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•
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 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 end 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. Chlorhexidine gluconate solutions
are recommended; however, iodine-based solutions can also be
used.
•
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.
•
If profuse perspiration or accidental wetting compromises
adhesion of dressing, the medical or nursing staff must change
the dressing under sterile conditions.
HEPARINIZATION
SITE CARE
CATHETER PERFORMANCE
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