Fresenius Medical Care 2008k Technical Manual page 13

Section II – General Warnings & Cautions
GENERAL WARNINGS & CAUTIONS
Precautions:
Federal (USA) law restricts this device to sale only by or on the order of a physician. Frequency,
duration, and parameters are to be determined by the prescribing physician.
Warnings:
The electrical source must be single phase, three conductor type provided with a hospital grade
receptacle and a ground fault interrupter at 120 volts, 60 Hz. The proper polarity and ground
integrity must be initially checked and thereafter maintained. Failure to do so may result in
electrical shock to the operator or patient.
Shock hazard. Do not remove covers. Refer servicing to qualified personnel.
Replace fuses only with the same type and rating.
Hemolysis of blood in the dialyzer will occur should the dialysate fluid exceed a temperature of
42°C (107°F). Dialysate temperatures must be maintained below this level. Do not return
hemolyzed blood to the patient.
Check the conductivity and pH of the dialysate solution with an independent device before initiating
dialysis.
Indications:
Hemodialysis is indicated for patients with acute or chronic renal failure, when conservative therapy
is judged to be inadequate.
Contraindications:
There are no absolute contraindications to hemodialysis, but the passing of a patient's blood through
an extracorporeal circuit may require anticoagulation to prevent blood clotting. In addition, the
parameters of dialysis should be optimized to avoid discomfort to the patient. Many patients are
taking medicinal therapy prescribed by their physicians. Due to the dialysis treatment, some of the
medication may be removed from the patient's blood thereby lowering the therapeutic level in the
blood. Therefore, the prescribing physician should determine the appropriate dosage of medicine to
avoid loss of the desired medicinal response in the patient.
2008K Technician's Manual II-1