWDWH 3H SDUFXUVXO VČSWČPkQLL SRDWH VČ VHWH]H SRPSD DVWIHO vQFkW DGPLQLVWUDUHD VČ VH
UHDOL]H]H vQ WLSDUXO VWDQGDUG LDU VkPEČWČ GLPLQHDɃD SRDWH WUHFH OD WLSDUXO $ SH FDUH vO SRDWH FRQILJXUD FX UDWH
ED]DOH PDL MRDVH SHQWUX ZHHNHQG /XQL GLPLQHDɃD SRDWH VČ UHDGXFČ SRPSD OD VHWDUHD VWDQGDUG SHQWUX QHFHVDUXO GH
LQVXOLQČ GLQ WLPSXO VČSWČPkQLL

Exemplul 2:
7LSDUHOH UDWHL ED]DOH

&\QWKLD DUH GLDEHW GH DSUR[LPDWLY DQL ĂL IRORVHĂWH SRPSD 3DUDGLJP GH FkWHYD VČSWČPkQL ÍQ ILHFDUH GLPLQHDĩČ GH
OXQL PLHUFXUL ĂL YLQHUL &\QWKLD IDFH R SOLPEDUH GH NLORPHWUL 3HQWUX D SUHYHQL LQVWDODUHD KLSRJOLFHPLHL vQ DFHVWH
]LOH IRORVHɁWH IXQFĩLD SHQWUX WLSDUH ÍQ ]LOHOH UHVSHFWLYH QX IDFH GHFkW VČ WUHDFČ OD 7LSDUXO $ SH FDUH O D SURJUDPDW
FX XQ VHW GH UDWH ED]DOH PDL MRDVH ÍQDLQWH GH D vQYČɃD VČ IRORVHDVFČ IXQFɃLD SHQWUX WLSDUH WUHEXLD VČ FRQVXPH PDL
PXOWH DOLPHQWH SH SDUFXUVXO ]LOHL SHQWUX D ĂL PHQɃLQH JOLFHPLD OD XQ QLYHO GH VLJXUDQɃČ 'H DVHPHQHD &\QWKLD D
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vQ DFHDVWČ SHULRDGČ 3HQWUX DFHDVWČ SHULRDGČ D SURJUDPDW 7LSDUXO % GH SH SRPSD 3DUDGLJP FX UDWH ED]DOH PDL
ULGLFDWH 3HQWUX SURJUDPXO RELɁQXLW IRORVHɁWH WLSDUXO ED]DO VWDQGDUG

96 Optimizarea terapiei cu pompa de insulină

(VWH UkQGXO GXPQHDYRDVWUČ

*kQGLĩL YČ OD VLWXDĩLL vQ FDUH DĩL SXWHD DYHD QHYRLH GH VHWČUL GLIHULWH SHQWUX UDWD ED]DOČ vQ DQXPLWH ]LOH

5DWHOH ED]DOH WHPSRUDUH

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DQXPLW LQWHUYDO vQ IXQFĩLH GH YDORDUHD JOLFHPLHL 3HQWUX SHULRDGHOH FXUHQWH GH DFWLYLWDWH LQWHQVČ VDX UHGXVČ IXQFĩLD
SHQWUX WLSDUH DU SXWHD IL PDL DGHFYDWČ

&XP IXQFĩLRQHD]Č UDWD ED]DOČ WHPSRUDUČ"

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WHPSRUDUČ $FHDVWČ IXQFĩLH SRDWH IL XWLOČ SHQWUX D FUHɁWH VDX D UHGXFH WHPSRUDU VHFUHĩLD ED]DOČ GH LQVXOLQČ vQ FD]XO
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7LSXULOH GH UDWČ ED]DOČ WHPSRUDUČ

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VDX UDWD LQVXOLQLFČ

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vQ FRQWLQXDUH DɁD FXP D IRVW SURJUDPDWČ

Optimizarea terapiei cu pompa de insulină 97

Setarea ratei bazale temporare

7LSXO UDWHL ED]DOH WHPSRUDOH UDWă LQVXOLQLFă 8 +

'XUDWD RUH
Rata: 1,25 U/H

1,25 U/H
5DWD ED]DOă WHPSRUDUă

1,50 U/H 2,55 U/H 1,95 U/H
(Rata 1) (Rata 2) (Rata 3)

1,25 1,25
U/H U/H

07:00 13:05 00:00
D P (1:05 p.m.) D P

15:00
(3:00 p.m.)

17:05
(5:05 p.m.)

98 Optimizarea terapiei cu pompa de insulină

3URFHQWXO GLQ UDWD ED]DOČ

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OD UDWD ED]DOČ PD[LPČ FRQILJXUDWČ

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WHPSRUDUH

De exemplu: (VWH RUD LDU UDWD ED]DOČ FXUHQWČ SHQWUX GXPQHDYRDVWUČ HVWH 8 + 'RULĩL VČ VHWDĩL R UDWČ
ED]DOČ WHPSRUDUČ GH OD VXWČ SHQWUX ɁDSWH RUH 5DWD ED]DOČ WHPSRUDUČ SURFHQWXDOČ PD[LPČ SH FDUH R VHWDĩL HVWH
OD VXWČ 2 YDORDUH PDL PDUH DU SXWHD IDFH FD VHJPHQWXO QU VČ GHSČɁHDVFČ UDWD ED]DOČ PD[LPČ VHWDWČ GH 8 +

Ratele bazale curente 5DWD ED]DOČ PD[LPČ VHWDWČ 8 +
6HJPHQWXO QU 8 +
6HJPHQWXO QU 8 + YDORDUHD FHD PDL ULGLFDWČ
6HJPHQWXO QU 8 +

'DFČ UDWD ED]DOČ FXUHQWČ VH PRGLILFČ GH H[HPSOX GH OD UDWD OD UDWD UDWD ED]DOČ WHPSRUDUČ SURFHQWXDOČ VH YD
PRGLILFD vQ HJDOČ PČVXUČ 3RPSD YD DGPLQLVWUD SURFHQWXO UHVSHFWLY SHQWUX GXUDWD SH FDUH DɃL VHWDW R

1X SXWHɃL PRGLILFD UDWD ED]DOČ QRUPDOČ vQ WLPS FH UDWD ED]DOČ WHPSRUDUČ SURFHQWXDOČ HVWH DFWLYČ 7UHEXLH ILH VČ
DĂWHSWDɃL SkQČ vQ PRPHQWXO vQ FDUH HOLEHUDUHD UDWHL ED]DOH WHPSRUDUH V D vQFKHLDW ILH VČ DQXODɃL UDWD ED]DOČ
WHPSRUDUČ SHQWUX D UHSURJUDPD VHWDUHD VHWČULOH UDWHL ED]DOH QRUPDOH

127ċ 3RPSD HOLEHUHD]Č UDWH ED]DOH vQ LQWHUYDOH GH 8 + 'LQ DFHVW PRWLY UDWD ED]DOČ WHPSRUDUČ YD IL

U RWXQMLWČ vQ MRV OD XUPČWRUXO LQWHUYDO GH 8 +

Optimizarea terapiei cu pompa de insulină 99

Setarea ratei bazale temporare (50% x rata 3 = 0,975)
0,975 rotunjit în jos la
7LSXO UDWHL ED]DOH WHPSRUDOH SURFHQW GLQ UDWD ED]DOă
'XUDWD RUH XUPăWRUXO LQWHUYDO GH
Rata: 50% HVWH 0,95 U/H

(50% x rata 2 = 1,275)
1,275 rotunjit în jos la
XUPăWRUXO LQWHUYDO GH
HVWH 1,25 U/H

1,50 U/H 2,55 U/H 1,95 U/H
(rata 1) (rata 2) (rata 3)

1,25 0,95
U/H U/H

07:00 13:05 00:00
(7:00 a.m.) (1:05 p.m.) (12:00 a.m.)

ora începerii ratei bazale temporare

15:00
(3:00 p.m.)

17:05
(5:05 p.m.)
ora opririi ratei bazale temporare

100 Optimizarea terapiei cu pompa de insulină

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(OLEHUDUHD UDWHL ED]DOH WHPSRUDUH

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PLQXWH VDX RUH vQWUH GH PLQXWH ɁL GH RUH DSRL DSČVDɃL $&7
4 'DFČ DɃL VHOHFWDW UDWD LQVXOLQLFČ FD WLS GH UDWČ ED]DOČ WHPSRUDUČ YD DSČUHD HFUDQXO 6(7$5( 5$7ċ %$=$/ċ 8 +
6(7 7(03 %$6$/ 8 + 'DFČ DɃL VHOHFWDW SURFHQWXO GLQ UDWD ED]DOČ FD WLS GH UDWČ ED]DOČ WHPSRUDUČ YD DSČUHD
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,QWURGXFHɃL UDWD ED]DOČ WHPSRUDUČ DSRL DSČVDɃL $&7
5 (FUDQXO 0(1,8 5$7ċ %$=$/ċ %$6$/ 0(18 YD DSČUHD FX XQ FHUF JRO vQ SDUWHD GH VXV D HFUDQXOXL 3RPSD VH DIOČ
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,QIRUPDɃLLOH SULYLQG UDWD ED]DOČ WHPSRUDUČ VXQW GLVSRQLELOH GRDU vQ HFUDQXO 67$786

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RUL vQ ILHFDUH RUČ SH SDUFXUVXO HOLEHUČULL UDWHL ED]DOH WHPSRUDUH 3H SDUFXUVXO HOLEHUČULL UDWHL ED]DOH WHPSRUDUH
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Optimizarea terapiei cu pompa de insulină 101

Anularea ratei bazale temporare 5DWD ED]DOă WHPSRUDUă $SăVD‫܊‬L EXWRQXO
GH XQLWă‫܊‬L SH RUă SHQWUX GHUXODUH
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102 Optimizarea terapiei cu pompa de insulină

Exemplul 2:
5DWD ED]DOČ WHPSRUDUČ SHQWUX R UDWČ ED]DOČ WHPSRUDUČ FUHVFXWČ

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Optimizarea terapiei cu pompa de insulină 103

104 Optimizarea terapiei cu pompa de insulină

Instrumente utile 8

7UHFHUHD vQ UHYLVWČ D DODUPHORU

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1 $FFHVDĩL HFUDQXO ,6725,&8/ $/$50(/25 $/$50 +,6725<

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2 'HUXODĩL SHQWUX D YL]XDOL]D DODUPHOH FDUH V DX SURGXV vQ WUHFXW
3 ÍQ HFUDQXO ,6725,&8/ $/$50(/25 $/$50 +,6725< VHOHFWDɃL DODUPD SH FDUH GRULɃL VČ R WUHFHɃL vQ UHYLVWČ ĂL

DSČVDɃL ACT 'HWDOLLOH SHQWUX DODUPD UHVSHFWLYČ YRU DSČUHD SH HFUDQ
4 $SČVDɃL ESC SHQWUX D UHYHQL OD HFUDQXO ,6725,&8/ $/$50(/25 $/$50 +,6725< 6HOHFWDɃL R DOWČ DODUPČ SH FDUH

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6HWDUHD WLSXOXL GH DOHUWČ

3XWHɃL VČ VHOHFWDɃL WLSXO GH DOHUWČ IRORVLW GH SRPSČ SHQWUX DODUPH VLWXDĩLL VSHFLDOH ĂL SURJUDPDUH 3XWHɃL VČ VHOHFWDɃL
R DOHUWČ GH WLS YLEUDɃLH VLOHQɃLRDVČ VDX R DOHUWČ SHUFHSWLELOČ FD XQ ELS ([LVWČ WUHL WLSXUL GH WRQXUL SHQWUX ELS WRQ
OXQJ WRQ PHGLX ĂL WRQ VFXUW 6HWDUHD GLQ IDEULFČ SHQWUX DFHDVWČ IXQFĩLH HVWH ELS PHGLX

$OHUWD GH WLS YLEUDĩLH VH GH]DFWLYHD]Č GDFČ IRORVLĩL IXQFĩLH GH EORFDUH LDU PRGXO YLEUDĩLH WUHEXLH FRQILJXUDW GLQ QRX
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1 $FFHVDĩL HFUDQXO 7,38/ $/(57(, $/(57 7<3(
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2 6HOHFWDĩL WLSXO GH DOHUWČ ɁL DSČVDĩL ACT $FHVW WLS GH DOHUWČ HVWH DFWLY DFXP 3ČUČVLĩL PHQLXULOH

Instrumente utile 105

2SULUH DXWRPDWČ $XWR RII

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DGPLQLVWUDUHD GH LQVXOLQČ GXSČ XQ LQWHUYDO GH WLPS GHILQLW FXSULQV vQWUH ɁL GH RUH 'DFČ SRPSD GHSLVWHD]Č FČ
QX D IRVW DSČVDW QLFLXQ EXWRQ SH SHULRDGD GH WLS VHOHFWDWČ vQ IXQFĩLD 2SULUH DXWRPDWČ $XWR RII DGPLQLVWUDUHD
LQVXOLQHL YD IL RSULWČ ɁL VH YD DX]L R DODUPČ 3XWHĩL DOHJH VČ SURJUDPDĩL DFHDVWČ IXQFĩLH vQ SRPSČ SH ED]D QXPČUXOXL
GH RUH GRUPLWH GH RELFHL vQ WLPSXO QRSĩLL 'LVFXWDĩL GHVSUH XWLOL]ČULOH ɁL VHWČULOH FHOH PDL SRWULYLWH SHQWUX
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1 $FFHVDĩL HFUDQXO '85$7ċ 235,5( $8720$7ċ $872 2)) '85$7,21

0HQLX SULQFLSDO ! ,QVWUXPHQWH XWLOH ! $ODUPČ ! 2SULUH DXWRPDWČ 0DLQ ! 8WLOLWLHV ! $ODUP ! $XWR 2II

2 6HWDĩL QXPČUXO GH RUH GRULWH ɁL DSČVDĩL ACT
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3 (FUDQXO YD UHYHQL OD 0(1,8/ $/$50ċ $/$50 0(18 )XQFĩLD GH RSULUH DXWRPDWČ D IRVW VHWDWČ 3ČUČVLĩL PHQLXULOH

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VHOHFWDĩL XQXO GLQWUH XUPČWRDUHOH WLSXUL GH DYHUWLVPHQWH
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6HWDUHD GLQ IDEULFČ SHQWUX DFHDVWČ IXQFĩLH HVWH GH XQLWČĩL GH LQVXOLQČ

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1 $FFHVDɃL HFUDQXO 7,3 $9(57,60(17 5(= 5(69 :$51,1* 7<3(

0HQLX SULQFLSDO ! ,QVWUXPHQWH XWLOH ! $ODUPČ! $YHUWLVPHQW 1LYHO 5HGXV 5H] 0DLQ ! 8WLOLWLHV ! $ODUP !
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106 Instrumente utile

a. 3HQWUX XQLWČĩLOH GH LQVXOLQČ
ÍQ HFUDQXO $9(57,60(17 81,7ċɂ, :$51,1* 81,76 LQWURGXFHɃL QXPČUXO GH XQLWČɃL FDUH WUHEXLH VČ UČPkQČ
SHQWUX SULPD DYHUWL]DUH DSRL DSČVDɃL $&7
3RPSD DILĂHD]Č R DOHUWČ 1,9(/ 5('86 $/ 5(=(59258/8, /2: 5(6(592,5 PDL vQWkL FkQG UČPkQ XQLWČɃLOH
VSHFLILFDWH DSRL GLQ QRX FkQG VH IRORVHĂWH MXPČWDWH GLQ FDQWLWDWHD UČPDVČ

b. 3HQWUX ,QWHUYDOXO GH WLPS
ÍQ HFUDQXO ,17(59$/ '( 7,03 $9(57,=$5( :$51,1* 7,0( LQWURGXFHɃL LQWHUYDOXO GH WLPS vQ FDUH GRULɃL VČ
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3RPSD DILĂHD]Č R DOHUWČ GH WLSXO 1,9(/ 5('86 $/ 5(=(59258/8, /2: 5(6(592,5 PDL vQWkL DWXQFL FkQG
D UČPDV LQWHUYDOXO GH WLPS VSHFLILFDW DSRL GLQ QRX FX R RUČ vQDLQWH FD UH]HUYRUXO VČ VH JROHDVFČ

7UHFHUHD vQ UHYLVWČ D WRWDOXULORU ]LOQLFH UHIHULWRDUH OD LQVXOLQČ

(FUDQXO 727$/85, =,/1,&( FXSULQGH XQ LVWRULF ]LOQLF DO FDQWLWČɃLL WRWDOH GH LQVXOLQČ DGPLQLVWUDWH vQ XOWLPHOH GH ]LOH
$FHVW HFUDQ FXSULQGH WRDWH YROXPHOH SHQWUX EROXV ĂL UDWD ED]DOČ DGPLQLVWUDWH GH OD RUD D XQHL ]LOH SkQČ OD RUD
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=,/1,&( '$,/< 727$/6 DUDWČ FDQWLWDWHD GH LQVXOLQČ DGPLQLVWUDWČ SkQČ vQ PRPHQWXO GH IDĩČ vQ ]LXD UHVSHFWLYČ

,QVXOLQD IRORVLWČ SHQWUX DPRUVDUHD SRPSHL QX HVWH LQFOXVČ vQ HFUDQXO 727$/85, =,/1,&( '$,/< 727$/6 $FHDVWČ
FDQWLWDWH HVWH OXDWČ vQ FRQVLGHUDUH VHSDUDW ĂL DILĂDWČ vQ HFUDQXO ,6725,&8/ $0256ċ5,/25 35,0( +,6725<

ÍQWUHEDUH 'H FH WUHEXLH VČ WUHF vQ UHYLVWČ WRWDOXULOH ]LOQLFH"

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GXPQHDYRDVWUČ ĂL SH VSHFLDOLVWXO vQ GRPHQLXO VČQČWČɃLL FDUH VH RFXSČ GH GXPQHDYRDVWUČ VČ LGHQWLILFDĩL UDWD RSWLPČ
UDWHOH RSWLPH GH LQIX]LH D LQVXOLQHL

ÍQWUHEDUH &H FXSULQG FDQWLWČɃLOH WRWDOH ]LOQLFH"

5ČVSXQV &DQWLWČɃLOH WRWDOH ]LOQLFH FXSULQG WRDWH UDWHOH ED]DOH ĂL EROXVXULOH DGPLQLVWUDWH SUHFXP ĂL LQIRUPDɃLLOH
UHIHULWRDUH OD JOLFHPLH REɃLQXWH FX JOXFRPHWUXO SHQWUX ]LXD UHVSHFWLYČ

0DQDJHPHQWXO GDWHORU IXUQL]DWH GH SRPSČ

)XQFɃLD GH PDQDJHPHQW DO GDWHORU IXUQL]DWH GH SRPSČ YČ SHUPLWH GXPQHDYRDVWUČ ĂL VSHFLDOLVWXOXL vQ GRPHQLXO
VČQČWČɃLL FDUH VH RFXSČ GH GXPQHDYRDVWUČ VČ YL]XDOL]DĩL ĂL VČ JHVWLRQDĩL UDWD ED]DOČ ĂL DGPLQLVWUDUHD EROXVXOXL
FRQVXPXO GH DOLPHQWH ĂL GDWHOH GHVSUH JOLFHPLH FX PHGLL 3XWHɃL VČ YL]XDOL]DɃL GHWDOLLOH UHIHULWRDUH OD ILHFDUH ]L vQ
PRG LQGLYLGXDO VDX SXWHɃL VČ HIHFWXDɃL R PHGLH D GDWHORU vQWU XQ QXPČU VSHFLILFDW GH ]LOH PD[LPXP GH ]LOH

‡ 7RWDOXUL ]LOQLFH ³ 6LVWHPXO PRQLWRUL]HD]Č DXWRPDW DQXPLWH WLSXUL GH LQIRUPDɃLL SHQWUX GXPQHDYRDVWUČ ]LOQLF
7RWDOXULOH ]LOQLFH VXQW WRWDOXULOH SHQWUX R VLQJXUČ ]L

Instrumente utile 107

‡ Medii ³ 6LVWHPXO FDOFXOHD]Č DXWRPDW PHGLLOH DQXPLWRU WLSXUL GH LQIRUPDĩLL SHQWUX GXPQHDYRDVWUČ ([LVWČ GRXČ
WLSXUL HVHQĩLDOH GH PHGLL
‡ 0HGLD SH PDL PXOWH ]LOH QXPČUXO GH ]LOH HVWH VHOHFWDW GH FČWUH GXPQHDYRDVWUČ
‡ 0HGLD SHQWUX R VLQJXUČ ]L

,QIRUPDɃLLOH GHVSUH DGPLQLVWUDUHD LQVXOLQHL FRQVXPXO GH DOLPHQWH ĂL LQIRUPDɃLLOH GHVSUH JOLFHPLH IXUQL]DWH GH
JOXFRPHWUX LQFOXG WRWDOXULOH ]LOQLFH ĂL PHGLLOH FRQIRUP SUH]HQWČULL GLQ VHFɃLXQLOH XUPČWRDUH

,QIRUPDɃLL GHVSUH JOLFHPLH IXUQL]DWH GH JOXFRPHWUX

,QIRUPDɃLLOH GHVSUH JOLFHPLH IXUQL]DWH GH JOXFRPHWUX VXQW FDOFXODWH IRORVLQG WRDWH YDORULOH GHWHUPLQČULORU DXWRPDWH
ĂL PDQXDOH HIHFWXDWH FX DMXWRUXO JOXFRPHWUXOXL FDUH DX IRVW SULPLWH GH SRPSČ SHQWUX ]LXD UHVSHFWLYČ VDX SHQWUX
PDL PXOWH ]LOH $FHVWH LQIRUPDɃLL FXSULQG GHWHUPLQČUL FDUH DX IRVW LQWURGXVH PDQXDO vQ SRPSČ vQ SHULRDGD UHVSHFWLYČ

3HQWUX D YL]XDOL]D GDWHOH SHQWUX R VLQJXUČ ]L
1 $FFHVDɃL HFUDQXO 727$/85, =,/1,&( '$,/< 727$/6

Meniu principal > Instrumente utile > Totaluri zilnice (Main > Utilities > Daily Totals)
6HOHFWDɃL R GDWČ ĂL DSČVDɃL ACT
2 9D DSČUHD HFUDQXO %* $9* 9DORDUHD PHGLH D JOLFHPLHL $FHVW HFUDQ DILĂHD]Č
‡ YDORDUHD PHGLH D JOLFHPLHL SHQWUX ]LXD UHVSHFWLYČ
‡ QLYHOXULOH ULGLFDWH ĂL MRDVH DOH JOLFHPLHL SHQWUX ]LXD UHVSHFWLYČ
‡ QXPČUXO WRWDO GH YDORUL DOH JOLFHPLHL SH FDUH OH DɃL LQWURGXV vQ SRPSČ SHQWUX ]LXD UHVSHFWLYČ
$SČVDɃL SHQWUX D YL]XDOL]D PDL PXOWH LQIRUPDɃLL
3 9D IL DILĂDW HFUDQXO ,168/,1ċ ,168/,1 $FHVW HFUDQ LQGLFČ
‡ FDQWLWDWHD WRWDOČ GH LQVXOLQČ DGPLQLVWUDWČ SHQWUX ]LXD UHVSHFWLYČ
‡ WRWDOXO UDWHL ED]DOH ĂL DO EROXVXOXL DGPLQLVWUDWH SHQWUX ]LXD UHVSHFWLYČ
‡ SURFHQWXO WRWDO DO UDWHL ED]DOH ĂL EROXVXOXL DGPLQLVWUDWH SHQWUX ]LXD UHVSHFWLYČ
‡ YDORDUHD WRWDOČ D FDUERKLGUDɃLORU LQWURGXĂL vQ SRPSČ SHQWUX ]LXD UHVSHFWLYČ FX DMXWRUXO IXQFɃLHL %ROXV :L]DUG
$SČVDɃL SHQWUX D YL]XDOL]D PDL PXOWH LQIRUPDɃLL
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‡ WRWDOXO EROXVXOXL DGPLQLVWUDW SHQWUX ]LXD UHVSHFWLYČ
‡ WRWDOXO EROXVXOXL SHQWUX PDVČ DGPLQLVWUDW SHQWUX ]LXD UHVSHFWLYČ ĂL SURFHQWXO WRWDO DO EROXVXOXL SHQWUX PDVČ

DGPLQLVWUDW SHQWUX ]LXD UHVSHFWLYČ

108 Instrumente utile

‡ WRWDOXO EROXVXOXL FRU SHQWUX FRUHFɃLH DGPLQLVWUDW SHQWUX ]LXD UHVSHFWLYČ ĂL SURFHQWXO WRWDO DO EROXVXOXL FRU
SHQWUX FRUHFɃLH DGPLQLVWUDW SHQWUX ]LXD UHVSHFWLYČ

‡ WRWDOXO EROXVXOXL PDQ PDQXDO DGPLQLVWUDW SHQWUX ]LXD UHVSHFWLYČ ĂL SURFHQWXO WRWDO DO EROXVXULORU PDQXDOH
DGPLQLVWUDWH SHQWUX ]LXD UHVSHFWLYČ

$SČVDɃL SHQWUX D YL]XDOL]D PDL PXOWH LQIRUPDɃLL
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‡ QXPČUXO WRWDO DO EROXVXULORU DGPLQLVWUDWH SHQWUX ]LXD UHVSHFWLYČ
‡ QXPČUXO WRWDO DO EROXVXULORU GRDU SHQWUX PDVČ ĂL DO EROXVXULORU GRDU SHQWUX FRUHFɃLH DGPLQLVWUDWH SHQWUX

]LXD UHVSHFWLYČ
‡ QXPČUXO WRWDO DO EROXVXULORU SHQWUX PDVČ ĂL DO EROXVXULORU SHQWUX FRUHFɃLH DGPLQLVWUDWH SHQWUX ]LXD UHVSHFWLYČ
‡ QXPČUXO WRWDO DO EROXVXULORU PDQXDOH DGPLQLVWUDWH SHQWUX ]LXD UHVSHFWLYČ
3HQWUX D UHYHQL OD HFUDQXO SULQFLSDO +20( DSČVDɃL GH SDWUX RUL

3URFHGXUD GH PDL MRV YČ DUDWČ FXP VČ YL]XDOL]DɃL DGPLQLVWUDUHD GH LQVXOLQČ FRQVXPXO GH DOLPHQWH ĂL GDWHOH SULYLQG
JOLFHPLD IXUQL]DWH GH JOXFRPHWUX SHQWUX XQ QXPČU VHOHFWDW GH ]LOH



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1 $FFHVDɃL HFUDQXO 727$/85, =,/1,&( '$,/< 727$/6

Meniu principal > Instrumente utile > Totaluri zilnice (Main > Utilities > Daily Totals)
(FUDQXO 727$/85, =,/1,&( DUDWČ FČ 0HGLD ]LOQLFČ 'DLO\ $YHUDJH D IRVW VHOHFWDWČ $SČVDɃL ACT

2 9D DSČUHD HFUDQXO 0(',( =,/( '$<6 72 $9(5$*( 6HOHFWDɃL QXPČUXO GH ]LOH SHQWUX FDUH GRULɃL VČ VH FDOFXOH]H
PHGLD DSČVkQG ĂL $SČVDɃL ACT

3 9D DSČUHD HFUDQXO 0(',( */,&(0,( $9* %* $FHVW HFUDQ LQGLFČ
‡ PHGLD WXWXURU YDORULORU JOLFHPLHL LQWURGXVH vQ SRPSČ SHQWUX QXPČUXO GH ]LOH DQWHULRDUH VHOHFWDW
‡ PHGLD YDORULORU ULGLFDWH ĂL MRDVH DOH JOLFHPLHL SHQWUX QXPČUXO GH ]LOH DQWHULRDUH VHOHFWDW
‡ PHGLD QXPČUXOXL GH YDORUL DOH JOLFHPLHL LQWURGXVH vQ SRPSČ SH ]L SHQWUX QXPČUXO GH ]LOH DQWHULRDUH VHOHFWDW

$SČVDɃL SHQWUX D YL]XDOL]D PDL PXOWH LQIRUPDɃLL

4 9D DSČUHD HFUDQXO 0(',( ,168/,1ċ $9* ,168/,1 $FHVW HFUDQ LQGLFČ
‡ PHGLD FDQWLWČĩLL WRWDOH GH LQVXOLQČ DGPLQLVWUDWČ vQ ILHFDUH ]L SHQWUX QXPČUXO GH ]LOH DQWHULRDUH VHOHFWDW

Instrumente utile 109

‡ PHGLD WRWDOXOXL UDWHL ED]DOH ĂL EROXVXOXL DGPLQLVWUDWH ĂL SURFHQWXO WRWDO DO UDWHL ED]DOH ĂL EROXVXOXL
DGPLQLVWUDWH SH ]L SHQWUX QXPČUXO GH ]LOH DQWHULRDUH VHOHFWDW

‡ PHGLD WRWDOXOXL FDUERKLGUDɃLORU LQWURGXĂL vQ SRPSČ SH ]L IRORVLQG IXQFɃLD %ROXV :L]DUG SHQWUX QXPČUXO GH
]LOH DQWHULRDUH VHOHFWDW

$SČVDɃL SHQWUX D YL]XDOL]D PDL PXOWH LQIRUPDɃLL

5 9D DSČUHD HFUDQXO 0(',( %2/86 $9* %2/86 $FHVW HFUDQ LQGLFČ
‡ PHGLD EROXVXOXL WRWDO DGPLQLVWUDW SH ]L SHQWUX QXPČUXO GH ]LOH DQWHULRDUH VHOHFWDW
‡ PHGLD EROXVXOXL SHQWUX PDVČ WRWDO DGPLQLVWUDW SH ]L SHQWUX QXPČUXO GH ]LOH DQWHULRDUH VHOHFWDW ɁL PHGLD
SURFHQWXDOČ WRWDOČ D EROXVXOXL DGPLQLVWUDW SH ]L SHQWUX QXPČUXO GH ]LOH DQWHULRDUH VHOHFWDW

‡ PHGLD EROXVXOXL SHQWUX FRUHFĩLH WRWDO DGPLQLVWUDW SH ]L ɁL PHGLD SURFHQWXDOČ WRWDOČ D EROXVXOXL DGPLQLVWUDW
SH ]L SHQWUX QXPČUXO GH ]LOH DQWHULRDUH VHOHFWDW

‡ PHGLD EROXVXOXL PDQXDO WRWDO DGPLQLVWUDW SH ]L ɁL PHGLD SURFHQWXDOČ WRWDOČ D EROXVXOXL DGPLQLVWUDW SH ]L
SHQWUX QXPČUXO GH ]LOH DQWHULRDUH VHOHFWDW

$SČVDĩL SHQWUX D YL]XDOL]D PDL PXOWH LQIRUPDĩLL

6 9D DSČUHD HFUDQXO 180 %2/86 $FHVW HFUDQ LQGLFČ
‡ QXPČUXO WRWDO PHGLX GH EROXVXUL DGPLQLVWUDWH SH ]L SHQWUX QXPČUXO GH ]LOH DQWHULRDUH VHOHFWDW
‡ QXPČUXO WRWDO PHGLX GH EROXVXUL GRDU SHQWUX PDVČ DGPLQLVWUDWH SH ]L SHQWUX QXPČUXO GH ]LOH DQWHULRDUH
VHOHFWDW

‡ QXPČUXO WRWDO PHGLX GH EROXVXUL GRDU SHQWUX FRUHFɃLH DGPLQLVWUDWH SH ]L SHQWUX QXPČUXO GH ]LOH
DQWHULRDUH VHOHFWDW

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Întreținerea pompei 133

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