MedComp Split Cath III Instrucciones De Uso página 7

22. Close the extension clamps, remove the syringes, and place an
injection cap on each luer lock connector. Avoid air embolism by
keeping extension tubing clamped at all times, when not in use,
and by aspirating then irrigating the catheter with saline prior to
each use. With each change in tubing connections, purge air from
the catheter and all connecting tubing and caps.
23. To maintain patency, a heparin lock must be created in both
lumens. Refer to hospital heparinization guidelines.
Caution: Assure that all air has been aspirated from the catheter and
extensions. Failure to do so may result in air embolism.
24. Once the catheter is locked with heparin, close the clamps and
install injection caps onto the extensions' female luers.
25. Tip placement is recommended in the IVC at the IVC/right atrial
junction, preferably in the right atrium. Confirm proper tip
placement with fluoroscopy.
Caution: Failure to verify catheter placement may result in serious
trauma or fatal complications.
CATHETER SECUREMENT AND WOUND DRESSING:
26. Suture insertion site closed. Suture the catheter to the skin using
the suture wing. Do not suture the catheter tubing.
Caution: Care must be taken when using sharp objects or needles in
close proximity to catheter lumen. Contact from sharp objects may
cause catheter failure.
27. Cover the insertion and exit site with an occlusive dressings.
28. Catheter must be secured/sutured for entire duration of
implantation.
29. Record catheter length and catheter lot number on patient's chart.
•
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 injection caps from the extensions.
3. Attach a syringe containing heparin solution to the female luer of
each extension.
HEMODIALYSIS TREATMENT
HEPARINIZATION
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