NIKKISSO DIALYSIS MACHINE

Article:

INSTALLING THE PATIENT DIALYSIS MACHINE
Connect the venous pressure in the isolator machine after washing system and administer the prescribed heparin.
Put the air bubbles in the venous vane detector is important to make sure that it is dry and that the level of the line that will be connected to the isolator pressure is the same machine. After proper placement of the cata-bubbles with properly adjusted level and conductivity released by the dialysis machine time appears on the control-panel display.
STEP 2
That time will be assessed the type of vascular access of the patient as part of the installation process, follow specific criteria with respect to vascular access.
STEP 3
If the patient with dialysis AVF, should have done the washing member of the fistula to get the service, before being pierced. Should be assessed by professional excitement the location to be pierced with subsequent local asepsis.
STEP 4
The FAV will be drilled, while checking that the machine should be given 10 ml of saline to fill the needle circuit preventing blood from clotting inside. It is important to note that, throughout this process, the machine must be recirculation of serum, which means that the entire circuit is filled and heated.
STEP 5
If vascular access is the CDL, the lids should be removed from the catheter tract and performed the sterilization of tips. For removing covers CDL, always, the routes shall be secured to prevent fatal complications such as gas embolism.
STEP 6
For installation of the patient, the pump should be shut down, closed the entry of serum and blood vein and attached to the line disconnection.
STEP 7
Perform tips aseptic lines then power cycle the arterial branch on the corresponding output CDL (removing routes of heparin CDL before connection) and AVF needle. Despince the arterial branch of the needle or the blood via the DLC. Despince the arterial line and the venous circuit. Connect the blood pump flow rate of about 100 ml / min. Disregard of content until the arterial system of the patient exceeds pumped to the venous bubble vane system. Stop the pump. Connect the output of the venous system for intravenous CDL or venous AVF needle. Despince the needle or catheter via OA. Turn the blood pump with the prescribed flow. Open the output serum.
STEP 8
Make sure that the standards prescribed for the patient. Observing the patient, the parameters of the machine and the extracorporeal circuit during the entire process.
End of HD
When finished the session must return the patient to the maximum volume of blood present in the extracorporeal circuit. The procedure is as follows:
1 Open saline and devices through which the gripper is connected to the arterial system before the blood pump and the arterial line pince to automatically stop the flow of patient's blood, serum leaving the venous system until clear. That's when drugs such as erythropoietin and iron should be administered intravenously;
2 Turn the line of blood pump, venous and arterial catheter pince leaving open the blood returns by gravity in this part of the circuit;
3 Pince entire system, needles and thread and put them in closed chest bypass patient.
Patient Care
1 Check the patient's blood pressure. Make sure he's okay and only then remove the needles or close the CDL wear.
2 When access is AVF: first remove one of the needles with a gauze pad after hemostasis replace the gauze and close the bandage with strips of adhesive plaster. Remove the other needle and repeat the procedure.
3 When the access is by CDL: washing-way catheter with saline 0.9% and place the prescribed amount of heparin, then close the connection.