Spectra Optia Apheresis System Operator’s Manual
111
Therapeutic Plasma Exchange with a Secondary Plasma Device (TPE-SPD) Procedures
8
Managing a Positive Fluid Balance
The total volume of the AC used during a TPE-SPD procedure is returned to the patient with the treated plasma.
As a result, the patient’s fluid balance is always positive at the end of the run. Consider the following guidelines to
help decrease the volume if the additional volume is an issue for the patient:
•
Increase the inlet:AC ratio to 15.0. Be aware that if the extracorporeal circuit is not adequately anticoagulated,
platelet clumping could occur. For more information about anticoagulation and addressing clumps or clots in
the circuit, see “Managing Anticoagulation of the Extracorporeal Circuit” on page 221.
•
Do not rinse the contents remaining in the plasma device into the treated plasma bag at the end of the run.
•
Do not return the contents of the treated plasma bag to the patient at the end of the run. Keep in mind that
doing this leaves the patient in a plasma-negative condition.
Returning the Contents of the Treated Plasma Bag to the Patient
Perform the following steps to return the contents of the treated plasma bag to the patient before rinseback. You
may only return the contents before rinseback if a run target was attained.
1
Ensure that the run targets screen is displayed. If the tabs are not displayed, touch the
End Run
menu button
to display the tabs.
2
Touch the
Treated Plasma
tab. The screen appears instructing you to return the treated plasma.
3
Follow the instructions on the screens. When the return is complete, the run targets screen re-appears.
Perform rinseback or disconnect the patient to complete the procedure.
Rinsing the Plasma Device and Performing Rinseback
The Spectra Optia system gives you the option to rinse the plasma in the plasma device into the treated plasma bag
before you perform rinseback. You may rinse the plasma device as many times as necessary. To rinse the plasma
device or to perform rinseback, touch
Rinseback
and follow the instructions on the screens.
Rinsing the plasma in the plasma device into the treated plasma bag
Before you begin the rinse, check the volume in the saline container on the saline line and confirm that it contains
enough volume to complete the rinse. Spike a new container, if necessary. Follow the instructions on the screen to
complete the rinse.
Performing rinseback
When you are finished rinsing the plasma device, the screen that shows the status of rinseback appears, and
rinseback begins. To return the contents of the treated plasma bag to the patient during or after rinseback, follow
the instructions in “Returning the Contents of the Treated Plasma Bag to the Patient” on page 111.
Note:
If you decide not to return the contents in the treated plasma bag to the patient, touch
Skip Return
to decline the
return.
Note:
If you decide not to rinse the plasma in the plasma device into the treated plasma bag, touch
Skip Rinse
to
decline the rinse.
SpectraOptiaOpsManual.book Page 111 Thursday, May 17, 2018 11:24 AM
