Therapeutic Plasma Exchange (TPE) Procedures
94
Spectra Optia Apheresis System Operator’s Manual
Monitoring the Patient
Managing Citrate Toxicity
If the patient experiences citrate toxicity, perform the following steps:
1
Touch the pause button to pause the pumps. An alarm occurs indicating that the procedure was paused and
the pumps were stopped.
2
Notify the attending physician of the patient’s condition according to your facility’s standard operating
procedures.
3
Touch the go back button to go to the run values screen, and decrease the AC infusion rate as desired.
4
Touch the active alarm button to return to the alarm screen, and then touch
Continue
. The run values
screen appears.
5
Review the run values and confirm that they are correct.
6
Touch
Confirm
to resume the procedure.
7
If decreasing the AC infusion rate does not alleviate the symptoms, touch the pause button to pause the
pumps again, and notify the attending physician.
Giving a Fluid Bolus
Perform the following steps to use the system to give the patient a fluid bolus:
1
Touch the
Run
menu button. The run tabs appear.
2
Touch the
Bolus
tab. The fluid bolus screen appears.
3
Follow the instructions on the screen to spike the saline container on the replace line. Confirm that the
replace line is not clamped.
4
Touch
Volume
and enter the volume (mL) of the bolus.
5
Touch
Flow Rate
and enter the flow rate (mL/min) for the bolus.
6
To begin the bolus, touch
Start Bolus
. The system delivers the bolus.
The screen displays the progress of the bolus. To cancel the bolus before delivery is complete, touch
Cancel
Bolus
.
7
When the bolus is complete, the system pauses. Touch
Continue
to resume the procedure.
Bolus volume and reported fluid balance
Be aware that the patient’s fluid balance displayed on the exchange status screen and on the procedure summary
screen does not include the volume of any bolus that was given to the patient during the procedure. The system
reports the total bolus volume in separate fields on the screens.
Note:
If the fluid you use for the bolus is not saline, enter a flow rate that takes into account the percentage of
citrate in the fluid and that is in accordance with your local transfusion practices.
SpectraOptiaOpsManual.book Page 94 Thursday, May 17, 2018 11:24 AM
