A:72 AK 98 Dialysis Machine - Handling the dialysis machine
HCEN12745 Revision 10.2016
Program version 2.xx
Pay attention to possible risks when manually returning the blood to the patient, since
the dialysis machine is off and cannot trigger alarms.
Procedure
1) Clamp the arterial blood line and patient access clamp.
2) Disconnect the arterial blood line from the patient.
3) Connect the arterial blood line to the rinse-back solution and unclamp the arterial
blood line and any clamps on the rinse-back line.
4) Open the blood pump cover.
5) Turn (anticlockwise) the blood pump handle manually to return the blood. During
the return of the blood check carefully that no air is entering the patient.
6) When the blood is returned to the patient, clamp the venous blood line and patient
access clamp.
7) Disconnect the venous blood line from the patient.
3.7 Change of dialyzer and blood lines during treatment
The blood lines and dialyzer may need to be changed during a treatment, for example
if the blood clots. If the new blood circuit procedure is performed, all values and
settings are kept in the machine and it will continue on from when treatment was
stopped.
Procedure
1) Press the Rinse back button.
2) Press New blood circuit.
3) Check that the blood pump is stopped.
4) Choose an alternative:
ā To return the blood to the patient first:
Press Rinse back and follow the
normal procedure to return the blood,
see Section 4.3.1 āEnd the treatmentā
ā To disconnect the patient immediately:
Press Disconnect Patient, clamp
the blood lines and disconnect them
from the patient.
5) Disconnect both of the dialysis fluid tubes
and return them to the safety couplings,
there is no dialyzer draining during the new
blood circuit procedure.
6) Remove the dialyzer and the blood lines.
7) Attach the new dialyzer and blood lines,
see Section 4.2.3 āSet up the dialysis
machineā on pageīA:77.
8) Prime and remove the air from the new
blood lines, see Section 4.2.7 āPriming the
dialysis circuitā on pageīA:91.