Fresenius Medical Care 2008K Operator's Manual page 50

Chapter 2—Daily Preparation for Treatment
11. Press the RESET key on the control panel to restart the blood pump and continue
flushing saline through the blood circuit in accordance with established facility protocol
regarding dialyzer rinsing.
12. After the required saline amount has passed through the dialyzer, press the Start/Stop
key on the blood pump to stop the pump.
13. Clamp the patient end of the venous bloodline.
14. Adjust the fluid levels in the drip chambers by pressing the appropriate  or  level
adjust keys. Close the venous pressure monitor line clamp and disconnect the monitor
line from the venous pressure port so the port is open to atmosphere.
15. Aseptically connect the patient end of the arterial bloodline to the patient end of the
venous bloodline using a sterile recirculation piece. Unclamp both lines.
16. Set the blood pump rate to 350-400 ml/min. Press the blood pump Start/Stop key to
start the pump and begin recirculation. If necessary, press the RESET key to clear any
alarms.
17. Ensure that the extracorporeal circuit is free of air bubbles
Note: The dialysate lines will have to be attached at the appropriate point during the
priming process, depending on facility procedure and manufacturer's instructions. If 1.5x
or 2x dialysate flow (Auto Flow) is selected, be sure that the dialysate flow rate is at least
the minimum required rate.
Prime Amount Method
1. Connect the dialyzer end of the arterial bloodline to the arterial port of the dialyzer.
Rotate the dialyzer to the arterial end down position.
2. Connect the dialyzer end of the venous bloodline to the venous port of the dialyzer.
3. Hang a saline bag and attach an administration line, if not already attached, to the saline
port on the arterial bloodline. Aseptically spike the saline bag.
4. Gravity prime the patient end of the arterial bloodline below the saline "T" with saline.
When primed, clamp off the patient end of the arterial bloodline.
5. If the heparin pump is to be used: connect the heparin syringe, prime the heparin line
with heparin, and load heparin syringe into heparin pump. If the heparin pump is not
used, clamp the heparin line.
6. On the control panel, press the Prime key.
7. Press the blood pump Start/Stop key and run the blood pump at a rate of about 150-200
ml/min. Adjust the flow rate by pressing the  (up) or  (down) keys.
8. Fill the arterial drip chamber to an acceptable level using the  or  key (level adjust)
key on the blood pump. Close the arterial pressure monitor line clamp and disconnect the
line from the arterial pressure port so the port is open to atmosphere.
50 2008K Hemodialysis Machine Operator's Manual Rev P