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enseignants",{"title":54,"url":55},{"title":57,"url":58},{"title":186,"group":48,"menu":187},"Produit",[188,189,190,191,192,193,194],{"title":38,"url":7},{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":15,"url":77},{"title":195,"url":10},"Tarification",{"title":197,"group":48,"menu":198},"Mentions légales",[199,200,201,202,203],{"title":197,"url":84},{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":205,"group":48,"menu":206},"Service client",[207,208,209],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},{"content":211,"related":295,"meta":360,"internal":370},{"title":212,"leadIn":213,"category":214,"elements":217,"becomeAnExpert":247,"author":284,"readDuration":293,"readDurationFormatted":294},"How to set up the D-mine® apomorphine pump","The D-mine pump is a self-filling electronic system designed to deliver continuous apomorphine infusion and help stabilize motor fluctuations in Parkinson’s disease. Learn how to prepare and initiate the D-mine pump with this step-by-step walkthrough.",{"id":215,"name":216},1,"Course previews",[218,229,234,242],{"type":219,"data":220},"video",{"readDurationInSeconds":221,"video":222},431,{"platform":223,"name":224,"url":225,"size":226},"YouTube","How to set up a D mine® apomorphine pump","https:\u002F\u002Fyoutu.be\u002FhhH_7HKqrnQ",{"width":227,"height":228},200,113,{"type":230,"data":231},"free_text",{"readDurationInSeconds":232,"text":233},48.53333333333333,"\u003Cp dir=\"ltr\">\u003Cspan>For patients with advanced Parkinson's disease, motor fluctuations can be difficult to manage with oral therapy alone. Continuous subcutaneous apomorphine infusion offers more consistent symptom control. The D-mine pump is a self-filling electronic device that delivers apomorphine continuously throughout the day.\u003C\u002Fspan>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>This step-by-step walkthrough from our Administering Parkinson's Therapy with Pumps and Pens series covers the complete D-mine pump preparation process from start to finish.\u003C\u002Fspan>\u003Cbr>\u003Cbr>\u003Cspan>You’ll learn how to:\u003C\u002Fspan>\u003C\u002Fp>\u003Cul>\u003Cli dir=\"ltr\" data-list-item-id=\"e72b9d0146c372b500f21b99d66637260\">\u003Cspan>Turn on the D-mine pump and review its key features\u003C\u002Fspan>\u003C\u002Fli>\u003Cli dir=\"ltr\" data-list-item-id=\"eb9eca3302c1d1ed032b396bc8b7e23d9\">\u003Cspan>Fill the D-mine reservoir with apomorphine\u003C\u002Fspan>\u003C\u002Fli>\u003Cli dir=\"ltr\" data-list-item-id=\"e6ebb37f0c11790016e824799eb7dc9b2\">\u003Cspan>Attach the infusion set\u003C\u002Fspan>\u003C\u002Fli>\u003Cli dir=\"ltr\" data-list-item-id=\"e021211ef49b42f340f8afa7830dcf5f6\">\u003Cspan>Select and prepare a subcutaneous injection site\u003C\u002Fspan>\u003C\u002Fli>\u003Cli dir=\"ltr\" data-list-item-id=\"e91f1e66c0ab1d5f79c1d8a3938189f19\">\u003Cspan>Start continuous apomorphine infusion\u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Ful>\u003Ch3>\u003Cspan>Master device-assisted therapy for advanced Parkinson's disease\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp>\u003Cspan>Wearing-off phenomenon between medication doses can be one of the more challenging aspects of advanced Parkinson's management. This 6-part video series gives you a practical framework for when and how to use device-assisted therapies—from infusions to injections—so you can act with confidence:\u003C\u002Fspan>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>1. How to set up the D-mine® apomorphine pump  \u003C\u002Fspan>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>2. \u003C\u002Fspan>\u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fmagazine\u002Fstarting-so-connect-apomorphine-pump\">\u003Cspan>How to prepare and start the SO-CONNECT\u003Csup>TM\u003C\u002Fsup> subcutaneous apomorphine pump\u003C\u002Fspan>\u003C\u002Fa>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>3. \u003C\u002Fspan>\u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fmagazine\u002Fpreparing-crono-apomorphine-pumps\">\u003Cspan>Setting up the Crono® APO-go® and PAR apomorphine infusion pumps\u003C\u002Fspan>\u003C\u002Fa>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>4. \u003C\u002Fspan>\u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fmagazine\u002FAPO-go-POD-easy-infusion-setup\">\u003Cspan>APO-go® POD: the EASY apomorphine infusion setup\u003C\u002Fspan>\u003C\u002Fa>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>5. \u003C\u002Fspan>\u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fmagazine\u002Fduodopa-pump-vs-crono-lecig-levodopa-infusion\">\u003Cspan>2 Levodopa infusion setups: Duodopa® pump vs Crono® LECIG\u003C\u002Fspan>\u003C\u002Fa>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>6. \u003C\u002Fspan>\u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fmagazine\u002Fapomorphine-pen-injector-setup\">\u003Cspan>Using an apomorphine pen injector when medications wear off\u003C\u002Fspan>\u003C\u002Fa>\u003C\u002Fp>",{"type":235,"data":236},"cta",{"readDurationInSeconds":237,"text":238,"buttonText":239,"buttonUrl":240,"teachIllustration":241},4,"Start the first chapter of our Parkinson's Masterclass: Advanced Therapeutics course for free","Start chapter 1 now","https:\u002F\u002Fwww.medmastery.com\u002Fuser\u002Fregister?target=%2Fcourses%2Fparkinsons-masterclass-advanced-therapeutics","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9ab1a4dc-b2e8-4a53-86a4-1f1d531e4aee",{"type":230,"data":243},{"readDurationInSeconds":244,"title":245,"text":246},189.60000000000002,"Transcript","\u003Ch3 dir=\"ltr\" id=\"docs-internal-guid-d3924218-7fff-a9fa-4650-79b74e486b08\">\u003Cspan>How the D-mine pump delivers continuous apomorphine therapy\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp dir=\"ltr\">[00:03]\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>The D-mine pump continuously delivers apomorphine to minimize motor fluctuations. This pump system allows a more precise and controlled delivery of medication, providing patients with a steady supply of apomorphine throughout the day.\u003C\u002Fspan>\u003C\u002Fp>\u003Ch3 dir=\"ltr\">\u003Cspan>Key features of the D-mine pump\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp dir=\"ltr\">[00:17]\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>The D-mine pump is a self-filling electronic pump that has a color display and is powered by rechargeable lithium-ion battery. The dose in milligrams can be programmed for up to five different time windows, and the programming is protected by a code.\u003C\u002Fspan>\u003C\u002Fp>\u003Ch3 dir=\"ltr\">\u003Cspan>Accessing and reviewing pump delivery data\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp dir=\"ltr\">[00:36]\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>Delivery-specific information is stored on the pump and can be downloaded using a USB. This information is mainly used by the healthcare professionals to check the number of given boluses, the running times of the pump, or detect handling errors from patients.\u003C\u002Fspan>\u003C\u002Fp>\u003Ch3 dir=\"ltr\">\u003Cspan>D-mine pump setup\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp>\u003Cspan>[00:53]\u003C\u002Fspan>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>To prepare the D-mine pump, first disinfect the table and place all necessary materials on the work surface. This includes the D-mine pump attached to the docking station, docking station connected to the power supply, 20 mL D-mine reservoir, infusion set, which includes the needle and infusion line, 20 mL apomorphine vial, tape, hand and skin disinfectants, and waste box to discard used needles.\u003C\u002Fspan>\u003C\u002Fp>\u003Ch3 dir=\"ltr\">\u003Cspan>Inserting the D-mine reservoir\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp dir=\"ltr\">[01:31]\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>Disinfect your hands and open the packaging of the sterile D-mine reservoir. Insert the reservoir into the pump. You will hear a click when it is correctly positioned. The pump will ask if a new reservoir has been added. Confirm this step by pressing the checkmark button. \u003C\u002Fspan>\u003C\u002Fp>\u003Ch3 dir=\"ltr\">\u003Cspan>Running the self-test\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp dir=\"ltr\">[02:09]\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>Next, the pump will run a self test to ensure that everything works properly, which takes approximately one to two seconds. If the self test fails, you will see a red light. Restart the pump by removing the battery and start the procedure again.\u003C\u002Fspan>\u003C\u002Fp>\u003Ch3 dir=\"ltr\">\u003Cspan>Preparing the apomorphine vial\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp dir=\"ltr\">[02:26]\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>Once the self test is complete, prepare the apomorphine. Take the vial with apomorphine and remove the cap. Make sure you don't touch the top of the vial. Place the medication vial in the center of the docking station. Disinfect the top of the vial with a wipe. Confirm this step by pressing the checkmark button. \u003C\u002Fspan>\u003C\u002Fp>\u003Ch3>\u003Cspan>Attaching the apomorphine vial\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp>\u003Cspan>[02:57]\u003C\u002Fspan>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>Turn the pump upside down and attach the pump adapter to the top of the vial. Then turn the pump upright and place it in the docking station. Confirm this step by pressing the button. Tighten the adapter by turning it clockwise and start the filling process by pressing the checkmark button.\u003C\u002Fspan>\u003C\u002Fp>\u003Ch3 dir=\"ltr\">\u003Cspan>Filling the apomorphine reservoir\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp dir=\"ltr\">[03:27]\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>The pump will now transfer the medication from the vial into the reservoir. This takes approximately six minutes. Make sure the docking station is connected to the power supply throughout this time. You can monitor the progress on the display. When the reservoir is finished filling, you will hear a beep and the display will say 100% filled.\u003C\u002Fspan>\u003C\u002Fp>\u003Ch3 dir=\"ltr\">\u003Cspan>Attaching the infusion set\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp>\u003Cspan>[03:55]\u003C\u002Fspan>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>The pump will ask if you want to continue with the infusion line, so press yes. Remove the pump from the docking station, turn it horizontally, and twist off the adapter and empty vial together. Now take the new unused infusion set, open the packaging, remove the cap and screw the tubing tightly onto the reservoir. Click the checkmark button to confirm the step. \u003C\u002Fspan>\u003C\u002Fp>\u003Ch3 dir=\"ltr\">\u003Cspan>Dry puncture vs. priming the infusion line\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp>\u003Cspan>[04:42]\u003C\u002Fspan>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>The pump will ask you if you want to prime the line, but this isn't necessary. Priming the line means pumping the medications through the tube until it comes out at the end to remove any air. But in this case, a dry puncture is recommended to prevent skin irritations. For catheters where the tube and the needle are separated, it makes sense to prime the line. The display will show yes or no, so select no to continue.\u003C\u002Fspan>\u003C\u002Fp>\u003Ch3 dir=\"ltr\">\u003Cspan>Preparing the injection site\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp dir=\"ltr\">[05:10]\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>Next prepare the injection site. Possible injection sites are the lower abdomen, inner thigh, inner upper arm, under the shoulder blades, or in the flanks. First, disinfect the injection site. Then hold the disinfected skin between thumb and index finger. Pick up the needle using the grip on the back. Insert the needle and remove the grip. Secure the needle and tube to the patient's skin with tape. Press the checkmark button again.\u003C\u002Fspan>\u003C\u002Fp>\u003Ch3 dir=\"ltr\">\u003Cspan>Starting continuous apomorphine infusion\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp dir=\"ltr\">[05:52]\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>To start the continuous infusion, press the start button for three seconds until you hear a beep. The patient can also give themselves an extra dose, also called bolus dose, by pressing the big orange button. The patient wears the pump in a carrying case throughout the day and in some cases also during the night. \u003C\u002Fspan>\u003C\u002Fp>\u003Ch3 dir=\"ltr\">\u003Cspan>Stopping the D-mine pump and post-infusion care\u003C\u002Fspan>\u003C\u002Fh3>\u003Cp>[06:30]\u003C\u002Fp>\u003Cp>\u003Cspan>To stop the pump, press the stop button. Remove and discard the infusion line. Place the pump in the docking station so it can charge, and put a stopper on the reservoir.\u003C\u002Fspan>\u003Cbr> \u003C\u002Fp>",{"courses":248,"showAwardsBelow":48},[249,268],{"id":250,"isFreeCmeCourse":251,"title":252,"type":253,"specialization":254,"teachers":256,"cmeCredits":237,"teacherIllustration":258,"backgroundImage":259,"relativeUrl":260,"lastChanged":261,"created":262,"description":263,"relativeURL":260,"meta":264},13549,false,"Parkinson's Essentials","course",[255],"Neurology and Psychiatry",[257],"Kara J. Wyant, MD","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9aa38ffc-3b1a-4f77-ad90-d234653a550e","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9aa38ffd-449f-4211-9f27-adb0b632bb59","\u002Fcourses\u002Fparkinsons-essentials","1774294684","1702943539","How confident are you in your ability to differentiate Parkinson’s disease from its look-alikes and correctly diagnose it? There is a gap in comprehensive training related to this complex disease and we are excited to bring you up to speed! Dive into this course as we cover pathophysiology, evaluate common motor and non-motor symptoms, learn how to initiate the best therapy, and more!",{"duration":265,"quizzes":266,"lessons":267},9878,5,41,{"id":269,"isFreeCmeCourse":251,"title":270,"type":253,"specialization":271,"teachers":272,"cmeCredits":274,"teacherIllustration":241,"backgroundImage":275,"relativeUrl":276,"lastChanged":277,"created":278,"description":279,"relativeURL":276,"meta":280},13653,"Parkinson's Masterclass: Advanced Therapeutics",[255],[273],"Kelvin L. Chou, MD",3.5,"https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9ab1a4dd-cdb3-463f-941f-441f5f7e0c81","\u002Fcourses\u002Fparkinsons-masterclass-advanced-therapeutics","1775517399","1706570643","Explore cutting-edge Parkinson’s treatments, including device-assisted and lesioning therapies. 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Elevate your expertise in Parkinson's care today!",{"duration":281,"quizzes":282,"lessons":283},7176,6,36,{"id":285,"name":286,"image":287,"profession":288,"relativeUrl":291,"specializations":292},13760,"Nicole Pohlschmidt","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cf03-4fc8-4d9c-9bfd-67d8d8df4e89",{"name":289,"description":290},"Qualified nurse","Nurse specialized in Parkinson’s therapeutic applications","\u002Fteachers\u002Fnicole-pohlschmidt",[],253,"5m",[296,323,342],{"id":297,"title":298,"text":299,"image":300,"author":308,"path":316,"readDuration":317,"readDurationFormatted":318,"internal":319},1351,"Starting statins as first-line therapy for hyperlipidemia","Starting statins: how to choose the right agent for your patient, match statin intensity to cardiovascular risk, and monitor effectively after initiation.",{"alt":301,"title":302,"size":303,"location":305},"Healthcare provider discussing starting statins with a patient and reviewing a medication bottle","",{"width":304,"height":304},660,{"bucket":306,"key":307},"public-drupal-medmastery-assets-production","\u002F2026-05\u002FC121(2)_magazine image.png",{"id":309,"title":310,"relativeURL":311,"image":312,"professionLong":313,"profession":314,"weight":237},1563,"Franz Wiesbauer, MD MPH","\u002Fteachers\u002Ffranz-wiesbauer-md-mph","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cef0-41ee-4005-9e4a-d8711c816401","Franz is the founder and CEO of Medmastery. 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