Fresenius Medical Care Liberty Select User Manual page 21

Peritoneal dialysis cycler
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Warning: Increased Intraperitoneal Volume (IIPV),
commonly known as Overfill, is when you have too much
fluid in your abdomen. IIPV/overfill may result in serious
injury or death from conditions such as: abdominal wall
and/or diaphragmatic hernias, hydrothorax, heart problems
including chest pain and heart failure, high blood pressure,
pulmonary edema, decreased pulmonary function and
pericardial effusion.
Patients and care partners should watch for the potential
signs of IIPV. These include:
 Difficulty breathing
 Vomiting or spitting up
 Feeling full, bloated, or overfilled after treatment
 Abdominal pain or discomfort
 Expanded or tense abdomen
 Chest pain
 Increased blood pressure
 Change in mental status
 Leakage of fluid from the PD catheter extension
exit site.
If you experience any of these symptoms or feel a large,
painful build-up of pressure during your fill, do not
finish your fill cycle. Press the STOP key and
immediately initiate a STAT Drain or perform a manual
drain as instructed by your PD nurse. See page 184 for
more information on how to use the STAT Drain feature.
Once the fluid is completely drained from your abdomen,
call your doctor, practitioner, or PD nurse.
Warning: If you have no Last Fill programmed on your
cycler and you did a manual Fill during the day, your
cycler does not know that you must drain additional fluid
from the abdomen. If your catheter extension set line then
gets kinked during Drain 0 and the draining stops, your
cycler may advance to Fill 1 before you have finished
draining your abdomen. This may cause an overfill
situation which may lead to serious injury or death.
Always make sure that you have drained enough during
Drain 0 when your cycler starts Fill 1.
Drain 0 may be bypassed under certain circumstances.
Please consult your PD nurse before bypassing Drain 0.
See page 186 for more information.
Liberty Select Cycler User's Guide
P/N 480145 Rev A
19

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