MedComp Split-Tip-LT-Katheter Gebrauchsanleitung Seite 8

25. Catheter must be secured for entire duration of implantation.
26. Record catheter length and catheter lot number on patient's chart
and check catheter position routinely.
•
The heparin solution must be removed from each lumen prior to
treatment to prevent systemic heparinization of the patient.
Aspiration should be based on dialysis unit protocol.
•
Before dialysis begins all connections to catheter and extracorporeal
circuits should be examined carefully.
•
Frequent visual inspection should be conducted to detect leaks to
prevent blood loss or air embolism.
•
If a leak is found, the catheter should be clamped immediately.
Caution: Only clamp catheter with in-line clamps provided.
•
Necessary remedial action must be taken prior to the continuation
of the dialysis treatment.
Note: Excessive blood loss may lead to patient shock.
•
Hemodialysis should be performed under physician's instructions.
•
If the catheter is not to be used immediately for treatment, follow
the suggested catheter patency guidelines.
•
To maintain patency between treatments, a heparin lock must be
created in each lumen of the catheter.
•
Follow hospital protocol for heparin concentration.
1. Draw heparin into two syringes, corresponding to the amount
designated on the arterial and venous extensions. Assure that the
syringes are free of air.
2. Remove injection caps from the extensions.
3. Attach a syringe containing heparin solution to the female luer of
each extension.
4. Open extensions clamps.
5. Aspirate to insure that no air will be forced into the patient.
6. Inject heparin into each lumen using quick bolus technique.
Note: Each lumen should be completely filled with heparin to ensure
effectiveness.
7. Close extension clamps.
Caution: Extension clamps should only be open for aspiration, flushing,
and dialysis treatment.
8. Remove syringes.
9. Attach a sterile injection cap onto the female luers of the extensions.
•
In most instances, no further heparin is necessary for 48-72 hours,
provided the lumens have not been aspirated or flushed.
•
Clean skin around catheter. Cover the exit site with occlusive
dressing and leave extensions, clamps, and caps exposed for access
by staff.
•
Wound dressings must be kept clean and dry.
Caution: Patients must not swim, shower, or soak dressing while
bathing.
HEMODIALYSIS TREATMENT
HEPARINIZATION
SITE CARE
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