Fresenius Medical Care 2008T Operator's Manual page 225

Hemodialysis machine
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10. Press the RESET key on the control panel to restart the arterial blood pump and continue
flushing saline through the blood circuit in accordance with established facility protocol
regarding dialyzer rinsing.
11. After the required saline amount has passed through the dialyzer, press the Start/Stop
key on the Arterial Blood Pump module to stop the pump.
12. Clamp the patient end of the venous bloodline.
13. Adjust the fluid level in the venous drip chamber by pressing the appropriate  or 
level adjust keys on the Level Detector module. Close the venous pressure monitor line
clamp and disconnect the monitor line from the venous pressure port so the port is open
to atmosphere.
14. 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.
15. Set the arterial blood pump rate to 350-400 ml/min. Press the Start/Stop key on the
Arterial Blood Pump module to start the pump and begin recirculation. Do not insert the
single needle blood pump segment into single needle blood pump. If necessary, press the
RESET key to clear any alarms.
16. Ensure that the extracorporeal blood 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 to the saline port on the arterial
bloodline below the arterial blood pump. 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 the heparin syringe into the Heparin Pump module. If the heparin
pump is not used, clamp the heparin line.
6. Press the Prime key on the control panel.
7. Press the Start/Stop key on the Arterial Blood Pump module and run the pump at a rate
of 150 ml/min. Adjust the flow rate by pressing the  (up) or  (down) keys. The
compliance chamber will automatically fill to an acceptable level.
2008T Machine Operator's Manual P/N 490122 Rev N
Appendix A
225

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