How to start a Dialysis Machine - Eco Priming Fresenius 4008S

Summary

This instructional video outlines the step-by-step process for operating a Fresenius 4008S HD machine, emphasizing the importance of proper setup and safety checks before initiating treatment. Key tasks include ensuring correct placement of acid and bicarb mixtures, conducting essential tests, and securely connecting the dialyzer. The video highlights the significance of monitoring air bubbles during priming and confirms the need for a residual test to ensure patient safety. It concludes with reminders for post-treatment assessments, fostering awareness of potential complications. Overall, it serves as a comprehensive guide for healthcare professionals managing dialysis procedures.

Takeaways

• 🔌 Ensure the HD machine is turned on correctly using the power button.
• 🔍 Verify that the Acid and Bicarb mixtures are correctly labeled and positioned.
• 🟥 Connect the ACID PORT (Red) to the Acid mixture and the BICARB PORT (Blue) to the Bicarb mixture.
• ⚠️ Always conduct the T1 test before beginning the treatment session.
• 🧪 Check the dialyzer for the patient's name, processing date, and usage count.
• 🔒 Secure the arterial and venous ports to the dialyzer properly.
• 🔄 For eco priming, set the appropriate volume and time based on whether the dialyzer is reused or new.
• 🌪️ Invert the dialyzer to expel air bubbles and ensure there are no kinks in the lines.
• 📊 Confirm the UF Goal settings with the Nurse before starting treatment.
• 🩺 Perform a residual test to ensure patient safety before beginning dialysis treatment.

Q & A

What is the first step in operating the Fresenius 4008S HD machine?

The first step is to turn on the HD machine by pressing the power button located on the upper left corner.

How should the Acid and Bicarb mixtures be prepared?

The Acid mixture must be placed in the ACID PORT (Red), and the Bicarb mixture must be placed in the BICARB PORT (Blue). They should be labeled correctly.

What is the purpose of the T1 test?

The T1 test is conducted to ensure the machine is functioning properly before starting the treatment session.

What should be done if the machine fails the T1 test?

If the machine fails the T1 test, it should not be used for treatment.

What information must be checked on the dialyzer before use?

You need to check the full name of the patient, the date it was last processed (for reused dialyzers), and the number of uses.

How do you connect the dialyzer to the machine?

Connect the arterial dialyzer port at the top of the dialyzer and the venous dialyzer port at the bottom, ensuring they are secured properly.

What are the required settings for Eco priming based on the type of dialyzer?

For a reused dialyzer, set 500 mL for 10 minutes; for a brand new dialyzer, set 300 mL for 6 minutes.

What should you do if the blood pump stops during the procedure?

Continuously press the START button whenever the blood pump stops.

What does it mean when the screen says 'UF GOAL REACHED'?

It indicates that the eco priming process has been completed successfully.

What is the importance of conducting a residual test before starting HD treatment?

The residual test ensures it is safe for the patient to proceed with the treatment by checking the condition of the dialysis solution.