MedComp SPLIT CATH III Instructions D'utilisation page 8

•
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 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.
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.
• Catheter is compatible with ointments.
• 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.
Caution: Always review hospital or unit protocol, potential complications and their
treatment, warnings, and precautions prior to undertaking any type of mechanical
or chemical intervention in response to catheter performance problems.
Warning: Only a physician familiar with the appropriate techniques should attempt
the following procedures.
HEMODIALYSIS TREATMENT
HEPARINIZATION
SITE CARE
CATHETER PERFORMANCE
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