Treatment Monitoring - Fresenius Medical Care 2008K Operator's Manual

Feature

Treatment Monitoring

Refer to Chapter 4, "Monitoring the Treatment," for descriptions of the screen features used
to monitor the progress of the treatment. Per hospital policy, the dialysis nurse or ICU staff
should record the initial parameters of the treatment as well as at fixed intervals. Because the
UF Rate reflects only the rate at which fluid is removed from the patient, all fluid intakes
(replacement solution, IV solution, nutrition, medication, etc.) and outputs
kidney function, drainage, etc.) have to be considered for determining fluid balance of the
patient. It may be necessary to readjust the UF rate hourly.
With each check, the dialysis nurse or ICU staff should ensure that enough heparin,
concentrate and replacement solution (if applicable) is available for the next hour to prevent
unnecessary alarms.
Dialyzer Replacement
We recommend that the 2008K machine should be heat (or chemical) disinfected and the
complete extracorporeal circuit, including dialyzer, be replaced according to hospital policy.
We recommend no more than 48 hours.
After 48 hours of treatment:
1. Record the treatment parameters
2. Touch the TX Clock button and press CONFIRM to pause the treatment.
3. Follow the procedures in Chapter 4, "Returning Blood to the Patient" and "Removing the
Dialyzer."
4. From the "Select Program" screen, touch Heat Disinfection. During heat disinfection,
the RO unit, if used, can be disconnected from the 2008K once the water temperature
reaches 80
used, check the hardness level and, following the manufacturer's instructions, regenerate
the softener per facility policy.
5. When Heat Disinfection is completed, reconnect the water supply (if needed) and touch
Rinse from the "Select Program" screen to cool down the machine.
6. After the Rinse cycle, repeat the set-up procedure (including the Alarm and Pressure
tests) and resume CRRT.
2008K Operator's Manual rev. K
Continuous Renal Replacement Therapy (Optional)
Function
The Blood Volume Processed data box displays, in liters, the amount of
blood that has passed through the dialyzer.
o
C and the recirculation cycle starts. If an RO unit equipped with a softener is
UF Rate, residual
(
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