Fresenius Medical Care DIASAFE 2008 K, Руководство оператора

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Chapter 4—Monitoring the Treatment
120 2008K Hemodialysis Machine Operator’s Manual Rev P
2. Open the pump door and flip the rotor latch outward (see Figure 55 #1).
3. Align the slot and the spindle on the crank handle with the rotor latch and hole as shown
in Figure 55 #2 above.
4. Slide the crank handle in as far as it will go. The crank latch will protrude slightly from
the crank handle (see Figure 55 #3).
5. Rotate the crank clockwise at a rate of 6–10 rotations per minute. This is equivalent to a
blood flow rate of 60–100 ml/min. Observe the venous chamber and bloodline to ensure
that no air is infused in the patient. Manual circulation time is the responsibility of the
clinic’s medical supervisor.
Warning! Carefully observe the venous chamber and bloodline for the presence of air. Be
sure no air will be infused into the patient.
Power Resumption Procedure
1. Press the POWER key to restore power to the machine. The screen displays the “Select
Program” screen with the message, “POWER FAIL RECOVERY.”
2. Touch the Dialysis button to enter the “Dialysate” screen.
3. In the “Dialysate” screen, check the conductivity settings (Na
+
, Bicarbonate, concentrate
type) and alarm limits. Verify that the dialysate concentration settings are correct. If not,
reset them.
4. Press CONFIRM to save the dialysate settings.
5. Touch the Home button to display the “Home” screen.
6. Press the RESET key to reset any alarms. Conductivity and temperature alarms will reset
automatically when acceptable limits are reached—usually in about 3–5 minutes. If the
dialysate lines were disconnected, reconnect the dialysate lines when conductivity and
temperature return to their prescribed limits.
7. Insert venous line in venous clamp and optical detector.
8. If not still connected, reconnect the patient per unit policy. If you are performing single-
needle dialysis, re-insert the pump segment into the single-needle pump.
9. Press the blood pump Start/Stop key to restart the blood pump. Reset the blood pump to
the prescribed flow rate.
10. Touch the Tx Clock button to resume dialysis and then press CONFIRM .
11. If the heparin pump or the Single-Needle option were active prior to the power failure,
reinitiate these functions upon power resumption.
12. The SVS program parameters are stored during a power failure. Restart the SVS Profile
program by pressing the
SVS on/off key. Adjust the SVS-Time if necessary.
13. The UF treatment parameters are also saved during a power failure. Check all parameters
(UF Goal, UF Time, UF Rate, UF-Removed) for correct settings and adjust if necessary.