Fresenius Medical Care multiFiltrate, Инструкция по эксплуатации

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Fresenius Medical Care multiFiltrate IFU-EN-UK 15A-2015 v
4.5.7.3 Treatment parameters................................................................................................ 4-27
4.5.8 Change of procedure (except for CVVHD and CVVH) .............................................................. 4-28
4.5.8.1
Change of procedure to CVVH................................................................................... 4-28
4.5.8.2 Change of procedure to CVVHD ................................................................................ 4-28
4.5.9 Change of procedure back to CVVHDF .................................................................................... 4-29
4.5.10 End of treatment ........................................................................................................................ 4-30
4.5.10.1 Terminating the treatment .......................................................................................... 4-30
4.5.10.2 Starting reinfusion ...................................................................................................... 4-30
4.5.11 Disconnecting the patient and removing the tubing system ...................................................... 4-32
4.5.12 Treatment history....................................................................................................................... 4-32
4.6 CRRT treatments with citrate anticoagulation ...................................................................... 4-33
4.6.1 Starting conditions ..................................................................................................................... 4-33
4.6.2 Inserting the cassette system .................................................................................................... 4-34
4.6.2.1
Inserting the citrate tube and the calcium tube........................................................... 4-34
4.6.3 Inserting further tubing systems ................................................................................................ 4-35
4.6.3.1
Inserting the dialysate tubing system ......................................................................... 4-35
4.6.3.2 Inserting the substituate tubing system (except for CVVHD Ci-Ca) ........................... 4-36
4.6.4 Inserting the heparin syringe ..................................................................................................... 4-37
4.6.5 Complete tubing arrangement ................................................................................................... 4-37
4.6.6 Preparation ................................................................................................................................ 4-38
4.6.6.1
Filling the citrate and calcium drip chambers ............................................................. 4-38
4.6.6.2 Priming the Ci-Ca lines............................................................................................... 4-39
4.6.6.3 Priming the tubing system .......................................................................................... 4-40
4.6.6.4 Rinsing the tubing system / entering treatment parameters....................................... 4-40
4.6.6.5 UF rinse...................................................................................................................... 4-42
4.6.6.6 Recirculation / waiting for patient ............................................................................... 4-42
4.6.6.7 Connecting the patient ............................................................................................... 4-43
4.6.7 Treatment .................................................................................................................................. 4-44
4.6.7.1
Checking the post-filter calcium concentration........................................................... 4-44
4.6.7.2 Treatment main screen .............................................................................................. 4-45
4.6.7.3 Treatment menu ......................................................................................................... 4-46
4.6.7.4 Treatment parameters................................................................................................ 4-46
4.6.8 End of treatment ........................................................................................................................ 4-47
4.6.8.1
Terminating the treatment .......................................................................................... 4-47
4.6.8.2 Starting reinfusion ...................................................................................................... 4-47
4.6.9 Disconnecting the patient and removing the tubing system ...................................................... 4-48
4.6.10 Treatment history....................................................................................................................... 4-50
4.7 Paediatric CRRT treatments ................................................................................................... 4-51
4.7.1 Starting conditions ..................................................................................................................... 4-51
4.7.2 Inserting the AV set ................................................................................................................... 4-51
4.7.2.1
Inserting the arterial blood line system....................................................................... 4-51
4.7.2.2 Inserting the venous blood line system ...................................................................... 4-52
4.7.2.3 Inserting the filtrate line system.................................................................................. 4-52
4.7.3 Inserting further tubing systems ................................................................................................ 4-52
4.7.3.1
Inserting the dialysate tubing system (except for CVVH) ........................................... 4-53
4.7.3.2 Inserting the substituate tubing system (except for CVVHD) ..................................... 4-53
4.7.4 Inserting the heparin syringe ..................................................................................................... 4-54
4.7.5 Complete tubing arrangement ................................................................................................... 4-54
4.7.6 Preparation ................................................................................................................................ 4-55
4.7.6.1
Priming the tubing system .......................................................................................... 4-55
4.7.6.2 Rinsing the tubing system / entering treatment parameters....................................... 4-56
4.7.6.3 UF rinse...................................................................................................................... 4-57
4.7.6.4 Recirculation / waiting for patient ............................................................................... 4-57
4.7.6.5 Connecting the patient ............................................................................................... 4-58
4.7.7 Treatment .................................................................................................................................. 4-59