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Important - This is intended to be used as a quick reference guide. It is not intended to replace the
instructions for use contained in the package insert which has a complete description of hazards,
contraindications,side effects and precautions. The operator should read and understand the instructions
Procedure Rationale
in the dialyzer package insert prior to use.
STEP 1
Place the dialyzer on the machine in the Positioning the dialyzer in this way will help
vertical position, arterial end down. to remove air from the dialyzer more
efficiently during priming.
Install the arterial and venous bloodlines on
the hemodialysis machine as directed in the Proper installation of the bloodlines on the
machine and bloodline manufacturer's machine is critical to safe and efficient
priming of the dialyzer.
instructions for use.
STEP 4
Aseptically remove the blood port cap Taking care to remove caps and attach
from the venous end of the dialyzer and tubing to the dialyzer helps to maintain the
aseptically attach the dialyzer end of the sterility of the connection.
venous blood tubing to the venous end
of the dialyzer.
Procedure Rationale
Taking care to use aseptic technique
STEP 5
Aseptically spike a 1 liter bag of 0.9% saline
minimizes risk of contaminating this
solution with a clamped dialysis priming set.
connection between the dialysis priming set
and the saline bag.
STEP 7
Close the clamp on the monitor line and Closing the clamp on the monitor line and
side arm tubing on the arterial drip side arm line prevents saline from entering
chamber.The main line clamp on the arterial these ports during priming.
bloodline should be open. Open the clamp
on the dialysis priming set and saline "T" and Opening the main line clamp on the arterial
allow the saline to gravity prime from the bloodline and the clamp on the dialysis
saline "T" to the patient end of the arterial priming set opens the path for priming this
bloodline. Clamp main line clamp on portion of the bloodline.
arterial line.
STEP 11
Attach the dialysate lines to the dialyzer. Priming the dialysate side with the venous
Invert the dialyzer, venous end down to end down facilitates removal of air from
prime the dialyzer compartment.When dialyzer compartment.
the dialysate compartment is filled return
dialyzer to arterial-end down position.
STEP 12
Open the clamps on the main line blood Recirculating the extracorporeal system
tubing and start the blood pump. Set the facilitates air removal from the dialyzer.
pump speed at 300 to 400 ml/min.The
dialysate flow should be on.
STEP 13
Continue to intermittently pinch the blood Recirculation with pinch and release of the
tubing between the blood pump and the inlet main line blood tubing and gentle
dialyzer to remove any air that may be left tapping of the dialyzer facilitates air removal
in the dialyzer. from the dialyzer.
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