MedComp SPLIT-STREAM Instructions D'utilisation page 10

The heparin solution must be removed from each lumen prior to
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treatment to prevent systemic heparinization of the patient.
Aspiration should be based on dialysis unit protocol.
Before dialysis begins, all connections to catheter and
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extracorporeal circuits should be examined carefully.
Frequent visual inspection should be conducted to detect leaks to
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prevent blood loss or air embolism.
If a leak is found, the catheter should be clamped immediately.
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Caution: Only clamp catheter with in-line clamps provided.
Necessary remedial action must be taken prior to the continuation
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of the dialysis treatment.
Caution: Excessive blood loss may lead to patient shock.
Hemodialysis should be performed under physician's instructions.
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If the catheter is not to be used immediately for treatment, follow
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the suggested catheter patency guidelines.
To maintain patency between treatments, a heparin lock must be
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created in each lumen of the catheter.
Follow hospital protocol for heparin concentration.
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1. Draw heparin into two syringes, corresponding to the amount
indicated on catheter lumen. Assure that the syringes are free of
air.
Note: Priming volume values printed on lumen include extension set.
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 and white secondary 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 and white secondary clamps.
Caution: 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,
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provided the lumens have not been aspirated or flushed.
Clean skin around catheter. Chlorhexidine gluconate solutions are
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recommended. 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.
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Caution: Patients must not swim, shower, or soak dressing while
bathing.
If profuse perspiration or accidental wetting compromises adhesion
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of dressing, the medical or nursing staff must change the dressing
under sterile conditions.
HEMODIALYSIS TREATMENT
HEPARINIZATION
SITE CARE
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