Monitoring The Treatment - Fresenius Medical Care 2008T Operator's Manual

Chapter 4

Monitoring the Treatment

Several of the treatment screens available on the 2008T hemodialysis machine are
particularly useful for monitoring some aspects of the patient's condition and the
effectiveness of the treatment. These screens are the:

Home screen

Trends screen

Kt/V AF screen

BTM/BVM screen

Blood Pressure screen
The "Home" screen provides a general overview of the status of the current treatment. The
other screens offer a more in-depth view of specific aspects of the treatment. It should be
noted, however, that certain treatment data are presented in more than one screen.
Warning! When initiating dialysis therapy with the dialysis machine, it is important to
check your dialysate flow status. Flows must be set to the prescribed flow Rate. Setting the
Dialysate Flow to zero for Sequential Ultrafiltration must be used only when prescribed.
Treatment without dialysate flow may result in patient injury due to minimal removal of
waste products in the patient's blood.
Warning! Turning the dialysate flow off when using a reused dialyzer may allow the
chemical disinfectant to rebound (increase) to an unacceptable level.
Warning! Keep bloodline/catheter or needle connection visible. Do not cover the access
site, e.g. with a blanket.
Caution: If it becomes necessary to replace the concentrate jugs or to switch from a bibag
disposable to liquid bicarbonate during treatment, first do the following: Make sure the
optional bibag door is closed with no bibag disposable on it and turn the dialysate flow off.
This must be done to avoid drawing air into the system. Drawing air into the system can
cause the concentrate pumps to malfunction.
Note: The 2008T hemodialysis machine is equipped with both visual cues and audible
alarms to alert the operator to potential problems. In every alarm condition, assess the
patient for any changes in his/her physiologic state. Ensure that the patient's access is
exposed and all connections in the extracorporeal circuit are secure and visible during the
entire procedure. It is the responsibility the dialysis personnel to provide safe and effective
dialysis treatment. Document all atypical events.
Note: The SVS Profile and Heparin buttons are colored green when their systems are
running (software version 2.34 or later).
Note: If a "bibag: Cond Low" alarm occurs when there is only about one inch (2.5cm) of
bicarbonate left at the bottom of the bibag disposable, the bag is at the end of its useful life.
Replace the bag with a fresh bag (see page 127 for instructions).
2008T Machine Operator's Manual P/N 490122 Rev N 99