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Red Blood Cell Exchange (RBCX) Procedures
122
Spectra Optia Apheresis System Operator’s Manual
Entering the replacement fluid data
Depletion:
1
Touch
Fluid Type
. A list of replacement fluid types appears.
2
Select one of the following replacement fluid types by touching the corresponding button on the screen:
• Plasma
– The system assumes that the plasma contains 15% citrate.
• Saline/Albumin
– The system assumes that the saline/albumin contains 4% citrate.
• Custom
– The system uses the citrate content entered on the RBCX configuration screen. A data entry pad
appears to allow you to change the citrate content (%) of the fluid for the current procedure only.
Exchange:
1
Touch
Fluid Hct
. The data entry pad appears.
2
Enter the average Hct (%) of the replacement fluid for the exchange.
• The system assumes that the portion of the replacement fluid that is not RBC contains 19% citrate.
Entering the fluid balance
1
To enter the fluid balance, choose one of the following options:
• To enter the fluid balance in mL, touch
Volume
and use the data entry pad to enter a negative or positive
volume. The system calculates and displays the corresponding percentage.
• To enter the fluid balance as a percentage, touch
Percent
and use the data entry pad to enter a percentage.
The system calculates and displays the corresponding volume.
2
Touch
Confirm
to save the fluid data. The run values screen appears.
Note:
The system uses data you enter, including the Hct of the replacement fluid, to determine when the target
Hct has been attained. It is important that you enter an accurate Hct for the replacement fluid.
Note:
The fluid balance includes fluid that was administered and removed during the run and rinseback but does not
include fluid bolus volume.
SpectraOptiaOpsManual.book Page 122 Thursday, May 17, 2018 11:24 AM