baxter HomeChoice, Manual, Page: 32 / 377

3. Warnings and Cautions
3-2
HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244
Caregivers should use universal precautions when handling effluent
dialysis solution or contaminated disposables. Failure to use universal
precautions can result in infection or injury to the caregiver.
All therapies using the
HomeChoice/HomeChoice PRO APD System must be
prescribed and performed under the responsibility of a physician who is
familiar and well-informed about peritoneal dialysis. Improper use of the
HomeChoice APD System can result in serious patient injury or death.
Do not change the settings for your therapy unless directed by your
physician or nurse. Using incorrect settings can cause symptoms and
signs of uremia, including fluid overload.
Contact your dialysis center if:
–
You did not complete your treatment
–
You skipped your prescribed Last Fill
–
Other conditions occur, as instructed by your dialysis center
Too many incomplete or skipped treatments can cause reduced Dwell or
Therapy Time. This can lead to symptoms and signs of end-stage renal
disease (ESRD), including fluid overload.
Always look at your patient line after priming to make sure there is no air
in the line. An incomplete prime can cause air infusion. Air infusion can
cause abdominal and/or shoulder pain.
Conditions that can cause poor catheter drainage include:
–
Constipation
–
Fibrin accumulation due to a peritonitis infection
–
Blockage of the catheter lumen or drainage holes with fibrin, blood
clots, or intestines
–
Kinking of the catheter
–
Movement of the catheter to the upper portion of the peritoneal cavity