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12. Operating Instructions – Perform Therapy
12-2 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244
If your previous therapy ended early for any reason, or if you performed an off-cycler
exchange, you can be left with more fluid in your peritoneal cavity than normal. If
this occurs, your Initial Drain Alarm (I-DRAIN ALARM) setting may be too low. To
minimize the potential for an increased intraperitoneal volume (IIPV) situation, do
one of the following:
If a VERIFY I-DRAIN: ML prompt appears, press STOP and press U or V
to increase your I-DRAIN ALARM setting to at least 70% of your current
expected peritoneal volume for this therapy only.
– OR –
WARNING
Bypassing an Initial Drain when there is still fluid left in the
peritoneal cavity can result in an increased intraperitoneal
volume (IIPV) situation later in your therapy. Change your
position or sit up to aid draining completely during the
Initial Drain.
IIPV could result in a feeling of abdominal discomfort,
serious injury, or death.
If any patient, or patient caregiver, suspects the patient has
IIPV during a treatment, press STOP immediately, then
press
V and initiate a Manual Drain. The Manual Drain
procedure is located in 18.5, Manual Drain Procedure, on
page 18-53. See 18.8, Increased Intraperitoneal Volume
(IIPV), on page 18-58 if IIPV is suspected.
Additional care should be taken to monitor for IIPV
symptoms for those patients not able to communicate
essential information to their caregiver during treatment.
WARNING
Inspect the initial drained effluent for clarity. If effluent is
cloudy, call your dialysis center. Cloudy effluent may be a
sign of peritonitis.
- HomeChoice 1
- HomeChoice PRO 1
- The HomeChoice 2
- APD Systems 2
- Patient At-Home Guide 2
- Table of Contents 10
- Glossary 12
- 1. Glossary 14
- HomeChoice PRO APD Systems 24
- User Assistance Information 27
- Other Important Information: 29
- Warnings and Cautions 30
- 3.2.1 Treatment 31
- 3. Warnings and Cautions 32
- 3.2.6 General 41
- – Aerosol spray products 41
- – Nitrous oxide 41
- – Has a damaged cord or plug 42
- – Is not working properly 42
- – Has been dropped into water 42
- 3.3 Cautions 44
- 3.4 Battery Precautions 46
- Indications for Use 47
- 4. Indications for Use 49
- Description 50
- 5. Description 52
- GO, STOP, ENTER, up 57
- U), and down arrow (V) 57
- 5.6 Disposable Sets 63
- 5.6.1 Luer Disposable Set 64
- 5.6.2 Spike Disposable Set 65
- PRO APD System Differences 66
- Environmental Conditions 67
- 6. Environmental Conditions 69
- Setup and Check-out 70
- 7. Setup and Check-out 72
- 7.3 Grounding Instructions 74
- PRO Card and Modem 75
- Figure 8-1. PRO Card Port 77
- 8.2 Using the PRO Card 78
- 8.2.2 Confirm Your PRO Card 79
- 8.2.3 Confirm a New Therapy 80
- U (up arrow), and V (down 82
- 8.2.6 Remove Your PRO Card 85
- 8.3.1 No PRO Card 86
- 8.3.2 Card Reader Disabled 87
- 8.3.3 PRO Card Full 87
- GO to continue 87
- 8.3.5 Card Reader Error 88
- 8.4 Install the Modem Option 89
- STOP. The transfer stops 92
- Change Program 94
- 9.2.1 Nurse’s Settings 95
- 9.3 The Nurse’s Menu 96
- 9.5 Manual Programming 98
- GO to start your therapy) 99
- ENTER to save the new value 99
- GO to begin the setup 101
- 9.6 Therapy Type 102
- Minimum setting is 100 mL 104
- Maximum setting is 3000 mL 104
- Default setting is 250 mL 104
- Setting increments: 104
- 9.7.5 Tidal Therapy Settings 112
- NOTES: (Continued) 116
- Minimum setting is 5% 123
- Maximum setting is 95% 123
- Default setting is 5% 123
- Setting increment is 5% 123
- 9.8 Low Fill Mode 128
- – 1 in the 60 to 100 mL range 130
- (Low Fill Mode) 133
- 9.8.5 Tidal Therapy Settings 139
- Operating Instructions – 157
- Make Adjustments 157
- 10.1.1 Changing Settings 158
- V again 159
- V to display the next option 159
- 10.2 Option Settings 160
- 10.2.2 Adjust Loudness 161
- 10.2.3 Auto Dim 162
- 10.2.4 Set Clock 163
- 10.2.5 Set Date 164
- 10.2.6 I-Drain Time 165
- 10.2.7 I-Drain Alarm 166
- U or V to change the setting 169
- 10.2.8 Comfort Control 170
- 10.2.9 Last Manual Drain 171
- 10.2.10 UF Target and Alarm 172
- U or V to select YES or NO 173
- Prepare for Therapy 174
- 177
- 11.4 Menu Options at Startup 181
- 11.5 Load the Disposable Set 184
- – 4-prong set has 6 clamps 185
- GO again to see LOAD THE 186
- STOP and GO 186
- 11.6 Attach the Drain Option 188
- 11.8 Prime the Disposable Set 192
- CONNECT BAGS 193
- STOP then V button to access 195
- IF THE POWER IS INTERRUPTED 196
- DURING PRIME: 196
- GO to start your treatment 199
- Perform Therapy 201
- STOP and press U or V 203
- STOP and V to 204
- V to view each option 205
- ENTER to select an option 205
- 12.2 Fill 206
- 12.4 Drain Phase 210
- 12.5 Pause Therapy 212
- ENTER to select 213
- 12.6 Hi-Dose Therapy 214
- 12.6.1 Day Dwell Options 216
- – or – 218
- V to display 221
- End Therapy 224
- ENTER to select MANUAL DRAIN 228
- 13.2 Disconnect Yourself 230
- STOP immediately, then 232
- STOP and then GO 233
- STOP to exit 235
- Effluent Sampling 237
- 14.2 Take an Effluent Sample 239
- Cleaning 244
- 15.2 Cleaning the Cycler 246
- IMPORTANT 247
- 15. Cleaning 248
- Maintenance 249
- 16. Maintenance 251
- 17. Storage 252
- 17.1 Cycler 253
- 17.2 Battery 253
- 17. Storage 254
- Troubleshooting 255
- 18. Troubleshooting 257
- 18.2 Correcting Alarms 258
- 18.3 Alarms 260
- STOP to mute the alarm 265
- STOP to exit Change Program 265
- 18.3.4 Phase Not Finished 266
- 18.3.7 Low Drain Volume 270
- ENTER to bypass 270
- GO to return to your therapy 271
- GO to return to the therapy 275
- 18.3.9 Machine Tilted 275
- 18.3.10 Warming Solution 276
- 18.3.11 Caution: Negative UF 277
- 18.3.12 Check Your Position 279
- V until MANUAL DRAIN appears 279
- ENTER to bypass the alarm 279
- 18.3.14 Caution: Positive UF 284
- V until BYPASS appears 284
- ENTER to choose BYPASS 284
- 18.3.17 System Error nnnn 288
- – Continue the therapy 289
- – End the therapy early 289
- – Bypass a phase 289
- – Perform a Manual Drain 289
- 18.3.18 Temp Stabilizing 290
- 18.4 Bypass Procedures 292
- 18.4.3 Bypass Drain Phase 296
- STOP to silence the alarm 300
- GO to resume Drain 303
- 18.5 Manual Drain Procedure 308
- GO to return to therapy 309
- STOP to mute the 319
- Technical Data 324
- 19.2.1 Extension Cords 326
- 19.5 Battery Backup 327
- – Detachable power cord 328
- – Modem cable 328
- 19. Technical Data 329
- 19.13 Drain Logic Options 335
- 19.14.1 Scheduled Replenish 337
- 19.14.2 Unscheduled Replenish 338
- Settings 340
- Quick Reference 345
- 20.1 Prepare for Therapy 347
- 20. Quick Reference 348
- 3. Turn on the cycler 348
- 5. Prepare your drain option 349
- LOAD THE SET appears 350
- Push the handle up to unlock 350
- 8. Load the cassette 351
- 9. Place the organizer 351
- 11. Attach your drain option 352
- 12. Open all drain clamps 352
- 13. Press GO 352
- 15. Connect bags 353
- 18. Priming complete 355
- 21. Connect yourself 356
- 22. Press GO 357
- Close the transfer set 359
- Clamp the patient line 359
- 9. Connect yourself 362
- 10. Press GO and the system 362
- DAY DRAIN 1 362
- Initial Drain 364
- Total UF 364
- Average Dwell Time 364
- Other data as instructed by 364
- CLOSE ALL CLAMPS appears 365
- DISCONNECT YOURSELF 367
- TURN ME OFF appears on the 367
- Warnings 3-1, 4-1 376
- Waste 1-12 376
- WEEE 2002/96/EC 3-15 376
- Weight 8-8 376
- 1.800.553.6898 377
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