Completion Of Dialysis; Returning Blood To The Patient - Fresenius Medical Care 2008T Operator's Manual

Chapter 4—Monitoring the Treatment

Completion of Dialysis

At the end of treatment, when the RTD timer has counted down to 0:00, an alarm sounds and
the message, RTD = ZERO , appears in the Status box. An alarm also sounds when the set
amount of ultrafiltrate has been removed. When that happens, the Status Box displays the
message, UF GOAL REACHED. To reset either alarm, press the RESET key. If the UF
GOAL REACHED and RTD = ZERO alarms occur simultaneously, pressing the RESET key
will reset both alarms.

Returning Blood to the Patient

To return the blood to the patient:
1. Select the Tx Clock and then press CONFIRM to stop the treatment.
2. Press the Start/Stop key on the blood pump to stop the pump.
3. Replace saline bag with a fresh bag if necessary.
4. Rinse the blood in the patient end of the arterial bloodline back to the patient:
a. Using a hemostat, clamp the arterial bloodline directly above the saline "T".
b. Open the saline line clamps and rinse the blood in the tubing below the saline "T"
back to the patient. When the blood in the line has been rinsed back to the patient,
close the saline line clamps.
5. Rinse the remaining blood in the bloodline back to the patient:
a. Clamp the arterial bloodline directly under the saline "T".
b. Remove the clamp on the bloodline above the saline "T" and open the saline line
clamps.
c. Start the blood pump and set a rate of 150-200 ml/min.
d. When the blood has been returned to the patient, turn the blood pump off and close
the saline line clamps.
Warning! Check all bloodlines and dialysate lines for leaks. Keep access sites uncovered
and monitored. Improper bloodline connections or needle dislodgements can result in
excessive blood loss, serious injury, and death. Machine alarms may not occur in every
blood loss situation.
6. Clamp the arterial and venous bloodlines and the patient's arterial and venous access
lines, and aseptically disconnect them.
Note: Depending on how your machine was configured, and audible alarm may sound when
the saline solution reaches the optical sensor. Press RESET to silence the alarm.
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