MedComp HEMO-FLOW Gebrauchsanleitung Seite 9

Note: Femoral catheter tip placement is recommended at the
junction of the iliac vein and the inferior vena cava.
Caution: Failure to verify catheter placement may result in serious
trauma or fatal complications.
CATHETER SECUREMENT AND WOUND DRESSING:
23. Suture insertion site closed. Suture the catheter to the skin
using the suture wing. Do not suture the catheter tubing.
Caution: Care must be taken when using sharp objects or needles
in close proximity to catheter lumen. Contact from sharp objects
may cause catheter failure.
24. Cover the insertion and exit site with an occlusive dressing.
25. Catheter must be secured/sutured for entire duration of
implantation.
26. Record catheter length and catheter lot number on patient's
chart.
•
The heparin solution must be removed from each lumen prior
to treatment to prevent systemic heparinization of 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 end caps from the extensions.
3. Attach a syringe containing heparin solution to the female luer
of each extension.
4. Open extension clamps.
5. Aspirate to insure that no air will be forced into the patient.
6. Inject heparin into each lumen using quick bolus technique.
HEMODIALYSIS TREATMENT
HEPARINIZATION
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